“Ask Me Anything”: Ten Answers To Your Questions About ADHD Diagnosis
How to Get an ADHD Diagnosis in the UK When seeking referral, assessment or support for ADHD People often come across an array of gatekeepers in the network. It is clear that a few of these gatekeepers within NHS CCGs aren't following national clinical guidelines or their legal obligations to stop discrimination and health inequalities. Anecdotal evidence suggests that some private ADHD clinics aren't properly controlled. This could result in an inconsistency in thresholds for diagnosis and assessment reporting that could cause problems when trying to transfer to the NHS. How can I get an medical diagnosis? ADHD is a mental illness, which means it can only be diagnosed by a healthcare professional who has specialist expertise. This includes psychologists and psychiatrists (who are the only professionals qualified to diagnose ADHD in the UK). People suffering from mental health issues often report symptoms of ADHD, especially those who have been struggling for a long time. This means they may feel trapped in their current situation and need assistance to improve their lives. The NHS can be difficult for those looking for the diagnosis. It is possible to receive an assessment through the NHS by asking your GP for the referral to see an expert. Your GP will take your concerns seriously and should be able to send you to a specialist for an examination but you may have to wait until the specialist is available. When assessing for ADHD, healthcare specialists will review your family history of ADHD and any other mental health issues that you have experienced in the past. They will be observing you in various situations, such as at home, at school or at work to determine your behavior. You will be asked to write about your symptoms and how they affect your daily life. They may ask you about your social life, your relationships, and other activities you participate in regularly. A specialist will look at all the evidence before deciding on a diagnose. They will consider criteria like being irritable and fidgety throughout the day and having a short-term memory and having trouble staying focused or keeping up with school or work, not finishing tasks and being overly energetic. The diagnosis will be based on the presence of these characteristics in multiple settings, affecting your performance and if there's a distinct pattern that has remained for at least six years. In recent months, there has been an increase in the number of celebrities speaking 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 lead to long waiting times for healthcare professionals. Some patients and families choose to avoid the NHS by having their health checked at private clinics which can be costly. It is essential to choose the right healthcare provider who you trust and be honest about your symptoms. What happens during the assessment process? The process of conducting an assessment of ADHD symptoms is the same regardless of whether you self-refer or are referred to by your GP. The person who is conducting the assessment will ask questions about your symptoms and how they affect your life. For example, “What problems do experience at home?” “How does your symptoms affect your work?” “Do you have other symptoms you think may be related to ADHD?” You may be required to fill out different forms or questionnaires before your appointment, based on where you are going for your assessment. It is important to complete these forms as quickly as possible so that your appointment won't be delayed. You should also familiarise yourself with the symptoms of ADHD to be able to recognise them and discuss their impact on your life. The test will usually involve an interview with a psychiatrist, specialist nurse or any other qualified healthcare professional. The therapist will assess both your mental health and ADHD symptoms to determine if they're caused by a different condition or not (NICE guidelines). The clinician will then discuss treatment options with you, which may involve medication. It's worth remembering that GPs, nurses and psychologists aren't as well-versed in adult ADHD as Psychiatrists who specialize in it, so it is important to prepare and practice your symptoms prior to going for an assessment. This will help you explain the impact that your symptoms are having in a way that they can understand. getting diagnosed with adhd 'll need to provide examples of how your symptoms affect your life in all aspects from your work to your relationships, and then over time. There may be tests done as part of the assessment like a blood test to check for any allergies. If you are suffering from any other medical problems your therapist could suggest further tests to check for these, too. If you self-refer, or enrolled in the Right to Choose scheme, it is important to understand that although you pay for your private examination but you will still need to wait for NHS funded appointments – and this can differ between NHS trusts and from one clinician to another. What happens if I don't get an answer to my question? You can be diagnosed with ADHD in the event that you have a variety of factors in your favor. Certain groups might have a difficult time getting diagnosed. For instance that they are of color or were assigned female at birth or if they suffer from other mental health diagnoses such as bipolar disorder or depression. If you're struggling to get an answer, you can talk to your GP about it and request the referral to a psychiatrist. It is also a good idea to find a private psychiatric provider who specializes in adult ADHD tests. They can offer a faster service than the NHS. The psychiatrist will examine your symptoms to determine if they are in line with the Nice guidelines for ADHD. They will also look for other possible causes for your issue, such as anxiety, depression or thyroid issues. This can be a very extensive process, and it'sn't always easy for adults to give all the evidence needed (for example they might 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 if your GP agrees to refer you to a psychiatrist. A psychiatrist can only diagnose ADHD if they believe that your ADHD symptoms cause significant impairment. If they believe that 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 receive treatment through the NHS. This is applicable to England, Wales, and Northern Ireland. You might also be able to get medication through an Individual Funding Request, however, this is contingent on your local area. You may be referred by your physician to prescribe the medication you want. NHS specialists usually prefer Methylphenidate, Atomoxetine or Straterra first. They do not usually plan for long time periods of titration. It can be helpful to join an adult support group with ADHD in person and on the internet. They can be very helpful and comforting and can assist to share your story with other people who can relate to your experience. What can I do to receive treatment? Doctors can recommend adults to specialist ADHD services for assessment and medication. They are typically located in NHS hospitals and NHS community health teams, for example, the Maudsley Hospital in London offers an all-encompassing ADHD adult diagnostic service. However, many NHS healthcare providers don't accept these reports and patients are often blocked from accessing care. This is due to long waiting times or the rejection of referrals. Support groups at the meeting revealed that many ADHD patients seek private assessment and diagnosis to circumvent the absence of NHS investment in this area. Private clinics can provide a speedier and more professional and a more generalized diagnosis. They can also assist in screening for comorbidities, such as depression and anxiousness that are common in ADHD. They also help with titration of the final dosage. Prices range from PS500 to 1,200 however, often a diagnosis and titration are charged separately. The diagnosis and treatment of ADHD varies from person to person. The most common treatment is medication, which can be in the form of methylphenidates (Ritalin, Concerta) or atomoxetine (Strateva). Sometimes, non-drug treatments are useful, such as education and training for parents and families of individuals with ADHD. Certain people with ADHD have found that changing their diet and developing an effective sleep schedule can help. Some people find that psychotherapy and hypnotherapy may alleviate their symptoms. However the evidence supporting these therapies is less extensive. It is inexcusable that many adults with ADHD are unable to get the treatment and care they need on the NHS. The UK government, clinical and regulatory authorities need to act urgently to address this situation. People suffering from ADHD need access to treatment that is free of discrimination and in line with their legal rights. Long-term planning of funding and a coordinated commissioning of health, social care and judicial services are crucial to reduce this unmet need. The current situation isn't sustainable and the impact on individuals, families and the entire society is devastating. It's time to invest.