Darcy Boswell
Blog entry by Darcy Boswell
How to Get an ADHD Diagnosis in the UK
When seeking advice, assessment or assistance for ADHD People often come across an array of gatekeepers in the network. It is clear that many of these gatekeepers, notably in NHS CCGs, are not following the national guidelines for clinical practice and their legal duty to stop health inequalities and discrimination.
Anecdotal evidence suggests that certain private ADHD clinics are not sufficiently regulated. This may result in uncoordinated diagnostic thresholds and assessment reporting, which can cause difficulties when trying to transfer back to the NHS.
How do I find out if I have a diagnosis?
ADHD is a mental illness, which means it can only by diagnosed by a healthcare professional with specialist expertise. This includes psychiatrists and psychologists (who are the only qualified to diagnose ADHD in the UK). People suffering from mental illness often report ADHD symptoms, particularly those who have been struggling for a long period of time. This means that they can feel trapped in their current circumstances and are in desperate need of help to improve their life. However the NHS isn't always easy to navigate for those seeking a diagnosis.
It is possible to receive an assessment through the NHS by asking your GP for an appointment with a specialist. Your GP should be attentive to your concerns and should be able to send you to a specialist for an examination, but you may need to wait until the specialist is in.
To determine if you have ADHD, healthcare professionals look at any mental health issues that you may have faced in the past and your family history. They will be observing you in various settings, including at the workplace, school or at home to determine your behavior. They will ask you to write about your symptoms and how they impact your daily life. They might ask you questions about your social life, your relationships and other activities you engage in regularly.
A specialist will examine all the evidence before making a diagnose. They will consider criteria like being unrestful and fidgety throughout the day and having short-term memory issues, having difficulty staying focused or keeping up with school or work, not finishing tasks and being overly energetic. The diagnosis is based on the pattern of behaviors that can be seen in a variety of settings and affect your functioning.
In the last few months, there has been a rise in the number of well-known people who have spoken out about their experiences of being diagnosed with ADHD. This has led to a rise in the number of people who are seeking an assessment, which could result in long wait times for healthcare professionals. Many patients and their families opt to avoid the NHS by undergoing assessments at private clinics which can be costly. It is important to locate a healthcare professional you can trust and answer honestly about your symptoms.
What happens during the assessment process?
Whether you're self-referring or getting recommended by your GP the process of assessing for ADHD symptoms is similar. The person who conducts the assessment will ask questions about your symptoms and how they impact your daily life. For example, "What problems do experience at home?" "how do i get diagnosed with adhd does your symptoms impact your work?" "Do you have other symptoms you think may be related to ADHD?"
You may have to fill out different questionnaires or forms prior your appointment, based on the location you're going where to go for adhd diagnosis for your assessment. It is essential to complete these as quickly as you can so that your appointment doesn't get delayed. It is also important to familiarize yourself with the signs (symptoms) of ADHD so that you can recognise them and discuss how they impact your life in detail.
The evaluation will usually include an interview with a psychiatrist or specialist nursing staff, or a qualified healthcare professional. The therapist will evaluate your mental health and ADHD symptoms to determine if they're caused by another illness or not (NICE guidelines). The therapist will then discuss possible treatment options with you which could include medication.
Keep in mind that nurses and doctors will not be as knowledgeable about adult ADHD as Psychiatrists. It is therefore crucial to prepare your symptoms and practice them before you go to the assessment. This will help you explain your symptoms in a way they can understand. You'll need to provide examples of how your symptoms affect your life in all areas from your work to your relationships, and over time.
As part of the assessment you might be required to take certain tests, like a test for allergies. Your therapist may suggest additional tests to determine for any medical conditions.
If you self-refer or enrolled in the Right to Choose scheme, it is crucial to know that, even if you pay for your private examination but you will still need to wait for NHS scheduled appointments - and this can differ between NHS trusts and from one physician to another.
What happens if I don't get an appointment?
There are a variety of factors that could prevent you from being diagnosed with ADHD. Certain groups could be more difficult to get diagnosed. For example that they are of color or were born female or if they have any other mental health conditions like depression or bipolar disorder.
If you're having difficulty getting an assessment, speak to your GP and request a referral. You can also try to find a private doctor who is skilled in adult ADHD evaluations. They can provide a more rapid service than the NHS.
The psychiatrist will evaluate your symptoms to determine if they fit the Nice guidelines for ADHD. They'll also try to eliminate other causes of your symptoms including anxiety, depression, or thyroid issues. This can be a very extensive process, and it's not always easy for adults to present all the evidence required (for instance, they may struggle to locate old school reports that are in the back of the cupboard).
It's also possible that you will not be diagnosed with ADHD even when your GP agrees to refer you to a psychiatrist. This is because a psychiatrist can only diagnose you if they consider that your adhd in adults diagnostic criteria symptoms result in significant impairment. If they think you do not meet the criteria, they'll inform you why.
If you have been diagnosed with ADHD, it is legal in the UK to access treatment via the NHS. This is applicable to England, Wales, and Northern Ireland. You may also be able to access medication through an Individual Funding Request, however, this is contingent on the location you live in. You could be referred to an expert in your local area who will prescribe the medication of your choice. NHS specialists tend to prefer Methylphenidate Atomoxetine or Straterra first and they do not always plan for long intervals of titration.
Participating in a support group, either in person or online for adults suffering from ADHD can be beneficial. They can be extremely positive and reassuring and can assist to discuss your experiences with others who understand.
What can I do to get treatment?
GPs may recommend adults to specialist ADHD services to be assessed and prescribed medication. These services are usually located in NHS hospitals or NHS community health teams. For instance, the Maudsley Hospital, London, offers a nationwide ADHD diagnostic service for adults. However there are many NHS healthcare providers do not accept these reports, and patients are often denied receiving treatment. This is due to lengthy waiting periods or rejection of referrals.
Support groups at the consensus meeting revealed that many ADHD patients seek out private assessments and diagnosis to avoid the insufficient NHS funding in this area. Private clinics can provide an accurate, professional and faster diagnosis. They also assist in screening for comorbidities such as anxiety and depression that are common in ADHD. They also help with titration of the final dosage. The cost can vary from PS500 to PS1,200. Sometimes, a diagnosis and dosage are priced separately.
The treatment and diagnosis for Adhd Adults Diagnosis is different from person to person. The most popular treatment is medication, and it can be in the form of methylphenidates (Ritalin, Concerta) or atomoxetine (Strateva). Non-drug interventions can be helpful, such as education and training for families and parents of those with ADHD. Certain people with ADHD find that a change in diet can help, as well as trying to develop a sleep-friendly routine. Some people find that hypnotherapy and psychotherapy can aid in reducing symptoms. However the evidence behind these treatments is not as extensive.
It is unacceptable that many adults suffering from ADHD cannot get the medical and treatment they require through the NHS. This situation must be addressed urgently by UK governments and regulatory and clinical bodies. Patients with ADHD need access to treatment that is devoid of discrimination and consistent with their rights under the law. To reduce this unmet demand it is essential to create long-term plans for funding and provide health, social and judicial services together. The current state of affairs cannot be sustained and has a negative impact on individuals, their families and the society. It's time to invest.