How to Get an ADHD Diagnosis in the UK
When seeking assistance, referral or assessment for ADHD Patients often have to deal with the network gatekeepers. It is clear that a lot of these gatekeepers, especially in NHS CCGs, are disregarding the national guidelines for clinical practice and their legal obligations to stop health inequalities and discrimination.
Anecdotal evidence suggests some private ADHD clinics are not sufficiently monitored. This could lead to inconsistent thresholds for diagnosis and assessment reporting that could cause problems when trying to transfer back to the NHS.
How do I obtain an accurate diagnosis?
ADHD is a mental illness that can only by diagnosed by a medical professional with specialized expertise. This includes psychologists and psychiatrists (who are only certified to diagnose ADHD in the UK). People suffering from mental health issues frequently report symptoms of ADHD especially those who have struggled for a long time. This means that they can be feeling stuck in their current circumstances and are desperate for help to improve their life. The NHS can be difficult for those looking for the diagnosis.
You can get a diagnosis via the NHS when you ask your GP to refer you to a specialist. Your GP should take your concerns seriously and should be able refer you for an assessment, but you may need to wait until the specialist is in.
In order to assess your ADHD, healthcare professionals look at any mental health issues you may have had in the past as well as your family history. They will also observe you in various situations, such as at home, at school or at work to determine your behavior. You will be asked to describe your symptoms and how they impact your daily life. They might also inquire about your relationships, social life and any other activities you engage in regularly.
A doctor will take into consideration all of the evidence before making a diagnosis. They will consider criteria like
being diagnosed with adhd in adulthood irritable and fidgety at all times or having short-term memory issues or difficulty focusing and unable to keep up at school or at work, not completing tasks and being overly energetic. The diagnosis is based on an array of characteristics that can be seen in a variety of situations and impact your performance.
In recent months there is a surge in the number of well-known individuals who have opened up about their experiences with being diagnosed with ADHD. This has resulted in an increase of people seeking a diagnosis. This can result in long wait for healthcare professionals. Many patients and their families opt to bypass the NHS by having their health checked at private clinics, which can be expensive. It is essential to find a healthcare provider you are comfortable with and answer any questions honestly regarding your health issues.
What happens during the process of assessment?
Whether you're self-referring or getting referred by your GP the process of assessing for ADHD symptoms is essentially the same. The person conducting the assessment will ask you questions about
how to get adhd diagnosis in adults your symptoms affect your daily life, for example "What difficulties do you encounter at home?", "How do your symptoms affect your work?", and "Do you experience other symptoms you believe might be related to ADHD?"
You may be required to fill out a variety of questionnaires or forms prior your appointment, depending on where you are going for your evaluation. Making sure you complete these forms in a timely manner will prevent any delays in your appointment. It is also important to familiarize yourself with the signs (symptoms) of ADHD so that you can recognize them and discuss how they impact your life in detail.
The evaluation will usually include an interview with either a psychiatrist or specialist nursing staff, or another appropriately qualified healthcare professional. The therapist will assess your overall mental health, and the specific symptoms of ADHD to see whether they are caused by any other condition or unrelated to any other conditions (NICE guidelines). The clinician will discuss with you the options for treatment, which may include medications.
Remember that GPs and nurses aren't as knowledgeable about
adult adhd diagnosis uk ADHD as psychiatrists. Therefore, it is important to identify your symptoms and practice them prior to when you attend the evaluation. This will enable you to describe your symptoms in a manner they can comprehend. You'll have to provide examples of
how to be diagnosed with adhd in adults your symptoms affect your life in all areas, from your work to your relationships, and over time.
As part of the evaluation, you could be required to take some tests, such as the test for allergies. Your therapist may suggest additional tests to determine whether you have any other medical issues.
If you self-refer or enrolled in the Right to Choose scheme, it is important to remember that although you pay for your private evaluation, you still have to wait for NHS funded appointments - and this can vary between NHS trusts and also from one doctor to another.
What is the outcome if I fail to receive an appointment?
There are many factors that could prevent you from
being diagnosed with adhd in adulthood diagnosed with ADHD. Certain groups might have a difficult time getting diagnosed. For instance when they are of color, were born female or if they have any other mental health issues, such as bipolar disorder or depression.
If you are having a hard time getting a diagnosis, consider speaking to your GP about it and request the referral to a psychiatrist. It's also worth trying to find a private psychiatric provider who specializes in adult ADHD tests. They can often offer an earlier service than the NHS.
The psychiatrist will look at your symptoms to determine if they match the Nice guidelines for ADHD. They will also look for other possible reasons for your symptoms like depression, anxiety, or thyroid problems. It's a lengthy process, and adults may not have all the information they require.
It's also possible that you will not be diagnosed with ADHD, even when your GP will agree to refer you to a psychiatrist. This is because a psychiatrist can only diagnose you if they consider that your ADHD symptoms result in significant impairment. If they think you do not meet the criteria, they'll tell you the reason.
If you've been diagnosed with ADHD it is legal in the UK to receive treatment through the NHS. This applies to England, Wales, and Northern Ireland. You could be able get medication through an Individual funding request, however it will depend on the location you reside in. You may be referred the right specialist in your area who will prescribe the medicine of your choice. NHS specialists tend to prefer Methylphenidate, Atomoxetine or Straterra first. They don't always plan for lengthy intervals of titration.
It is helpful to join a support group for adults with ADHD in person and online. They can be a source of support and reassuring. It is also helpful to share your story with others who can relate to.
How do I get treatment?
Adults are sent to ADHD specialist services for assessment and treatment. Typically, these are located in NHS hospitals and NHS community health teams. For instance, the Maudsley Hospital in London offers a nationwide ADHD adult diagnostic service. However there are many NHS healthcare providers do not accept these reports and patients are often blocked from accessing care. This is due to lengthy waiting times or the rejection of referrals.
Support groups have reported at the consensus meeting that many ADHD sufferers seek private assessment and diagnoses to circumvent the NHS's inability to invest in this area. Private clinics provide a more accurate, professional and speedier diagnosis. They are also helpful in the screening of comorbidities like anxiety and depression which are common in ADHD and can assist with titration to the final dose of the medication. Costs vary from PS500-PS1,200, although the diagnosis and titration are priced separately.
The treatment and diagnosis for ADHD will differ from individual to individual. The most commonly used treatment is medication, and this may be in the form of methylphenidates (Ritalin, Concerta) or atomoxetine (Strateva). Sometimes, non-drug treatments are beneficial, like training and education for parents and the families of those with ADHD. Certain people with ADHD have found that a change in their diet can help, as well as trying to develop a sleep-friendly routine. Some people find that psychotherapy and hypnotherapy may aid in reducing symptoms. However the evidence supporting these therapies isn't as strong.
It is inexcusable that many adults suffering from ADHD are not able to access the care and treatment they need on the NHS. The UK government, the clinical and regulatory authorities need to act urgently to rectify this issue. People suffering from ADHD should have access to treatment that is free of discrimination and in accordance with their legal rights. Long-term planning of funding, and joined up commissioning of health, social care and judicial services are essential to address this need that is not being met. The current situation can't be long-term and has a negative impact on families, individuals and the society. It is now the time to invest in this area.