Bobbye Vandiver
Blog entry by Bobbye Vandiver
How to Get an ADHD Diagnosis in the UK
GPs can refer you for an NHS ADHD assessment. If the wait time is very long, consider asking your GP to refer you to the law that gives patients the right to choose their providers and treatment providers - referred to as Right to Choose.
A psychiatrist will conduct a structured meeting to evaluate your symptoms and the impact on various aspects of your life. They might request your school and childhood histories as well as reports.
Find a psychiatrist
They may prescribe medication for ADHD. Talk therapy is another option. If you are covered by health insurance then the cost of a psychiatrist's visit will be covered. If you're not sure if you have a psychiatrist in your network, you can contact your insurance provider to determine the status. You could also request your GP for the referral to a psychiatrist specialist or search for local services online. If you don't have insurance, you may opt for an individual service. Make sure the Psychiatrist is licensed and experienced with ADHD patients.
Many medical professionals have preconceived notions about what a person with ADHD looks like. This can be problematic when trying to establish an accurate diagnosis. A lot of medical professionals do not have the proper knowledge or training to diagnose adult ADHD. You will have to do some work to locate an adult ADHD specialist who is able to determine your symptoms and diagnose you correctly.
If you are able to find a psychiatrist, it is important to establish a trusting relationship with them. This is especially important when you are planning to start taking medication for ADHD. If you're uncomfortable with your psychiatrist, consider looking for a different one. It is important to be able to trust your doctor however, you should not settle for anything less.
Your GP can recommend you to an adult ADHD specialist for a thorough clinical assessment. This typically includes a questionnaire as well as an exchange with the psychologist on how your ADHD symptoms impact your life in different social situations. The psychologist will then look at your results and determine whether you meet the criteria for an adult ADHD diagnosis.
In England you can choose which location to receive your NHS assessments. You can select from a list of NHS providers that are provided by the NHS. Some of these providers provide online assessments for adults, which can dramatically reduce wait times.
Ask your doctor
If you have a GP who has a thorough understanding of ADHD and its symptoms, they might be able to refer you to the NHS for a diagnosis. In the UK, this will involve a clinic interview with a psychiatrist or psychologist (not nurses), which will include questionnaires on ADHD symptoms and medical history as well as family history of mental health. It is also possible that neuropsychological tests will be performed as well as the interview. This will help give an accurate picture of your strengths and weaknesses, including the possibility of comorbidities that could be influencing your ADHD symptoms.
Your GP can also assist by writing a letter to let them know that you want to be referred to an assessment under Right to Choose. You can get a template from ADHD UK to print off and give to your GP. If they don't want to do this for any reason it might be worthwhile to change your GP particularly in the event that you plan to go on to apply for a Shared Care Agreement for medication later on.
If your GP will agree to the referral then there will be a brief wait before you can meet with the specialist. Making preparations for the interview is vital, as it will likely focus on your ADHD symptoms and how they impact your life at present. You will be asked to provide examples and to explain how you've been performing in various areas of your life.
Following a formal diagnosis your doctor will provide you with treatment options. This could include talk therapies and behavioural interventions and prescription drugs. You will be coached on how to manage your adhd diagnosis adults uk (www.google.Pt) and given an assessment with recommendations for ongoing treatment. If you're a student at a university your doctor might suggest a shared-care arrangement with your GP in order to prescribe medications for you.
Unfortunately, there are a lot of professionals in the UK including GPs, psychologists and nurses who aren't knowledgeable about ADHD. This can make it difficult to receive an accurate diagnosis or get treatment. You might be told that you don't need treatment because you are not hyperactive. Or that adults don't get treated. Or that children don't develop ADHD. It may take a lot of persistence to find a specialist who will listen and understand the condition.
Right to choose
If you live in England and your GP accepts that you should be referred to an ADHD assessment by a third party, then you have a right to choose the provider. This is referred to as the 'Right of Choice'. The only requirement for a provider to be able provide the service is that they have an NHS Standard Contract (with your CCG or NHS England). It is also recommended that you know the waiting times for the service you prefer before you contact them. You can do this by contacting directly or asking your GP for more information.
It is important to know that GPs are general practitioners and therefore, are not experts in diagnosing adhd in adults mental disorders like adult ADHD. You may have to convince your GP to recommend you to a specialist to get an ADHD assessment. If you are unable do this and you are unable to convince your doctor, the charity ADHD UK has a letter that you can print and send to your GP. The letter includes quotes from the NICE 87 guidelines which state that a doctor cannot refuse to diagnose ADHD and that only a doctor can make this diagnosis.
Ask your GP what their current waiting time is for an ADHD evaluation. If the waiting times are too long, you could use your Right to Choice and choose another provider.
You will be asked to complete a questionnaire, and attend an interview when you visit get your adhd diagnosis private evaluated. The interview will typically be conducted by a psychiatrist or a specialist nurse. The interview will focus on your personal history of ADHD and how to get an adhd diagnosis for adults uk it impacted your life. The interview will also examine your current symptoms. You must prepare for this interview in advance and have someone from your family present to assistance.
It is also advisable to ask your GP to consider medication options for you. They may be hesitant to prescribe stimulants, but they should be aware that there are a variety of non-stimulant drugs that can assist in managing the symptoms of ADHD. These include methylphenidate, dexamphetamine and Atomoxetine. You might also consider cognitive-behavioral treatment or psychotherapy to treat adults with ADHD.
Private Assessment
If you are not happy waiting for the NHS to refer you or if you are concerned your GP might have preconceived notions about what ADHD is like (this is a rising problem particularly for women, those of color, and those who are assigned female at birth), then you can self-refer to a private evaluation. The main provider of the assessments is Psychiatry-UK, they offer a useful guide for making this request on their website which includes template forms that you can provide to your GP. They also have an inventory of providers available on their website and many of them provide online diagnosis and in-person.
A private evaluation will typically be slightly longer than a typical psychiatric visit and include an organized interview. This will cover various aspects of your life, and the way your symptoms affect your current performance. They will also review your symptoms in a variety of contexts and situations. It is usually helpful to have a friend or family member give feedback. The psychiatrist will then review their findings and provide you with your diagnosis.
They will tell them if they believe you are a candidate for ADHD, or if they believe that a different condition better explains your traits (symptoms). If they don't think you meet the criteria they will tell you why and ask for an additional referral.
After receiving a diagnosis, it is up to you whether you decide to take medication or not. It is necessary to have a discussion with your GP. You may be able to obtain a shared-care agreement for medications via your GP. This could save you money over the course of time.
It is not recommended to depend on getting an ADHD diagnosis from the internet or self-diagnosis software as they could be inaccurate. It is crucial to get a professional, unbiased assessment to ensure that you get the most effective results. Depending on the severity of your symptoms and if you are willing to take medications, other assistance could be available. If you're a student at a university for instance you may request an assessment. They can give you advice on appropriate adjustments and Disabled Students allowance.