ADHD Diagnosis 10 Things I'd Loved To Know Earlier
How to Get an ADHD Diagnosis in the UK
When seeking assistance, referral or assessment for ADHD, people often encounter an array of gatekeepers in the network. It is clear that a few of these gatekeepers within NHS CCGs are not following national clinical guidelines or their legal obligation to avoid discrimination and health inequality.
Anecdotal evidence suggests certain private ADHD clinics aren't properly monitored. This may result in inconsistent diagnostic thresholds and assessment reporting which could create difficulties when trying to transfer back to the NHS.
How do I find out if I have a diagnosis?
ADHD is an illness of the mind that is only diagnosed by a healthcare provider with specialized expertise. This includes psychologists and psychiatrists (who are the only qualified to diagnose ADHD in the UK). People with mental health conditions often report symptoms of ADHD especially those who have been struggling for a long time. They may feel stuck in their current situation, and are desperate for assistance. The NHS can be difficult for those looking for an answer to a medical condition.
You can receive an assessment through the NHS if you ask 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 may be required to wait until a specialist is available.
In order to assess your ADHD, healthcare professionals look at any mental health issues that you may have experienced in the past, as well as your family history. To assess your behavior, they will observe you in different settings, such as at home, school, or work. You will be asked to explain your symptoms, and how they impact your daily life. They might inquire about your social life, your relationships and other activities you participate in often.
A specialist will look at all the evidence before making an assessment. They will consider criteria like being irritable and fidgety at all times or having an insufficient memory for short-term events, having difficulty staying focused and unable to keep up at school or at work, not completing tasks and being extremely active. The diagnosis is determined by a pattern of traits that can be observed in different settings and affect your functioning.
In recent months, there has been an increase in 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 a diagnosis, which can lead to long waiting times for healthcare professionals. Some patients and families choose to avoid the NHS by undergoing assessments at private clinics that can be expensive. It is essential to choose an healthcare provider you can trust and be honest about your health issues.
What happens during the process of assessment?
The process of conducting an assessment of ADHD symptoms is the same whether you self-refer or are referred by your GP. 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 could be related to ADHD?"
You may have to fill out different questionnaires or forms prior to your appointment, based on the location you're going to for your assessment. It is essential to complete these as quickly as possible so that your appointment won't be delayed. You should also familiarise yourself with the signs 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 or 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 clinician will discuss with you the options for treatment that could include medication.
It is important to keep in mind that nurses, GPs and psychologists aren't as familiar with adult ADHD as Psychiatrists with specialization It is therefore essential to prepare and practice your symptoms prior to going for the assessment. This will help you explain your symptoms in a way they can understand. You will need to give examples of how your symptoms have affected on all aspects of your life, from work to relationships, and how they have changed in time.
You may have tests taken as part of the assessment for example, an examination of your blood to look for any allergies. If you suffer from any other medical conditions Your therapist may suggest additional tests to test for these issues, too.
You could be self-referring or making use of the Right to Choose Scheme, however, you'll still need to wait until you can get an appointment funded by the NHS. This can vary from NHS trust to NHS trust, and from clinician to clinician.
What happens if I don't have an answer to my question?
There are many factors that could prevent you from being diagnosed with ADHD. It can be more difficult for some groups of people to be diagnosed, for instance those who are of color or a woman at birth or if you have other mental health issues, such as bipolar disorder or depression.
If you're struggling to get an assessment, speak to your GP and ask for an appointment. It is also a good idea to locate a private psychiatric clinic that specializes in adult ADHD evaluations. They can provide a more rapid service than the NHS.
The psychiatrist will examine your symptoms and decide whether they meet the criteria for ADHD, using the Nice guidelines as a reference. They will also look for other possible causes of your problem, such as anxiety, depression or thyroid issues. This is a thorough process, and it's not always easy for adults to give all the evidence needed (for instance, they may 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 the GP will agree to refer you. A psychiatrist is able to diagnose ADHD if they believe that your ADHD symptoms cause significant impairment. If they believe you don't meet the criteria, they'll inform you why.
In the UK, it is legal to access treatment through the NHS in England, Wales and Northern Ireland if you have been diagnosed with ADHD. You might be able to obtain medication through an individual funding request, however it will depend on where you live. You may be referred to your local specialist to prescribe the medication you prefer. NHS specialists usually prefer Methylphenidate, Atomoxetine or Straterra first, and they do not always plan for long intervals of titration.
It is beneficial to join an adult support group with ADHD in person and on the internet. They can be helpful and calm. It can also be helpful to share your story with others who understand.
What can I do to get treatment?
Adults can be sent to ADHD specialist services for assessment and treatment. They are typically located in NHS hospitals and NHS community health teams, for instance the Maudsley Hospital in London offers a national ADHD adult diagnostic service. However, a large number of NHS healthcare providers do not accept these reports as valid and patients frequently face obstacles in their access to healthcare including long waiting times and the rejection of referrals (see below for more details).).
Support groups informed the consensus meeting that many ADHD sufferers are seeking private assessments and diagnosis to overcome the NHS's lack of funding in this area. Private clinics can provide a faster and more professional and a more generalized diagnosis. They can also be helpful in the screening of comorbidities such as depression and anxiety which are common in ADHD and also in helping with titration until the final dosage of the medication. Costs vary from PS500-PS1,200, although often a diagnosis and titration are priced separately.
The diagnosis and treatment of ADHD differs from person to person. The majority of people are treated using medication. It could be methylphenidates such as Ritalin or Concerta, or atomoxetine, like Strateva. Sometimes, adult adhd diagnosis -drug interventions can be useful, such as training and education for parents and families of people with ADHD. Some people suffering from ADHD discover that a change in diet can help, as well as developing a sleep-friendly routine. Others find that hypnotherapy or psychotherapy can help ease their symptoms, though the evidence on these isn't as strong.
It is unacceptable that many people suffering from ADHD are not able to access the treatment and care they require from the NHS. The UK government, the clinical and regulatory authorities need to act urgently to rectify this issue. People with ADHD need access to treatment, free from discrimination and in line with their legal rights. To meet this demand it is crucial to plan for long-term funding and to commission health, social care, and judicial services together. The current state of affairs cannot be endured and has a negative effect on families, individuals and society. It's time to invest.