Tanya Coughlan
Blog entry by Tanya Coughlan
How to Get an ADHD Diagnosis in the UK
GPs can refer you for an NHS ADHD assessment. If the wait is long, think about asking your GP to refer you to the law that grants patients rights to choose their provider - known as Right to Choose.
A psychiatrist will examine your condition through a structured clinical interview and focus on your different areas of life that your symptoms have an impact on. They will request evidence, including childhood histories - school reports are sometimes requested.
Find a psychiatrist
They can prescribe medication for ADHD. Talk therapy is another option. If you have health insurance, the cost of your doctor's visit should be covered. Contact your insurer if you're not sure if a psychiatrist is included in your network. You may also request your GP for the referral to a psychiatrist specialist or search for local services online. If you don't have insurance, you can opt to use an individual service. Make sure the Psychiatrist has been certified and has experience working with ADHD patients.
Many medical professionals have preconceived notions of what a person with ADHD appears like. This can be a problem when trying to get an accurate diagnosis. A lot of medical professionals do not have the proper expertise or training to recognize adult ADHD. You'll need to conduct some research to locate an adult ADHD specialist who can determine the symptoms.
If you are able to find a psychiatrist, it is important to build a trusting relationship with them. This is particularly crucial when you plan to begin taking medication for your ADHD. You should consider getting a new psychiatrist in case you are uncomfortable with your current one. While it is important to feel comfortable with a physician however, you shouldn't be forced to accept less than what you deserve.
Your GP can refer you to an adult ADHD specialist for a medical assessment. This typically involves a questionnaire and an exchange with the psychologist on how your ADHD symptoms affect your life in different social settings. The psychologist will then look at your results and determine whether you meet the requirements for an adult ADHD diagnosis.
In England you can choose where you receive your NHS assessments. You can pick from the list of NHS providers offered by the NHS. Some of these providers provide online assessments for adults, which can significantly reduce the time it takes to wait.
Ask your GP
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 to receive a diagnosis. In the UK this will involve a clinical interview with a psychiatrist or psychologist (not nurse) which will comprise questionnaires on ADHD symptoms as well as your medical history, and your family's mental health background. It is also possible that neuropsychological tests will be carried out as well as the interview. This will give you more information about your strengths, weaknesses and any comorbidities that could be influencing your ADHD.
Your GP can assist you by writing a letter stating that he would like to refer you for an assessment under Right to Choose. You can download an example from ADHD UK to print off and give to your GP. If they refuse to sign this form of consent for any reason it might be worth changing your GP particularly if you want to go on to apply for an Shared Care Agreement for medication later on.
If your GP is willing to make the referral, there will be a short wait before you can meet with the specialist. It is essential to prepare yourself for this, because the clinical interview will likely be focused on how do i get an adhd diagnosis your ADHD symptoms are impacting your life now. You will be asked to provide examples and to explain how you've been performing in various aspects of your life.
Once you have been formally diagnosed, your doctor will provide advice on treatment options. These treatments could include talking therapy, behavioural interventions or adult ADHD diagnosis prescription drugs. You will be given advice on how to manage your ADHD and given an evaluation with recommendations for ongoing care. If you are a student then it is likely that your therapist will recommend a shared care arrangement with your GP to prescribe medication for you.
There are a lot of professionals in the UK who don't have much knowledge about ADHD. This includes doctors, nurses, and psychologists. This makes finding a diagnosis and gaining access to treatment difficult. You may be told you don't have ADHD because you're not hyperactive, or that adults don't receive treatment and that children grow out of it. It can be difficult to find a professional who will listen and understand your situation.
Right to choose
If you reside in England and your GP agrees that you should be referred for an ADHD assessment by a third party, you are entitled to choose which provider. This is referred to as the 'Right to Choose'. The only requirement is that the selected provider is covered by an NHS Standard Contract with your CCG or adult ADHD diagnosis NHS England for the required service. It is also recommended to know the waiting times for the provider of your choice before you contact them. You can find out more information by contacting the provider directly or asking your GP.
It is important to remember that GPs are general practitioners and are not experts in diagnosing mental health problems which includes adult ADHD. Therefore, you may have to convince your GP that you should be referred to a specialist for an ADHD assessment. If you are unable to do this, 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 GP can't refuse to diagnose ADHD and that only a doctor can make this diagnosis.
Ask your GP what their current waiting times are for an ADHD evaluation. If the waiting times are too long, you may use your Right to Choice and select a different provider.
When you visit for your ADHD assessment, you will be asked to complete a questionnaire and to attend an interview. The interview will usually be conducted by a psychiatrist or specialist nurse. The interview will concentrate on your past experiences with ADHD and how it has affected your life. It will also discuss your current symptoms. You should prepare in advance for this interview and bring a family member to assist you.
Ask your GP about medication options. They may be reluctant to prescribe stimulants but they should be aware that there is a variety of non-stimulant medications which can help control the symptoms of ADHD. These include the methylphenidate (Ritalin) as well as dexamphetamine and Atomoxetine (Strateva). Additionally, you could also try cognitive behavioral therapy or psychotherapy for adults suffering from ADHD.
Private Assessment
If you're not content waiting for the NHS to refer you, or you are worried that your GP may have preconceived ideas about what ADHD appears to be (this is a rising problem particularly for women, those of color, and those who are assigned female at birth) If you are concerned about this, then self-refer to a private assessment. The primary provider of these is Psychiatry-UK and they offer a useful guide for doing this on their website, which includes templates for forms you can give to your GP. On their website, they provide a list of providers. They offer both online and in-person diagnosis.
A private assessment usually takes just a little longer than a regular psychiatric appointment and will include a structured interview with a psychiatrist. This will cover various aspects of your life and how to get diagnosed with adhd in adulthood your symptoms affect your current functioning. They will also consider your symptoms in various contexts and settings. It is often beneficial when you have a family member or friend who can provide feedback. The psychiatrist will then review their findings and give you a diagnosis.
They will let you know if they believe that you are in line with the ADHD criteria or if another diagnosis best describes your symptoms (traits). If they don't believe you meet the criteria, they will let you know the reasons why and you can request them to refer you again.
After you have received a diagnosis, you can decide whether you want to go down the route of medication or not. You will need a discussion with your GP. You may be able to get a shared-care agreement for medication through your GP. This could save you money over time.
Do not be relying on an ADHD diagnosis for adhd in adults on the internet or self-diagnosis software as they could be inaccurate. You should seek a professional and objective assessment to get the best results. Depending on the severity of your symptoms and whether or not you are willing to accept medication, other treatment options could be available. If you are an undergraduate student, for example you could request an assessment. They can provide you with suggestions on how to make reasonable adjustments and the Disabled Student's Allowance.