20 Myths About ADHD Diagnosis: Debunked
How to Get an ADHD Diagnosis in the UK People with ADHD typically have to deal with a number of gatekeepers when seeking referrals assessment, support and referral. It is clear that some of these gatekeepers within NHS CCGs aren't following national guidelines for treating patients or their legal obligation to avoid discrimination and health inequality. Private ADHD clinics might not be properly regulated as per reports from anecdotal sources. This could result in inconsistent thresholds for diagnosis and assessment reporting which could create difficulties when trying to transfer back to the NHS. How do I get an accurate diagnosis? ADHD is a mental illness that is only diagnosed by a medical professional with specialist knowledge. This includes psychiatrists and psychology (who are only certified to diagnose ADHD here in the UK). Mentally ill people often report ADHD symptoms, especially those who have struggled for a long period of time. This means they may feel stuck in their current situation and are in desperate need of help to improve their life. However it is true that the NHS isn't always easy to navigate for those seeking an assessment. It is possible to obtain 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 refer you for an assessment however, you may have to wait while the specialist is available. To determine if you have ADHD healthcare professionals look at any mental health issues you may have had in the past as well as your family history. To assess your behavior, they'll observe you in different situations, including at home, school, or work. You will be asked to describe your symptoms and how they affect your daily life. They might inquire about your social life, your relationships and other activities that you do regularly. A specialist will examine all the evidence before arriving at an assessment. They will use criteria like being irritable and fidgety at all times and having short-term memory issues and having trouble staying focused and unable to keep up in school or at work, not finishing tasks, and being extremely energetic. The diagnosis is based on a pattern of traits that can be seen in a variety of settings and affect your functioning. In recent months, there has been an increase in celebrities sharing their stories of being diagnosed with ADHD. This has led to an increase in people seeking a diagnosis. This can lead to long waiting times for healthcare professionals. Some patients and their families bypass the NHS in order to be assessed at private clinics. This can be expensive. It is essential to choose a doctor you trust and be prepared to answer questions honestly about your symptoms. What happens during the test? If you're self-referring or referred by your GP the process of assessing for ADHD symptoms is similar. The person doing the assessment will ask you questions about how your symptoms impact your daily life, like “What problems do you experience at home?”, “How do your symptoms impact on work?”, and “Do you experience other symptoms that you think could be related to ADHD?” You may need to fill out various questionnaires or forms prior to your appointment, depending on the location you're going to for your assessment. It is important to complete these forms as quickly as you can so that your appointment won't be delayed. It's also worth familiarising yourself with the signs (symptoms) of ADHD to ensure that you recognize them and discuss how they impact your life in detail. The evaluation will usually include an interview with a psychiatrist or specialist nursing staff or a healthcare professional. The therapist will assess both your mental health and ADHD symptoms to determine if they're caused by another condition or not (NICE guidelines). The therapist will go over with you the treatment options, which may include medication. It is important to remember that nurses, GPs and psychologists will not be as familiar with adult ADHD as Psychiatrists with specialization It is therefore essential to practice and prepare your symptoms before you go to the test. This will allow you to describe your symptoms in a manner they can comprehend. You will need to give examples of how your symptoms have impacted on every aspect of your life, from work to relationships, and how they have changed over time. There may be tests performed as part of the assessment for example, a blood test to check for any allergies. If you are suffering from any other medical problems Your therapist may suggest additional tests to test for these, too. If you self-refer or are enrolled in the Right to Choose scheme, it is crucial to know that although you pay for your private examination, you still have to wait for NHS scheduled 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 when you have several things in your favor. Certain groups might be more difficult to get diagnosed. For instance that they are of color, were born female or if they have any other mental health conditions like depression or bipolar disorder. If you're having trouble getting an assessment, speak to your GP and ask for a referral. You can also try to find a private psychiatrist who is specialized in adult ADHD tests. They may be able to provide a quicker service than the NHS. The psychiatrist will look at your symptoms and determine whether they meet the criteria for ADHD, using the Nice guidelines as a guideline. They'll also try to determine the cause of your symptoms like anxiety, depression or thyroid issues. adhd uk diagnosis can be a very extensive procedure, and it's not always easy for adults to provide all the evidence required (for instance, they may have trouble finding old school reports that are in the back of the cupboard). It's also possible that you won't be diagnosed with ADHD even if your GP agrees to refer you. This is because a psychiatrist will only be able to diagnose you if they believe that your ADHD symptoms are causing significant impairment. If they believe you do not meet the criteria, they will tell you the reason. In the UK it is legal to access treatment through the NHS in England, Wales and Northern Ireland when you are diagnosed with ADHD. You might be able to receive medication through an individual funding request, however it will depend on the location you reside in. You could be referred by your local specialist to prescribe the medication of your choice. NHS specialists prefer Methylphenidate or Atomoxetine first and don't usually make plans for long titration periods. It can be helpful to join a support group for adults with ADHD in person and online. They can be a source of support and calm. It is also helpful to share your story with others who can relate to. How can I get treatment? Doctors can refer adults to specialists ADHD services for assessment and medication. These services are usually located in NHS hospitals or NHS community health teams. For example the Maudsley Hospital, London, offers a national ADHD diagnostic service for adults. However, a significant number of NHS healthcare providers do not accept these reports as valid and patients often face difficulties in their access to healthcare including long wait times and rejection of referrals (see below). Support groups at the meeting reported that many ADHD patients seek private assessment and diagnosis to circumvent the insufficient NHS funding in this area. Private clinics can provide an accurate, professional and speedier diagnosis. They are also helpful in identifying comorbidities like anxiety and depression which are very common in ADHD and also in helping with titration to the final dosage of the medication. Prices range from PS500 to 1,200 However, sometimes a diagnosis and titration are charged separately. The diagnosis and treatment for ADHD differs between individuals. The majority of people are treated using medications. These could be methylphenidates, such as Ritalin or Concerta or atomoxetine like Strateva. Non-drug interventions can be helpful like education and training for families and parents of those with ADHD. Some people with ADHD have found that a change in diet can help, as well as developing a sleep-friendly routine. Some people find that hypnotherapy or psychotherapy can ease their symptoms, although the evidence for these therapies is not as extensive. It is unacceptable that so many adults suffering from ADHD cannot access the treatment and care they require through the NHS. The UK government, clinical and regulatory authorities must act urgently to address this situation. People with ADHD need access to treatment that is devoid of discrimination and in line with their rights under the law. Long-term planning of funding and joined up commissioning of health, social care and judicial services are essential to meet this unmet need. The current situation is not sustainable and the impact on families, individuals and the entire society is devastating. It is now the time to invest in this area.