10 Top Mobile Apps For ADHD Diagnosis
How to Get an ADHD Diagnosis in the UK
Patients with ADHD often face a network of gatekeepers when seeking referrals, assessment and support. It is clear that a few of these gatekeepers in NHS CCGs aren't adhering to national clinical guidelines or their legal obligation to avoid discrimination and health inequalities.
Anecdotal evidence also suggests that certain private ADHD clinics aren't adequately controlled. This could lead to inconsistent diagnostic thresholds and assessment reporting that could cause problems when trying to transfer back to the NHS.
How do I get an accurate diagnosis?
ADHD is an illness of the mind which means it can only be diagnosed by a healthcare professional who has specialist knowledge. This includes psychologists and psychiatrists (who are the only professionals certified to diagnose ADHD in the UK). People with mental illnesses frequently report ADHD symptoms, particularly those who have struggled for a long period of time. This means that they can feel stuck in their current circumstances and are desperate for help to improve their life. However, the NHS isn't always easy to navigate for those who are seeking diagnosis.
You can receive an assessment through the NHS by asking your GP to refer you to an expert. Your GP will be attentive to your concerns and should be able refer you for an assessment but you may have to wait while the specialist is in.
In assessing you for ADHD health professionals will look at your family history of ADHD and any other mental health issues you have experienced in the past. They will be observing you in various environments, such as your home, at school or at work, to assess your behaviour. They will ask you to explain your symptoms and how they affect your daily life. They may also inquire about your relationships with friends, social life and other activities you do on a regular basis.
A specialist will look at all the evidence before arriving at a diagnose. They will use criteria such as being restless and fidgety at all times and having a short-term memory or difficulty focusing and unable to keep up with school or work, failing to complete tasks and being overly energetic. The diagnosis is determined by a pattern of traits that can be observed in different environments and affect your performance.
In recent months there has been an increase in the number of celebrities speaking out about their experiences of being diagnosed with ADHD. This has resulted in an increase of people seeking an assessment. This can lead to long wait for healthcare professionals. Some families and patients opt to bypass the NHS by undergoing assessments at private clinics which can be costly. It is important to choose a healthcare provider that you can trust and be honest about your symptoms.
What happens during the assessment process?
Whether you're self-referring or getting referred by your GP, the process of assessing for ADHD symptoms is essentially the same. The person conducting 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 affect your work?", and "Do you experience other symptoms that you think could be related to ADHD?"
Depending on where you go to get your assessment, there may be various forms or questionnaires for you to complete prior to your appointment. Complete these forms as quickly as you can will help to avoid any delays during your appointment. It is also important to familiarize yourself with the signs of ADHD to be able to recognise the signs and their effects on your life.
The test will usually involve an interview with psychiatrists, specialist nurses or any other qualified healthcare professional. The therapist will evaluate your mental health in general, and the specific symptoms of ADHD to see if they are being caused by any other condition or are not related to any other medical condition (NICE guidelines). The therapist will then go over the treatment options with you, which can involve medication.
Be aware that nurses and GPs are not as well-versed in adult ADHD as psychiatrists. It is therefore important to plan your symptoms and practice them before you take part in the assessment. This will enable you to communicate the impact that your symptoms are having in a way that they can understand. You'll have to provide examples on how your symptoms affect your life in all areas, 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. Your therapist could suggest additional tests to determine if you have other medical issues.
If you self-refer, or enrolled in the Right to Choose scheme, it is important to remember that even though you pay for your private examination but you will still need to wait for NHS approved 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?
There are a variety of factors that can prevent you from getting diagnosed with ADHD. It can be more difficult for some groups of people to get diagnosed, for instance if you are a person of color or a woman at birth, or if you have other mental health diagnoses like bipolar disorder or depression.
If you're having difficulty getting an assessment, speak to your GP and request a referral. It is also a good idea to find a private psychiatric provider that specializes in adult ADHD assessments. They can provide a more rapid service than the NHS.
The psychiatrist will evaluate your symptoms to determine if they are in line with the Nice guidelines for ADHD. They'll also try to rule out other causes of your symptoms like anxiety, depression, or thyroid issues. This can be a very thorough process, and it's not always easy for adults to give all the evidence needed (for instance, they might be unable 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. This is because a psychiatrist will only be able to diagnose you if they believe that your ADHD symptoms result in significant impairment. If they think that you are not meeting the requirements, they will inform you why.
If you have been diagnosed with ADHD, it is legal in the UK to access treatment via the NHS. This applies to England, Wales, and Northern Ireland. You might also be able to get medication through an Individual Funding Request but this depends on the location you live in. You could be referred by your local specialist to prescribe the medication you prefer. NHS specialists recommend Methylphenidate or Atomoxetine first, and don't always make plans for long titration periods.
It is beneficial to join an adult support group with ADHD in person and on the internet. They can be helpful and reassuring. It can also be helpful to share your experience with other people who understand.
How can I get treatment?
Adults are directed to ADHD specialist services to be assessed and treated. These services are usually located in NHS hospitals or NHS community health teams. For example the Maudsley Hospital, London, provides a national ADHD diagnostic service for adults. However, how to get an adhd diagnosis uk providers aren't able to accept these reports, and patients are often blocked from getting care. This is due to lengthy waiting times or rejection of referrals.
Support groups informed the consensus meeting that many ADHD sufferers seek private assessment and diagnosis to overcome the NHS's lack of funding in this area. Private clinics can provide a speedier and more professional and a generally clear diagnosis. They can also be helpful in screening for comorbidities, like anxiety and depression which are very common in ADHD, and in helping with titration until the final dosage of the medication. Costs vary from PS500-PS1,200 however, often a diagnosis and titration are priced separately.
The treatment and diagnosis for ADHD is different from individual to individual. The majority of people are treated using medications. It could be methylphenidates, such as Ritalin or Concerta or atomoxetine like Strateva. Sometimes, non-drug interventions are useful, such as education and training for parents and families of individuals with ADHD. Certain people with ADHD have discovered that changing their diet and establishing an appropriate schedule for sleep can help. Others have found that hypnotherapy and psychotherapy can help ease their symptoms, but the evidence is not as extensive.
It is unacceptable that many adults suffering from ADHD cannot get the treatment and care they require through the NHS. The UK government, clinical and regulatory authorities must take action 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. The long-term planning of financing, and a coordinated commissioning of social, health care and judicial services are crucial to meet this unmet need. The current state of affairs cannot be long-term and has a negative effect on the families of individuals and the society. It's time to invest.