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How to Get an ADHD Assessment in the UK
Finding an ADHD assessment from the NHS can be difficult. The waiting lists can be lengthy and some people are diagnosed with other disorders that can better explain their issues such as depression or anxiety.
Your GP should listen to your concerns and help you understand why you believe you may be suffering from ADHD. They will then refer you to an NHS assessment.
1. See your GP
In England and Wales, you can access the ADHD assessment via the NHS. If medication is prescribed for you, you could be able to obtain it. You'll need to explain to your GP why you believe you may have ADHD and the effects it has on your life. Your GP will take this very seriously and will ask you to fill out the questionnaire or screen tool before referring you to specialists for an assessment. For adults, it is particularly important to make a list of the specific ADHD traits and symptoms that you experience in your day-to-day life, and be prepared to provide examples when you are asked.
Your psychiatrist will collaborate with you to determine whether or not you suffer from ADHD and will employ a variety of tools and approaches including symptom checklists, behaviour rating scales, and interviews with you along with your family members, friends and others who know you well. The psychiatrist will then write an assessment using the information they've gathered. They will then discuss with you what their recommendation is which could be that you are suffering from an ADHD diagnosis and, if it is appropriate it is recommended that you begin treatment with medications.
If you find that your GP is not willing to refer you for an evaluation or doesn't prescribe ADHD medication through the NHS, it may be worthwhile looking for a different GP who will be more accommodating. Psychiatry-UK's website has some useful information on this topic.
In England it is your legal right to choose where you receive an ADHD evaluation, provided that the service you receive is offered by the NHS, and the cost of the service is not more than what you would pay if you went directly to the NHS. If you're not able to reach an agreement with your local CCG you can contact ICAS for help in making an appeal to the national Appeal Panel. If you are located in Scotland, Northern Ireland or Wales and Northern Ireland, then the NHS has different rules and guidance. You might be able try contacting services through Right to Choose, and Psychiatry-UK has some suggestions regarding this here.
2. Request a recommendation
There are two ways to receive an ADHD assessment, based on where you live. The second is to go through the NHS and request your GP to refer you to. This can be a long process, and sometimes you may end up waiting years to get a diagnosis. Alternately, you can opt for the 'Right to choose option. This is a legal right which permits you to request the referral of a private provider in the event that you believe the NHS wait time for an ADHD assessment is too long.
If you choose to do this you must inform your GP must be in agreement with this, and also sign a'shared care agreement' with the provider that you've chosen. Many GPs are reluctant sign shared care agreements for patients who have been privately diagnosed particularly because they do not have the expertise to diagnose ADHD or prescribing medication for it.
In the majority of instances, you will be able to schedule an appointment with the private service you prefer. The ADHD specialist will conduct an interview and questionnaires with your child and you (if over the age of 11) before conducting an initial assessment. The specialist will then give you an exact indication of whether they believe that your symptoms are caused by ADHD, or not.
Following the initial assessment If it is believed that ADHD may be causing your issues, they will typically send you some additional questionnaires to complete for your school or work. Then they will arrange an appointment with you to discuss their findings and explain the diagnosis. This appointment will be a chance to discuss any options for medication and if it is found that the medication is appropriate then your GP will be informed and asked to prescribe it. Any other recommendations related to support at school or work will be discussed with your physician and any charges for this will be discussed before starting. Many private providers provide free advice and support between appointments, either via email or brief phone calls.
3. Go for an evaluation
It isn't always easy to get an ADHD diagnosis in the UK and it is often misdiagnosed with other mental health disorders. The best method of diagnosing ADHD is to have an assessment conducted by a psychiatrist with expertise in the field.
You may have to wait for a while before you can receive an assessment from the NHS. If you're worried about the waiting times, ask your GP about 'Right to Choose', a new NHS initiative that grants you the ability to choose the organisation to whom you're referred for your assessment. This allows you to skip the NHS waiting lists and could make the entire process more efficient.
When you go for your ADHD assessment, the psychiatrist will take a detailed description of your symptoms and how they impact on your daily life. They will then conduct an assessment of your clinical condition using standardised questionnaires. It is helpful to familiarise yourself with the characteristics (symptoms) of ADHD prior to your appointment. You should write down examples, as it's normal for people's minds to become blank when talking about their own experiences.
The test will also consist of a physical examination and interviews with family members as well as teachers and colleagues. It is crucial that the information gathered is as accurate and complete as it can be, so that the psychiatrist will be able to provide the most exact diagnosis.
If the psychiatrist suspects that you or your child suffer from ADHD and they'll send you for a complete diagnostic evaluation at a specially-commissioned adult ADHD service. This is an additional appointment that may include a variety tests, such as brain scans and psychological tests, to determine the extent of ADHD.
Some people decide to have a private ADHD assessment - this is growing in popularity as waiting lists through the NHS continue to increase. There are a variety of organizations in the UK which offer private assessments of ADHD based on the location you reside in. You can search for a list here or talk to your GP to determine which one is best for you. Private exams are usually faster than using the NHS however, it's crucial to be aware that your health insurance may not pay for the costs.
4. Get a diagnosis
ADHD can cause major issues in a variety of areas such as relationships or work, and an accurate diagnosis can ease these issues. Unfortunately, due to a increasing number of people requiring ADHD assessments, NHS services are struggling to keep up and waiting for appointments can be lengthy. Some people opt to pay for their test privately. This allows them bypass NHS waiting lists and begin treatment sooner.
After you've been diagnosed with ADHD the next step is to create an action plan for treating the disorder. This could involve medication or CBT therapy. adhd assessment psychiatry uk is something you should think about prior to your assessment. It will help you decide the best course of treatment for you.
Depending on where you live in the UK You may be able to access an ADHD assessment through the NHS. If this is the situation you'll be referred to a paediatrician or psychiatrist who will evaluate your symptoms, and then make a diagnosis based upon the NICE 87 guidelines.
If you do not get a referral from your GP You can refer yourself to an ADHD assessment through an individual mental health professional. This is usually faster than the NHS method, but it is essential to ensure that your GP is willing to sign an agreement called a Shared Care Agreement with your private clinician.
Your expert will ask you questions about your past and present behaviours. They will look for traits (symptoms) of ADHD, such as inattentiveness and hyperactivity/impulsiveness. They will also inquire about the way these traits impact your life today. It is useful to familiarise yourself with the diagnostic criteria for ADHD and then note down instances of the ways you have experienced these traits in your life prior to scheduling an appointment.
If you are diagnosed with ADHD it could be a life-changing experience. It can open the doors to a variety of treatment options and can give you an understanding of yourself and awareness that a few previously undiagnosed adults find particularly beneficial. It can also lead to better relationships and a more fulfilling life.