How to Get an ADHD Diagnosis in the UK
People suffering from adhd diagnosis for adults often face a network of gatekeepers when seeking referrals or assessment and support. It is evident that some of these gatekeepers in NHS CCGs aren't adhering to national guidelines for treating patients or their legal duty to avoid discrimination and health inequality.
Certain private ADHD clinics might not be properly controlled according to reports from anecdotal sources. This can result in different thresholds for diagnosis, and assessment reporting, which can create problems when trying to transfer to the NHS.
How do I get an accurate diagnosis?
ADHD is a mental health issue that means it must be diagnosed by a healthcare professional with special expertise. This includes psychologists and psychiatrists (who are the only ones qualified to diagnose ADHD in the UK). People suffering from mental health issues frequently experience symptoms of ADHD particularly those who have struggled for a long time. This means that they feel trapped in their current circumstances and are in desperate need of help to improve their life. The NHS can be difficult for those seeking an answer to a medical condition.
It is possible to get an diagnosis through the NHS by asking your GP for an appointment with an expert. Your GP should be attentive to your concerns and should be able to send you to a specialist for an examination but you may have to wait while the specialist is in.
In order to assess your adhd diagnosis and family dynamics, healthcare professionals will examine any mental health issues you might have had in the past, as well as your family history. To determine your behavior, they'll observe you in various settings, such as at home, school or at work. They will ask you to describe your symptoms and how they affect your daily life. They may also ask about your social life, relationships and any other activities you do on a regular basis.
A specialist will review all the evidence before arriving at diagnosis. They will use criteria like being irritable and fidgety all the time and having a short-term memory and having trouble staying focused and unable to keep up at school or at work, failing to complete tasks and being extremely active. The diagnosis is based on a pattern of traits that can be seen in a variety of situations and impact your performance.
In recent months, there has been a rise in celebrities speaking out about their experiences of being diagnosed with ADHD. This has resulted in an increase of people seeking a diagnosis. This can lead to long wait for healthcare professionals. Some patients and families choose to bypass 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 the symptoms you are experiencing.
What happens during the assessment process?
The procedure of assessing ADHD symptoms is the same whether you self-refer or are referred by your GP. The person who conducts the test 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 that you believe could be related to ADHD?"
Depending on where you go to get your assessment there could be different forms or questionnaires available for you to fill out prior to your appointment. Filling out these forms as quickly as you can will prevent any delays in your appointment. It is also important to familiarize yourself with the traits (symptoms) of adhd diagnosis in adults to ensure that you recognise the signs and how they impact your life in detail.
The evaluation will usually include an interview with either a psychiatrist, specialist nursing staff or another appropriately qualified healthcare professional. The therapist will evaluate your overall mental health and the symptoms of ADHD to determine if they are being caused by any other condition or are not related to any other condition (NICE guidelines). The therapist will go over with you the treatment options that may include medications.
It's worth remembering that nurses, GPs and psychologists aren't as familiar with adult ADHD as Psychiatrists with specialization and therefore it is essential to prepare and practice your symptoms prior to going for an assessment. This will allow you to explain your symptoms in a way they can comprehend. You will have to give examples of how your symptoms affect your life in all aspects from your work to your relationships, and then over time.
You might have some tests taken as part of the assessment, such as the blood test to look for any allergies. If you suffer from any other medical problems your therapist could suggest additional tests to test for these, too.
You may be self-referring or making use of the Right to Choose Scheme, however, you'll still have to wait for an appointment funded by the NHS. This varies from NHS trust to NHS trust and clinician to clinician.
What happens if I don't have a diagnosis?
You could be diagnosed with ADHD when you have a variety of things in your favor. Some groups may have a difficult time getting diagnosed. For example that they are of color, were assigned female at birth or if they suffer from other mental health issues, such as bipolar disorder or depression.
If you are having a hard time getting a diagnosis, try speaking to your GP about the issue and ask for a referral to a psychiatrist. You can also try to locate a private psychiatrist who specializes in adult ADHD assessments. They often provide an earlier service than the NHS.
The psychiatrist will examine your symptoms and determine whether they meet the criteria for ADHD, using the Nice guidelines as a reference. They will also try to eliminate other causes of your symptoms like depression, anxiety or thyroid issues. This can be a very extensive process, and it'sn't always easy for adults to provide all the evidence required (for instance, they might struggle to locate old school reports in the back of the cupboard).
It's also possible that you will not be diagnosed with ADHD, even if your GP is willing to refer you. A psychiatrist is able to diagnose ADHD in the event that they believe your ADHD symptoms cause significant impairment. If they believe that you don't meet the criteria, they'll inform you why.
In the UK, it is legal in the UK to get treatment through the NHS in England, Wales and Northern Ireland when you have been diagnosed with ADHD. You may be able to receive medication through an individual funding request, but it depends on where you live. You may be referred to a specialist in your local area who will prescribe the medicine of your choice. NHS specialists will recommend Methylphenidate and Atomoxetine first and don't usually think of long titration cycles.
Joining a support group whether in person or on the internet for adults suffering from ADHD can be beneficial. They can be very positive and reassuring and can be a great way to share your story with others who understand.
How can I receive treatment?
Adults may be sent to ADHD specialist services to be assessed and treated. Typically, these are located in NHS hospitals and NHS community health teams, for example the Maudsley Hospital in London offers a national ADHD adult diagnostic service. However, a large number of NHS healthcare providers do not recognise these reports as valid, and patients often encounter blockages in their access to care such as long wait times and rejection of referrals (see below).
Support groups at the consensus meeting revealed that many ADHD patients seek private assessment and diagnosis to avoid the insufficient NHS investment in this area. Private clinics provide a speedier and more professional and a more generalized diagnosis. They are also helpful in screening for comorbidities, like anxiety and depression which are common in ADHD, and in helping with titration until the final dosage of the medication. Prices range from PS500 to 1,200 However, often a diagnosis and titration are priced separately.
The diagnosis and treatment for ADHD varies between individuals. The most commonly used treatment is medication, which can be in the form of methylphenidates (Ritalin, Concerta) or atomoxetine (Strateva). Sometimes, non-drug interventions are beneficial, like training and education for parents and the families of those with ADHD. Some people with ADHD have found that changing their diet and establishing an appropriate schedule for sleep can help. Others have found that hypnotherapy and psychotherapy can ease their symptoms, though the evidence for these therapies is not as extensive.
It is unacceptable that many adults 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 must act urgently to address this situation. Patients with ADHD must have access to treatment that is devoid of discrimination and in accordance with their legal rights. To meet this demand, it is vital to plan long-term funding and commission health, social, and judicial services together. The current situation is not sustainable and the effect on individuals, families and society is incredibly damaging. It's time to invest.