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How to Get an ADHD Diagnosis in the UK
You can be referred for the NHS ADHD assessment by your doctor. If the wait is long, think about asking your GP to make use of the law that grants patients rights to choose their providers called Right to Choose.
A psychiatrist will evaluate you through a structured interview and focus on your different areas of life that your symptoms have an impact on. They might request your school and childhood histories as well as reports.
Find a psychiatrist
Psychiatrists specialize in mental health, and they may prescribe medication to treat ADHD. They may also provide therapy for talk. If you are covered by health insurance, the cost of your psychiatrist's visit should be covered. Contact your insurance company if not sure if a psychiatrist is included in your network. You could also request your GP to refer you to a psychiatric expert or search the internet for local services. If you don't have insurance then you can go through a private service. Be sure that the Psychiatrist you choose is licensed and is experienced in dealing with ADHD patients.
Many medical professionals have preconceived notions of what a person with ADHD looks like. This can be a problem when trying to obtain an accurate diagnosis. In addition, a lot of medical professionals aren't trained in adult ADHD and don't have much hands-on experience with it. You'll need to conduct some research to locate an adult ADHD specialist who can determine the symptoms.
It is crucial to establish a relationship of trust with your psychiatrist once you have found one. This is particularly important when you plan to begin taking medication to treat your ADHD. If you are uncomfortable with your psychiatrist, you should consider looking for another one. It is essential to be able to trust your doctor however, you should not settle for anything less.
Your doctor may recommend you to an adult specialist with ADHD to conduct a clinical assessment. This usually includes a questionnaire, as well as an interview with the psychologist about your ADHD symptoms in various social settings. The psychologist will review your results to determine if your situation meets the criteria for an adult ADHD diagnosis.
In England you can choose which location to get your NHS assessments. The NHS offers a list of providers, and you are able to make use of your right to Choose to select the one that is most convenient for you. Some of these providers are able to offer online assessments for adults which can cut wait times significantly.
Ask your GP
If you have a GP who is knowledgeable of ADHD and its symptoms, they might be willing to refer you to the NHS to get an assessment. In how to get an adult adhd diagnosis would involve a clinic interview with a psychiatrist or psychologist (not a nurse) that will comprise questionnaires about ADHD symptoms and medical history as well as family mental health background. It is also possible that neuropsychological tests will be conducted along with the interview. This is to help provide an accurate picture of your strengths and weaknesses, which includes any comorbidities, which could be affecting your ADHD symptoms.
Your GP can also assist by writing a letter to let them know that you want to be referred for an assessment under Right to Choose. You can download an example from ADHD UK to print off and present to your GP. If they decline for any reason, it may be worth changing your GP. This is particularly true if you plan to apply for an Shared Care Agreement in the future.
If your GP agrees to refer you, then you'll have to wait a few weeks before meeting with the specialist. It is crucial to be prepared for this, because the interview will focus on how your ADHD symptoms are impacting your life today. You will be asked to provide examples and be prepared for discussion about how you've been functioning in different areas of your life.
Once you have been formally diagnosed, your doctor will provide advice on the best treatment options. These may include talk therapy, behavioural interventions and prescription medications. You will be coached on how to manage your ADHD and given a report with recommendations for ongoing care. If how to get an adult adhd diagnosis 're an undergraduate student your doctor might suggest a shared-care arrangement with your GP to prescribe medication for you.
Unfortunately there are a number of professionals in the UK including GPs, psychologists and nurses, who have little knowledge about ADHD. This can make the process of obtaining a diagnosis and accessing treatment difficult. You might be told that you don't need treatment since you are not hyperactive. Also, adults don't receive treatment. Or that children will develop ADHD. It can be difficult to find a professional who can listen and understand your condition.
Right to Pick
If you live in England and your GP will refer you to an ADHD assessment you have a legal right choose the provider you wish to be referred to. This is known as the 'Right of Choice'. The only requirement is that the selected provider has an NHS Standard Contract with your CCG or NHS England for the required service. It is recommended to find out the waiting times of the service provider prior to calling them. You can do this by calling them directly or asking your GP for more information.
It is important to remember that GPs are general practitioners, and therefore are not experts in diagnosing mental health issues which includes adult ADHD. You may have convince your GP to refer you to a specialist in order to get an ADHD assessment. If you are unable to convince your GP, you can print and download an email from the charity ADHD UK to give to your GP. This includes quotes from NICE 87 guidance which state that a GP is not able to refuse to diagnose ADHD and that only a specialist can make this diagnosis.
Ask your GP what their current waiting time is for an ADHD assessment. If they are too long you may exercise your Right to Choose and choose a different GP.
You will be asked to complete an assessment questionnaire and participate in an interview when you go to get your ADHD evaluated. Interviews are typically conducted by psychiatrists or nurses who specialize in ADHD. The interview will center on your history of ADHD and how it has affected your life. It will also examine your current symptoms. You should prepare in advance for this interview and bring a friend or family member to assist you.
It is also advisable to ask your GP to consider the options for medication for you. They may be reluctant to prescribe stimulants but they should remember that there are a range of non-stimulant medicines that can help manage the symptoms of ADHD. They include the methylphenidate (Ritalin) as well as dexamphetamine and the atomoxetine (Strateva). In addition, you can also try cognitive behavior therapy or psychotherapy for adults with ADHD.
Private Assessment
You can have an individual assessment in case you don't want to wait for the NHS or when your GP has preconceived beliefs about what ADHD is (this is a problem that is growing, especially for women or people of color, as well as those born female). The main provider of these assessments is Psychiatry-UK and they have a great guide for making this request on their website that includes a template form that you can hand to your GP. They also have an inventory of providers on their website and many of them provide online diagnosis as well as in-person.
A private appointment is typically slightly longer than a normal appointment with a psychiatrist and will include a structured interview with your psychiatrist. The interview will cover various aspects of your life and how your symptoms impact your current functioning. They will also look at your symptoms in various settings and situations. It is a good idea to have a friend or family member give feedback. The psychiatrist will then review their findings and notify you of the diagnosis.
They will tell if you believe you are in line with the ADHD criteria or if a different condition best explains your symptoms (traits). If they do not believe you're in the right category, they will tell you why and you may ask for a second referral.
After receiving a diagnosis, it is up to you if you decide to take medication or not. You will need a discussion with your GP. You might be able to obtain an agreement on shared-care for medication via your GP. This could save you money over the course of time.
It is not recommended to rely on getting an ADHD diagnosis via the internet or other self-diagnosis software as they could be a false diagnosis. You should seek a professional and impartial assessment to get the best results. Depending on the severity of your symptoms and if you are willing to take medications, other assistance may be available. If you're a student at a university, for example, you can request an assessment. They can offer suggestions on how to make reasonable adjustments as well as the Disabled Student's allowance.
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