Kerstin Pruett
Blog entry by Kerstin Pruett
How to Get an ADHD Diagnosis in the UK
GPs can refer you for an NHS ADHD assessment. If the wait is very long, consider asking your GP to refer you to the law that gives patients rights to choose their providers called Right to Choose.
A psychiatrist will conduct a structured interview to assess your symptoms and impacts on different aspects of your life. They will request evidence, including childhood histories - school reports are sometimes requested.
Find a psychiatrist
Psychologists specialize in mental health and they can prescribe medication to treat ADHD. They may also provide talk therapy. If you have health insurance then the cost of a psychiatrist's visit will be covered. If you're unsure if the psychiatrist you are seeking is within your network, call your insurer to find out. You can also request your GP to refer you to a psychiatric specialist or search online for local services. If you don't have insurance, you may choose to go through an individual service. Be sure to ensure that the Psychiatrist you choose is licensed and has experience with ADHD patients.
Many medical professionals have preconceived ideas about what a person suffering from ADHD appears like. This makes it difficult to diagnose people with ADHD. Additionally, a lot of medical professionals are not educated in adult ADHD and don't have a lot of practical experience in dealing with it. You'll need to do some work to find an adult ADHD specialist who is able to assess your symptoms and diagnose you correctly.
Once you find a psychiatrist, it is crucial to establish a relationship of trust with them. This is particularly crucial if you are planning to start taking medication where to go for adhd diagnosis treat your ADHD. If you're uncomfortable with your psychiatrist, you should consider looking for another one. While it is essential to feel comfortable with a doctor, you should not be forced to settle for less than what you deserve.
Your GP may refer you to an adult ADHD specialist for a thorough clinical assessment. This typically involves a survey and an interview with the psychologist about how your ADHD symptoms impact your life in different social situations. The psychologist will then review your results and determine whether you meet the criteria for an adult ADHD diagnosis.
In England you can choose where to get adhd diagnosed to get your NHS assessments. You can pick from a list of NHS providers provided by the NHS. Some of these providers provide assessments online to adults, which can dramatically reduce the time it takes to wait.
Ask your doctor
If you have an GP who is knowledgeable of ADHD they might be able to refer you to an NHS diagnosis. In the UK this will involve an interview with a psychologist or psychiatrist (not nurse) which will include questionnaires regarding ADHD symptoms as well as your medical history and your family's mental health background. It is also likely that neuropsychological tests will be carried out as well as the interview. This will help give more clarity about your strengths and weaknesses, which includes comorbid conditions, that might be influencing your ADHD symptoms.
Your GP can assist you by writing a note stating that he wants to refer you for an assessment under Right to Choose. You can print out a template and give it to your GP. If they are refusing for any reason, it could be worth changing your GP. This is particularly relevant if you intend to apply for a Shared Care Agreement in the future.
If your GP accepts to refer you to a specialist, then you'll need to wait a few weeks before meeting with the specialist. It is crucial to be prepared for this, since the medical interview will likely focus on how your ADHD symptoms are affecting your life now. You'll be asked to present examples and be prepared for a discussion about how you've performed in different areas of your life.
After a formal diagnosis, your specialist will provide you with treatment options. These could include talking therapies and behavioural interventions and prescription drugs. You will receive guidance on how to manage ADHD and a report that includes recommendations for ongoing treatment. If you are a student then it is likely that your therapist will recommend a shared-care arrangement with your GP to prescribe medications for you.
There are many professionals in the UK who don't know much about ADHD. This includes doctors as well as nurses and psychologists. This can make it difficult to get an assessment or access treatment. You might be told you don't need treatment since you don't have hyperactivity. Also, adults don't receive treatment. Or that children will develop ADHD. It may take a lot of persistence to find a professional who is willing to listen and comprehend the condition.
Right to pick
If you reside in England and your GP agrees to send you for an ADHD assessment You have a legal right to choose the provider you wish to be referred to. This is referred to as the 'Right to Choice'. The only requirement is that the chosen provider has an NHS Standard Contract with your CCG or NHS England for the required service. It is also recommended to learn about the waiting times for the service of your choice before you contact them. You can do this by calling directly or asking your GP for more information.
It is worth noting that general practitioners, and therefore are not experts in diagnosing mental health problems, including adult ADHD. Therefore, you may have to convince your GP that you should be referred to an expert for an ADHD assessment. If you're not able to convince your GP that they should refer you to a specialist, you could print and download a letter from the charity ADHD UK to give to your GP. This includes quotes from the NICE 87 guidance which state that a GP is not able to refuse to diagnose ADHD and only an expert can make this diagnosis.
Ask your GP what their current waiting time is for an ADHD assessment. If the waiting times are too long, you may make use of your Right to Choice and select a different provider.
When you visit for your ADHD assessment you will be required to complete a questionnaire and attend an interview. The interview will usually be conducted by a psychiatrist or specialist nurse. The interview will be centered on your past experience with ADHD and how to get an adhd diagnosis uk (https://www.metooo.co.uk/u/66dac4667b959a13d0bd5308) it has affected your life. The interview will also look at your current symptoms. It is recommended to prepare for the interview and bring a family member to assist you.
Ask your GP about options for medications. They may not be able to prescribe stimulants, but they must be reminded that there are non-stimulant drugs that can be used to manage adhd diagnosis adults symptoms. These include methylphenidate, dexamphetamine and atomoxetine. Additionally, you can also try cognitive behavior therapy or psychotherapy for adults suffering from ADHD.
Private Assessment
You can have a private assessment in case you don't want to wait for the NHS or in the event that your GP has preconceived assumptions about what ADHD is (this is a problem that is growing particularly for women or people of color, as well as those who were born female). The main service provider for these assessments is Psychiatry-UK They have a helpful guide to taking this step on their website, which includes template forms that you can give to your GP. They also have an inventory of providers on their website and many of them provide online diagnosis and in person.
A private assessment usually takes slightly longer than a typical appointment for psychiatric treatment and will consist of a structured interview with your psychiatrist. This will cover various aspects of your life and how your symptoms are affecting your present functioning. They will also review your symptoms in a variety of contexts and situations. It is usually helpful to have a family or friend member provide feedback. The psychiatrist will analyze their findings and inform you of your diagnosis.
They will let you know if they believe that you are in line with the ADHD criteria or if another condition best explains your symptoms (traits). If they do not believe you're a fit for the criteria, they will tell you why, and you can request an additional referral.
After receiving an diagnosis, it's 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 get a shared-care agreement for medications through your GP. This could help you save money over the course of time.
Do not rely entirely on the internet for an ADHD diagnosis or any other self-diagnosis tools as they can be misleading. It is recommended to get a qualified and unbiased assessment in order to receive the best outcome. Based on your situation and whether or not you are willing to use medication, there may be other resources available that can ease your symptoms. If you're an undergraduate student, for example you could request an assessment. They can give you guidance on adjustments that are reasonable and the Disabled Student's Allowance.