ADHD Diagnosis - Getting the Right One From the NHS
The NHS requires that people undergo a thorough examination in order to receive the correct ADHD diagnosis. The BBC investigation found that some private clinics could be giving inaccurate diagnoses and prescribing inappropriate medication.
A valid diagnosis for ADHD is determined by the severity, number, duration and impact of symptoms. The clinician will interview the individual and review the medical, psychiatric, family and personal background.
Diagnosis
For adults who feel they are suffering from symptoms that could be connected to ADHD, getting a diagnosis is a key step to getting treatment and taking control over their lives. If they believe they suffer from ADHD or someone in their family or a friend has suggested it, an assessment can aid them in managing their symptoms.
The first thing patients must discuss their issues with an GP. Tell them about your symptoms and how they affect your daily life. The GP will then recommend them to an expert mental health professional who is skilled in diagnosing ADHD. The specialist should be an experienced psychiatrist who has undergone specific training in the field. This is important as it means that the psychiatrist will be sure that they are using the correct criteria for diagnosing ADHD.
The psychiatrist will request that the patient bring their spouse or family members and acquaintances who are familiar with them. They will also have to consider the patient's medical history and psychiatric past, starting from childhood. They will also take into account the severity of the symptoms and how they have impacted the patient's life. A brain scan or blood test cannot confirm an ADHD diagnosis. The psychiatrist will need to consider all the available information available.
If the psychiatrist feels that the patient doesn't meet all the criteria for an ADHD diagnosis the psychiatrist will discuss their reasons. It could be that the patient did not provide sufficient information about their difficulties or that another medical condition is more responsible for their behavior than ADHD. It could also be that the doctor believes that the patient's issues stem from something else, and not ADHD.
Some people are unable to get a proper diagnosis due to the prejudices espoused by certain healthcare experts. This is especially relevant if you're an individual of color or a woman born or don't speak English natively. The NHS is trying its best to solve this issue.
Assessment
If you are concerned you may have ADHD you should get an evaluation from a health care professional who is experienced in conducting these assessments. You can ask your doctor for a referral or consult at local universities' hospitals or medical schools to see the professionals who are certified to conduct an ADHD assessment for adults. You can also ask a local ADHD support group for an appointment.
The diagnosis of ADHD is determined by the amount, severity, and duration of symptoms in particular areas of life. These include school, relationships and work. There are many reasons to be concerned about not performing well in school or at work, or having trouble forming and maintaining relationships, or being forgetful or unorganised. It is essential to discuss these issues openly and not hold back from the fear of being criticized.
From GPs to psychiatrists who consult, there are many healthcare professionals who can perform an ADHD assessment. However, to officially recognize a diagnosis of ADHD it must be conducted by a qualified Psychiatrist or a Prescriber Certified Specialist Nurse. This is because only a psychiatrist can prescribe medication for the treatment of ADHD.
In an ADHD evaluation, you will be interviewed. It is crucial to bring a loved one with you to provide support or evidence. It is beneficial to write your symptoms and how they impact your life. The doctor will ask you questions to collect details about your past and current condition. They will also examine your body to determine if there are any medical conditions which could cause the symptoms of ADHD.
The NHS can also offer an adult adhd diagnosis that is private, but this can take a long time due to the overflowing NHS waiting lists. Some people prefer to pay out of their own pocket for private assessments and treatments via the 'Right to Choice' pathway. However it is crucial to keep in mind that the quality of treatment offered by private providers is a lot different and that it is essential that you choose carefully.
Medication
If you've struggled with symptoms of ADHD in adulthood it is a great idea to have a full and comprehensive assessment done. This will allow you to get the correct medication and support you need to manage your symptoms. There are a variety of private providers who provide this service. If you choose to go with one of them, it is important to research the reputation of the psychiatrist, their training and experience treating neurodevelopmental disorders.
In recent months, a variety of prominent people have come out about their struggles with ADHD. For example, Great British Bake Off host Sue Perkins was diagnosed in her 50s and stated that the diagnosis "made everything make sense". However, despite the increasing awareness, NHS waiting lists remain full of people wanting to receive the right diagnosis and treatment.
As a result doctors are often reluctant to refer patients to specialist services in the event of a private diagnosis of ADHD. This is due to the fact that they do not have the time and, in certain instances they may not be able to locate a doctor who is skilled in neurodevelopmental disorders. In certain areas, this is made worse by the fact that NHS staff may be being tasked with other health needs like mental health assessments.
There is also a perception among some private providers of ADHD assessments are prone to over-diagnosing adults with the condition, which could have devastating consequences for some people. The BBC Panorama programme raised this issue and there is a pressing need to improve access to specialized ADHD assessments.
Once you have a private diagnosis of ADHD it is possible to treat the disorder using a combination of treatment for behavioural disorders and medications. Stimulant medications like amphetamine and methylphenidate are used to improve productivity and focus, while non-stimulants that are slower-acting like atomoxetine can be beneficial for improving attention and impulse control.
Some patients opt to use behavioural therapy and do not require medication. Priory can put together an after-diagnostic care plan for those who require medication. This includes a detailed report as well as a titration for the final dose, which can be shared with your GP.
Post-diagnostic treatment
A diagnosis of ADHD can be a significant one for both the financial and human costs. This is why it is vital that a psychiatric assessment and treatment programme be accessible to all adults suffering from ADHD. This should include medication, psychological and practical support and family therapy when appropriate. This should include workplace and family information on how to best help and manage an adult suffering from ADHD.
The first step is an interview with an expert in mental health care who is certified to evaluate ADHD and other related disorders. Patients must bring a list of their symptoms and any other mental health concerns they have to this first appointment. The interview will cover the patient's medical, mental health and family history. It will also examine how ADHD symptoms affect the individual's daily functioning and how they affect their relationships.
During this examination, the doctor will ensure whether the symptoms match with the criteria for ADHD as defined in the Diagnostic and Statistical Manual of Mental Disorders. The symptom must be present in two different settings of the individual's life (either home or work). It should affect the person's normal functioning and cause a lot of distress. This could take the form a difficulty in keeping a job or coping with finances or marriage or school problems, or their general quality of life.
private adhd assessment uk and psychiatrists are among the professionals that can conduct an ADHD assessment. Psychologists understand how the brain works however, they are not qualified to prescribe medications, therefore they can only suggest counselling. Psychologists can diagnose and treat ADHD and prescribe medication if needed.
If the Psychiatrist decides that the patient with ADHD is in need of medication they will write a prescription and send it to a local pharmacy. This is under the supervision of the Psychiatrist and must be completed within three months after the private assessment to ensure that the individual is able to be titrated into their final dosage of medication. If the GP accepts to continue NHS prescribing after the private ADHD assessment The Psychiatrist will provide them with a an extensive report and treatment recommendations, and will create an Shared Care Agreement with the GP.