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How to Get an ADHD Diagnosis in the UK
GPs can refer you for an NHS ADHD assessment. If you are waiting an extended period, ask your GP to use Right to Choose law which gives patients the right to choose their healthcare provider.
A psychiatrist will examine you using a structured clinical interview. They will concentrate on your different areas of life that your symptoms impact on. They will ask for evidence, including childhood histories school reports may be requested.
Find a Psychiatrist
They can prescribe medications for ADHD. Talk therapy is another option. If you are covered by health insurance, the cost of your psychiatrist's visit should be covered. Contact your insurance provider if you're uncertain if a psychiatrist's services are included in your network. You could also ask your GP to refer you to a psychiatric expert or search online for local services. If you don't have insurance, you can opt to use an individual service. Make sure the Psychiatrist has been certified and has experience working with ADHD patients.
Many medical professionals have preconceived notions about what a person with ADHD is like. This makes it difficult to identify someone with ADHD. Additionally, a lot of medical professionals are not trained in adult ADHD and do not have much hands-on experience with it. You'll have to work hard to find an adult ADHD specialist who can evaluate your symptoms and diagnose you correctly.
Once you find a psychiatrist, it is crucial to establish a relationship of trust with them. This is especially important in the event that you plan on taking medication for ADHD. If you're uncomfortable with your psychiatrist, you should consider searching for another one. While it's important to be comfortable with your doctor however, you shouldn't be forced to accept less than you deserve.
Your doctor can refer you to an adult ADHD specialist for a thorough clinical assessment. This typically involves a questionnaire and a discussion with the psychologist on how your ADHD symptoms affect your life in different social settings. The psychologist will then analyze your results and determine if you meet the criteria for an adult ADHD diagnosis.
In England You can select where to receive your NHS assessments. You can select from a list of NHS providers offered by the NHS. Some of these providers can offer online assessments to adults, which could significantly reduce waiting times.
Ask your doctor
If you have an GP with a good understanding of ADHD they might be willing to refer you to the NHS to get an assessment. In the UK this would involve an interview with a psychiatrist or psychologist (not a nurse) that will include a questionnaire on ADHD symptoms, your medical history and your family mental health background. It is also likely that neuropsychological tests will be performed in conjunction with the interview. This will provide an accurate picture of your strengths, weaknesses, and other conditions that could influence your ADHD.
Your GP can help you by writing a note stating that he's referring you for an assessment under Right to Choose. You can download an example from ADHD UK to print off and give to your GP. If they are refusing for reasons of any kind, it might be worth re-evaluating your GP. This is particularly applicable if you are planning to apply for an Shared Care Agreement in the future.
If your GP does agree to make the referral, then there will be a short time before you are able to meet with the specialist. The preparation for the interview is vital since it will be focused on your ADHD symptoms and how they affect your life today. You'll be asked to provide examples and be prepared for discussion about how you've been performing in different areas of your life.
After a formal diagnosis, your specialist will give you treatment options. This could include talk therapies and behavioral interventions, as well as prescription drugs. You will be given advice on how to manage your ADHD and receive an evaluation with recommendations for continued care. If you're a student at a university your doctor might suggest an arrangement for shared-care with your GP in order to prescribe medication for you.
Unfortunately, there are a lot of professionals in the UK, from GPs to nurses and psychologists, who have little knowledge about ADHD. This makes finding a diagnosis and gaining access to treatment difficult. You might be told you don't need treatment because you're not hyperactive. Or that adults don't receive treatment. Or that children will be able to overcome ADHD. It's not easy to find a specialist who will listen and understand the symptoms.
Right to Choose
If get diagnosed with adhd reside in England and your GP will refer you for an ADHD assessment you have a legal right choose which provider to refer you to. This is called the "Right to Choose". The only requirement is that the selected provider is covered by an NHS Standard Contract with your CCG or NHS England for the required service. It is also recommended that you find out about waiting times for the service of your choice prior to deciding to contact them. You can find out more information by calling the provider directly or contacting your GP.
It is important to know that GPs only practice as general practitioners, and therefore, are not experts at diagnosing mental disorders such as adult ADHD. Therefore, you may have convince your GP that you should be referred by a specialist for an ADHD assessment. If you're unable to convince your GP that they should refer you to a specialist, you could print and download an email from the charity ADHD UK to give to your GP. It includes quotes from the NICE 87 guidance which state that a doctor cannot refuse to diagnose ADHD and only an expert can make this diagnosis.
You should also ask your GP about their current waiting times for an ADHD assessment. If they are too high, you can exercise your Right to Choice and choose a different provider.
You will be asked to complete the questionnaire, and then attend an interview when you visit have your ADHD assessed. Interviews are usually conducted by psychiatrists or a specialist nurse. The interview will be focused on your past experiences with ADHD and how it has affected your life. It will also look at your current symptoms. You must prepare ahead for the interview and bring a family member to support you.
Ask your GP about options for medications. They may be reluctant to prescribe stimulants, however they should be aware that there are a range of non-stimulant drugs which can help control the symptoms of ADHD. These include methylphenidate, dexamphetamine and atomoxetine. Additionally, you could also try cognitive behavior therapy or psychotherapy for adults with ADHD.
Private Assessment
You can refer yourself to an assessment privately when you don't wish to wait for the NHS or if your GP has preconceived notions about what ADHD is (this is an issue that is becoming more prevalent particularly for women as well as people of color and those born female). The primary provider of these is Psychiatry-UK, they have a helpful guide to doing this on their website which includes template forms that you can hand to your GP. On their website, they also provide a list of providers. The majority of them offer both in-person and online diagnosis.
A private assessment usually takes slightly longer than a normal appointment for psychiatric treatment and will consist of an organized interview with your psychiatrist. This will cover different aspects of your life and how your afflictions affect your current state of functioning. They will also look at your symptoms in various settings and situations. It is usually helpful to have a family or friend member provide feedback. The psychiatrist will then review their findings and provide you with the diagnosis.
They will inform you if you believe you meet the ADHD criteria or if a different condition is more likely to explain your symptoms (traits). If they don't think you're a fit for the criteria, they will give reasons and you may request a second referral.
After receiving an diagnosis, it's your decision whether to decide to take medication or not. You'll have to discuss this with your GP and you might be able to get an agreement on shared care for your medication through your GP and this could save you money in the end.
It is not recommended to rely solely on the internet to get an ADHD diagnosis or any other self-diagnosis tool as they could be inaccurate. It is important that you receive a professional, objective assessment to ensure that you get the most effective results. Depending on the severity of your symptoms and if you are willing to take medication, other treatment options may be available. If you are a student at a university for instance you may request an assessment. They can provide you with advice on reasonable adjustments and the Disabled Student's Allowance.
Website: https://www.iampsychiatry.com/private-adhd-assessment
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