5 Laws That Anyone Working In ADHD Diagnosis Should Know
How to Get an ADHD Diagnosis in the UK
When seeking advice, assessment or assistance for ADHD Patients often have to deal with a network gatekeepers. It is clear that a number of these gatekeepers, particularly in NHS CCGs, do not follow the national guidelines for clinical practice and their legal obligation to stop health inequalities and discrimination.
Anecdotal evidence suggests certain private ADHD clinics are not sufficiently controlled. This may result in inconsistent diagnostic thresholds and assessment reporting, which can cause difficulties when trying to transfer back to the NHS.
How do I obtain an official medical diagnosis?
ADHD is a mental illness and can only be diagnosed by a healthcare provider who has specialist knowledge. 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 struggled for a long time. This means that they can feel trapped in their current circumstances and are in desperate need of assistance to improve their lives. However it is true that the NHS can be a challenge to navigate for people seeking an assessment.
You can get an appointment with the NHS by asking your GP to refer you to a specialist. Your GP will consider your concerns seriously, and may refer you to an expert for an assessment. However, you might need to wait until the specialist is available.
In assessing you for ADHD health specialists will review the family history of ADHD and any other mental health issues that you've had in the past. They will also observe you in various settings, including at home and school or work, to assess your behaviour. They will ask you to describe your symptoms and how they affect your daily life. They may also inquire about your relationships, social life and other activities you engage in regularly.
A specialist will look at all the evidence prior to making an appropriate diagnosis. They will consider criteria like being unrestful and fidgety at all times or having a short-term memory or difficulty focusing, having difficulty keeping up at school or at work, not completing tasks and being overly energetic. The diagnosis is determined by the pattern of behaviors that can be seen in a variety of settings and affect your functioning.
In recent months there has been an increase in the number of high-profile individuals who have opened up about their experiences being diagnosed with ADHD. This has resulted in an increase in people seeking an assessment. This can lead to long wait for healthcare professionals. Some patients and their families opt to bypass the NHS in order to undergo assessments at private clinics. This could be expensive. It is crucial to select a healthcare provider that you can trust and be honest about your health issues.
What happens during the assessment process?
If you're self-referring or referred by your GP the process of assessing ADHD symptoms is similar. The person who is conducting the assessment will ask you questions about your symptoms and how they impact 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?"
Depending on where you go for your assessment there could be different forms or questionnaires available for you to fill out prior to your appointment. It is crucial to complete these as quickly as you can so that your appointment won't be delayed. It's also important to become familiar with the characteristics (symptoms) of ADHD to be able to identify them and discuss how they impact your life in detail.
The assessment will typically include an interview with either a psychiatrist, specialist nursing staff or a healthcare professional. The therapist will examine your mental health and ADHD symptoms to determine if they're caused by another illness or not (NICE guidelines). The therapist will then discuss possible treatment options with you which may involve medication.
Remember that adhd diagnosis uk adults and nurses aren't as knowledgeable about adult ADHD as Psychiatrists. It is therefore important to plan your symptoms and practice them before you attend the evaluation. This will enable you to describe your symptoms in a way they can understand. You'll need to provide examples of how your symptoms have affected on all aspects of your life, from work to relationships, and how they have changed in time.
As part of the examination, you may have to undergo certain tests, for instance the test for allergies. If you suffer from any other medical problems, your therapist might suggest additional tests to look for these, too.
You could be self-referring or using the Right to Choose Scheme, however, you'll still need to wait until you can get an NHS-funded appointment. This can vary from NHS trust to NHS trust, as well as from clinician to clinician.
What happens if I don't have a diagnosis?
There are several things that could prevent you from being diagnosed with ADHD. It can be more difficult for certain categories of people to be diagnosed, such as if you are a person of color or a woman at birth, or if you have other mental health issues, such as bipolar disorder or depression.
If you are having a hard time getting a diagnosis, consider speaking to your GP about it and request an appointment with a psychiatrist. It is also a good idea to find a private psychiatric provider that specializes in adult ADHD evaluations. They often provide a much faster service than the NHS.
The psychiatrist will look at your symptoms to determine if they are in line with the Nice guidelines for ADHD. They will also attempt to determine the cause of your symptoms like anxiety, depression or thyroid issues. It's a long procedure and adults might not have all the information they need.
You might not be diagnosed with ADHD even if your GP accepts. A psychiatrist is able to diagnose ADHD in the event that they believe your ADHD symptoms cause significant impairment. If they believe you do not meet the criteria, they will inform you the reason.
In the UK, it is legal to seek treatment through the NHS in England, Wales and Northern Ireland if you have been diagnosed with ADHD. You could be able obtain medication through an individual funding request, but it depends on the location you reside in. You may be referred to an expert in your local area who will prescribe the medicine of your choice. NHS specialists usually prefer Methylphenidate Atomoxetine or Straterra first, and they do not usually plan for long intervals of titration.
It is helpful to join an adult support group with ADHD in person and on the internet. They can be helpful and calm. It can also help to share your story with other people who understand.
How can I get treatment?
Adults can be referred to ADHD specialist services for assessment and treatment. These services are usually found in NHS hospitals or NHS community health teams. For example the Maudsley Hospital, London, offers a nationwide ADHD diagnostic service for adults. However, a significant number of NHS healthcare providers do not recognize these reports as valid, and patients often face difficulties in their access to treatment, notably long waiting times and rejection of referrals (see below).
Support groups at the consensus meeting reported that many ADHD patients seek private assessment and diagnosis to overcome the absence of NHS funding in this area. Private clinics provide a speedier and more professional, and generally understanding diagnosis. They also assist in screening for comorbidities, such as anxiety and depression that are common in ADHD. They assist with titration of the final dose. Costs vary from PS500-PS1,200 However, sometimes a diagnosis and titration is priced separately.
The diagnosis and treatment for ADHD varies from person to person. The most common treatment is medication, and this may be in the form of methylphenidates (Ritalin, Concerta) or atomoxetine (Strateva). Sometimes, non-drug treatments are useful, such as training and education for parents and the families of those with ADHD. Some people suffering from ADHD find that a change in their diet can help, as does trying to establish a relaxing sleep routine. Some people have found that psychotherapy and hypnotherapy can help their symptoms. However the evidence supporting these treatments is not as extensive.
It is unacceptable that a lot of people suffering from ADHD are not able to access the treatment and care they need on the NHS. The UK government, the clinical and regulatory authorities must take action urgently to rectify this issue. People suffering from ADHD deserve to have access to treatment without discrimination and in accordance with their legal rights. To meet this demand, it is vital to plan long-term funding and provide health, social care and judicial services in tandem. The current state of affairs cannot be sustained and has a negative impact on individuals, their families and society. It is now the time to invest in this area.