How to Get an ADHD Diagnosis in the UK
When seeking advice, assessment or assistance for ADHD, people often encounter an array of gatekeepers in the network. It is clear that a few of these gatekeepers within NHS CCGs aren't adhering to the national guidelines for clinical practice or their legal obligations to prevent discrimination and health inequalities.
Anecdotal evidence also suggests that some private ADHD clinics are not sufficiently regulated. This could result in an inconsistency in diagnostic thresholds and assessment reporting which could create difficulties when trying to transfer to the NHS.
How do I obtain a medical diagnosis?
ADHD is an illness of the mind that can only be diagnosed by a medical professional who has specialist expertise. This includes psychologists and psychiatrists (who are the only qualified to diagnose ADHD in the UK). Patients with mental health issues frequently experience symptoms of ADHD especially those who have been struggling for a long time. They may feel stuck in their current circumstances, and desperate for help. The NHS can be difficult for those looking for an answer to a medical condition.
It is possible to get a diagnosis through the NHS by asking your GP for the referral to see an expert. Your GP will consider your concerns seriously, and could refer you to an expert for an assessment. However, you may have to wait until the specialist is available.
In assessing you for ADHD health professionals will look at your family history of ADHD and any other mental health issues you've had in the past. To evaluate your behavior, they will examine you in a variety of settings, such as at home, school or at work. They will ask you to explain your symptoms and how they impact your daily life. They may also inquire about your relationships, social life and other activities you take part in on a regular basis.
A specialist will look at all the evidence before making a diagnose. They will consider criteria like being unrestful and fidgety all the time and having a short-term memory, having difficulty staying focused, having difficulty keeping up with school or work, not completing tasks and being overly energetic. The diagnosis is dependent on an array of characteristics that can be seen in a variety of settings and affect your functioning.
In recent months there has been an increase in the number of prominent individuals who have opened up about their experiences with being diagnosed with ADHD. This has led to an increase in the number of people seeking an assessment, which could result in long wait times for healthcare professionals. Some patients and families choose to bypass the NHS by having their health checked at private clinics, which can be expensive. It is crucial to choose a doctor you can trust and answer any questions honestly regarding your health issues.
What happens during the assessment process?
The process of assessing ADHD symptoms is the same whether you self-refer or are referred to by your GP. The person conducting the assessment will ask you questions about your symptoms and how they affect your daily life. For instance, "What problems do experience at home?" "How does your symptoms impact your work?" "Do you have other symptoms you think could be related to ADHD?"
You may be required to fill out a variety of questionnaires or forms prior to your appointment, depending on the location you're going to for your examination. It is important to complete these as quickly as you can so that your appointment won't be delayed. It is also essential to be familiar with the symptoms of ADHD to be able to recognize them and discuss their impact on your life.
The assessment will usually include an interview with psychiatrists, specialist nurses or other appropriately qualified healthcare professional. The therapist will examine your mental health and ADHD symptoms to determine if they are caused by another illness or not (NICE guidelines). The clinician will discuss with you the treatment options that could include medication.
It is important to remember that GPs, nurses and psychologists will not be as knowledgeable about adult ADHD as Psychiatrists who specialize in it It is therefore essential to prepare and practice your symptoms before you go for the assessment. This will enable you to communicate the impact your symptoms are having in a way that they can understand. You will have to give examples on how your symptoms have impacted your life in all areas from your work to your relationships, and then over time.
There may be tests performed in the course of your examination for example, a blood test to check for any allergies. Your therapist might suggest additional tests to check for any medical issues.
If you self-refer, or enrolled in the Right to Choose scheme, it is important to understand that although you pay for your private examination however, you must wait for NHS funded appointments - and this can vary between NHS trusts and from one clinician to another.
What happens if I don't receive a diagnosis?
There are many factors that could prevent you from being diagnosed with ADHD. Some groups may be more difficult to get diagnosed. For instance when they are of color, were born female or if they suffer from other mental health conditions like bipolar disorder or depression.
If you're having trouble getting an assessment, speak to your GP and request an appointment. You may also find a private doctor who specializes in adult ADHD evaluations. They can often offer a much faster service than the NHS.
The psychiatrist will examine your symptoms to determine if they fit the Nice guidelines for ADHD. how to diagnose adults with adhd 'll also try to rule out other causes of your symptoms like depression, anxiety or thyroid issues. It's a long process and adults may not have all the information they require.
It's also possible that you will not be diagnosed with ADHD, even the GP agrees to refer you. This is because a psychiatrist can only be able to diagnose you if they believe that your ADHD symptoms are causing significant impairment. If they believe that you do not meet the criteria, they will inform you the reason.
In the UK, it is legal to access treatment through the NHS in England, Wales and Northern Ireland in the event that you have a diagnosis of ADHD. You could also get medication through an Individual Funding Request but this depends on the location you live in. You could be referred to a specialist in your local area who will prescribe the medicine of your choice. NHS specialists are more likely to prescribe Methylphenidate, Atomoxetine or Straterra first, and they do not usually plan for long titration periods.
It is beneficial to join an adult support group with ADHD, both in person and on the internet. They can be supportive and comforting. It is also helpful to share your experiences with others who understand.
What can I do to get treatment?
Adults may be referred to ADHD specialist services for assessment and treatment. Typically, these are located in NHS hospitals and NHS community health teams, for example the Maudsley Hospital in London offers a national ADHD adult diagnostic service. However, a majority of NHS healthcare providers do not recognise these reports as valid and patients often face difficulties in their access to treatment, notably long waiting times and the rejection of referrals (see below).
Support groups reported at the consensus meeting that many ADHD sufferers seek private assessment and diagnosis to overcome the NHS's inability to invest in this area. Private clinics offer a much quicker and more efficient, and generally understanding diagnosis. They can also help screen for comorbidities, such as anxiety and depression, which are common in ADHD. They assist in titrating the final dose. Costs vary from PS500-PS1,200 however, often a diagnosis and titration are priced separately.
The diagnosis and treatment for ADHD will differ from person to person. Most people are treated with medication. This may be methylphenidates, like Ritalin or Concerta, or atomoxetine, like Strateva. Sometimes, non-drug interventions can be beneficial, like training and education for parents and the families of those with ADHD. Some people suffering from ADHD have discovered that altering their diet and creating an appropriate schedule for sleep can help. Some people have found that hypnotherapy and psychotherapy can aid in reducing symptoms. However the evidence behind these treatments is not as extensive.
It is unacceptable that many people suffering from ADHD aren't able to receive the treatment and care they need on the NHS. The UK government, clinical and regulatory authorities must take action urgently to address this situation. People suffering from ADHD need access to treatment that is free of discrimination and in line with their legal rights. To reduce this unmet demand it is essential to plan for long-term funding and to provide health, social and judicial services together. The current situation is not sustainable and the effect on individuals, families and the entire society is devastating. It is now the time to invest in this area.