ADHD Diagnosis - Getting the Right One From the NHS
The NHS requires that people undergo a thorough examination in order to receive a proper ADHD diagnosis. The BBC investigation highlighted that some private clinics may provide incorrect diagnoses and medications.
A legitimate diagnosis for ADHD is based on the severity, number of, duration and impact of symptoms. The clinician will interview and analyze the patient's medical, mental health and family history.
Diagnosis
For those who believe they are suffering from symptoms that could be associated with ADHD being diagnosed is a key step to getting treatment and taking control of their lives. If they are aware that they may have the disorder, or have had a family or friend member suggest they might have it, obtaining the correct diagnosis can help them discover the appropriate treatment and help to manage their ADHD symptoms effectively.
Patients should first discuss their concerns with the GP. Inform them of your symptoms and how they affect your daily routine. The doctor will refer them to an experienced mental health professional with experience in diagnosing ADHD. This specialist is one who has completed specialized training in this field. This is important as it means that the psychiatrist can be confident that they have used the correct criteria for diagnosing ADHD.
The psychiatrist will talk to the patient and may will ask them to bring their partner, or close relatives and friends who know them well. They will also need to take into account the patient's medical history as well as the psychiatric history, beginning from childhood. They will also consider the severity of symptoms and the effects on the patient's life. A brain scan or blood test cannot confirm the ADHD diagnosis. The psychiatrist will have take into consideration all available information.
If the psychiatrist is of the opinion that the patient does not meet all the criteria for an ADHD diagnosis the psychiatrist will be able to explain why. It could be because the patient did not give enough details about their issues or another condition better explains their behavior than ADHD. Or, it could be that the psychiatrist feels that the patient's issues are due to something else and not the ADHD condition.
Certain people have a tougher time getting a proper diagnosis due to the prejudices of certain healthcare experts. This can be especially the case when they are someone of color or a woman born at birth, or are not an English speaker. However there is a growing awareness of the issue and the NHS is trying to tackle it.
Assessment
If you're concerned that you might be suffering from ADHD you should seek an assessment from a medical healthcare professional who is skilled in conducting these tests. You can ask your personal physician for a recommendation or check at local universities' hospitals or medical schools to determine which professionals are qualified to perform an ADHD evaluation for adults. You may also ask for a referral from an ADHD support group in your region.
The diagnosis of ADHD is determined by the amount, severity and duration of the symptoms in certain areas of your life. These include school, relationships and work. You might be struggling with not performing well in school or at working, having difficulties making and maintaining relationships, or being unorganized or forgetful. It is crucial to address these issues and not be afraid of criticism.
There are private adhd assessment of healthcare professionals that can conduct an ADHD assessment, from GP's to consultant psychiatrists. However, in order to officially recognize a diagnosis of ADHD, it must be performed by a qualified Psychiatrist or Prescriber qualified specialist nurse. Only a Psychiatrist is able to prescribe medication for ADHD.
You will usually be interviewed during an ADHD assessment and it is crucial to bring along an adult family member to provide support or evidence. It is helpful to note the symptoms you experience and how they affect your life. The doctor will ask questions to discover more about your history and how you are functioning. They will also check you to determine if there are any medical conditions that may be the cause of your ADHD symptoms.
You can also obtain an adult adhd diagnosis through the NHS however, it could take some time due to the long NHS waiting lists. Some people find it easier to pay out of their own pocket for a private assessment and treatment through the 'Right to Choose option. It is important to keep in mind that the quality and price of private care can vary dramatically.
Medication
If you have been struggling with symptoms of ADHD in adulthood it is a good idea to have a full and comprehensive assessment done. This will enable you to find the right medication and the support that you require to manage the symptoms. There are a variety of private providers who offer this service. If you decide to use one of them, it is crucial that you research the reputation of the psychiatrist, their education and experience treating neurodevelopmental disorders.
In recent months, a lot of prominent people have come out about their struggles with ADHD. Sue Perkins, the host of the Great British Bake Off, was diagnosed with ADHD in her 50s. She said that this diagnosis "made everything seem to make sense". NHS waiting lists are overcrowded despite the an increase in awareness.
To avoid this, doctors often are reluctant to refer patients to specialist services for an individual ADHD diagnosis. This is due to the fact that they lack the time and in some instances, they may be unable to locate a specialist with expertise in neurodevelopmental conditions. In certain areas, the NHS staff may have to handle other requirements such as mental health assessments.
There is also a perception that some private companies that offer ADHD assessments are over-diagnosing adults with the condition, which can have devastating consequences for some people. The BBC Panorama programme raised this concern and there is a pressing need to improve access to specialized ADHD tests.
If you've been diagnosed with ADHD, you can treat it by combining behavioural therapy and medication. Stimulant drugs such as amphetamine and methylphenidate are utilized to boost focus and productivity, while non-stimulants with a slower onset like atomoxetine are effective in improving your attention and impulse control.
Some patients opt to utilize behavioural therapy and do not require medication. Priory can create a post-diagnostic care package for those who require medication. This will include a comprehensive medical report, as well as a titration for the final dosage, which can be shared with your GP.
Post-diagnostic treatment
A diagnosis of ADHD can be a significant one for both the financial and human cost. This is why it's vital that a psychiatric examination and treatment programme be made available to all adults suffering from ADHD. This should include medication and practical and psychological support, as well as family therapy if appropriate. This should also extend to family and workplace education about how to better manage and assist an adult with ADHD in their daily lives.
The first step involves an appointment with a mental health professional who is certified to assess ADHD or other conditions. Patients should be prepared to bring a written record of their symptoms as well as any other mental health concerns to the initial appointment. This appointment will review the patient's medical and psychiatric history as well as their family history. It will also discuss the impact of ADHD on the person's daily life and relationships.
During this examination, the doctor will make sure whether the symptoms match with the criteria for ADHD as defined in the Diagnostic and Statistical Manual of Mental Disorders. The symptom must appear in two different settings (home or work) of the individual's daily life. It should interfere with the person's normal functioning, and cause distress. This can be in the form of a problem finding a job or coping with finances or marriage or school problems, or their general quality of life.
Psychologists and psychiatrists are among the professionals that can conduct an ADHD assessment. Psychologists are trained in the functioning of the brain, however they cannot prescribe medication. They can only offer counselling. Psychologists are qualified to diagnose and treat ADHD and offer medications if necessary.
If the Psychiatrist determines that the patient with ADHD is in need of medication, they will write a prescription and send it to a local pharmacy. This is done under the supervision and direction of the Psychiatrist. It is expected to be completed within three months following the private assessment. This will allow the individual to fully adjust to their final dosage of medication. If the GP is willing to continue NHS prescribing following the private ADHD assessment The Psychiatrist will present them with a an extensive report and treatment recommendations, and will create an Shared Care Agreement with the GP.