ADHD Diagnosis - Getting the Right One From the NHS
The NHS requires that people undergo a thorough assessment in order to get the correct ADHD diagnosis. The BBC investigation revealed that a few private clinics could be giving an unreliable diagnosis or prescribing the wrong treatment.
A legitimate diagnosis of ADHD is determined by the number, severity of, duration and impact of symptoms. The doctor will interview and analyze the patient's medical, mental health and family background.
Diagnosis
Adults who experience symptoms that they believe could be ADHD should seek out a diagnosis to determine the best treatment and gain control of their lives. If they feel they have ADHD or a family member or friend has suggested it, getting the diagnosis will aid them in managing their symptoms.
The first thing patients should discuss their concerns with the GP. They should tell them about their symptoms and how they affect their daily life. The GP will recommend them to a skilled mental health professional who has experience in diagnosing ADHD. This specialist must be one who has undergone specialist training in this area. This is important because it lets the psychiatrist be confident that they're applying the correct criteria to determine ADHD.
The psychiatrist will ask the patient to bring their spouse or family members and friends who are familiar to them. They must also consider the patient's medical history as well as the psychiatric history, beginning from childhood. They will also have to consider the severity of the symptoms and how they have impacted the patient's lifestyle. There isn't a brain scan or blood test that can confirm the ADHD diagnosis The psychiatrist must evaluate all the available information.
If private adhd assessments does not think that the patient is meeting all of the criteria for an ADHD diagnosis and they explain why. It could be that the patient didn't provide enough information about their issues or another condition better explains their behavior than ADHD. Or, it could be the case that the psychiatrist believes that the patient's problems are due to something else and not the condition.
Certain people have a tougher time getting a proper diagnosis because of the prejudices of some healthcare experts. This is particularly the case if you're a person who is of color or a woman born, or do not speak English natively. The NHS is doing its best to address this issue.
The Assessment
If you think you may be suffering from ADHD and are concerned, you should seek an evaluation by a health care provider who is experienced in these assessments. You can ask your personal physician for a recommendation or check with local university-based hospitals or medical schools to see which professionals are qualified to conduct an ADHD evaluation for adults. You could also seek a referral from an ADHD support group in your local area.
The diagnosis of ADHD is determined by the amount, severity and duration of the symptoms in particular areas of life. These can include school, work and relationships. There are times when you may face problems that result in you not performing in your education or at work as well as difficulties in forming and maintaining relationships, or being forgetful or unorganized. It is essential to discuss these issues and not be afraid of criticism.
From GPs and consultant psychiatrists There are a variety of healthcare professionals who can perform an ADHD assessment. However, to officially recognize a diagnosis of ADHD it must be conducted by a qualified Psychiatrist, or Prescriber Qualified Specialist Nurse. Only a Psychiatrist is qualified to prescribe medication for ADHD.
You are usually questioned during an ADHD assessment and it is essential to bring an adult family member to provide support or to show evidence. It is also helpful to write down your symptoms and how they've affected your life. The doctor will ask you questions to collect information about your history and current condition. They will also examine you to see whether there are any medical conditions that may be responsible for your ADHD symptoms.
The NHS can also provide a private adult adhd diagnosis however this could take a long time because of the overflowing NHS waiting lists. Some people find it easier to pay out of their own pockets for an assessment and treatment that is private through the 'Right to Choose route. It is important to remember that the cost and quality of private healthcare can differ significantly.
Medication
It is beneficial to get a comprehensive and full assessment if you are struggling with ADHD symptoms in adulthood. This will help you get the right medication and the assistance you require to manage your symptoms. There are numerous private providers of this service but, should you decide to pursue this option it is crucial to investigate the reputation of your chosen psychiatrist and their expertise and training in dealing with neurodevelopmental disorders.
In recent months, a number of public figures have opened up about their struggles with ADHD. Sue Perkins, the host of Great British Bake Off, was diagnosed with ADHD in her 50s. She said that this diagnosis "made everything seem to make sense". However, despite the increasing awareness, NHS waiting lists remain overflowing with people who want to get a proper diagnosis and treatment.
In the end, GPs are often reluctant to refer patients to specialist services to confirm a diagnosis of ADHD. This is mainly because they lack the time and, in certain instances, they may be unable to locate a doctor who is skilled in neurodevelopmental disorders. In some areas, this is exacerbated by the fact that NHS staff are often being tasked with other health requirements, like mental health assessments.
Many people believe that private companies offering ADHD assessments are too quick to diagnose adults with the condition. This could have devastating consequences for some. This issue was brought up by the BBC Panorama program and there is an urgent need to improve accessibility for ADHD tests.
If you've been diagnosed with ADHD and you've been diagnosed, you can treat it using a combination therapy for behavioural issues and medication. Stimulant drugs like amphetamine and methylphenidate can be used to boost the ability to control impulses and attention, while slower acting non-stimulants such as atomoxetine could be beneficial in improving focus and productivity.
Certain patients choose only the behavioural approach and do not require medication. For those who need to take medication, a post-diagnostic program of care could be formulated at Priory. This will include a comprehensive medical report as well as a titration of the final dose, which can be shared with your GP.
Post-diagnostic treatment
A diagnosis of ADHD can result in significant human and financial costs. This is why it is crucial that a psychiatric examination and treatment program is made available to all adults suffering from ADHD. This should include medications, psychological and practical support and family therapy where appropriate. This should include workplace and family training on how to better assist and manage an adult with ADHD.
The first step is an interview with an expert in mental health who is certified to evaluate ADHD and other related disorders. Patients should bring a list of their symptoms and any other mental health concerns to the initial appointment. The interview will cover the patient's medical, psychiatric and family background. It will also look at the effects of ADHD on the person's daily life and relationships.
During this process the doctor will ensure that the symptoms meet the criteria for ADHD defined in the Diagnostic and Statistical Manual of Mental Disorders. The symptom has to be present in two different settings of the person's life (either home or work). It must interfere with the person's normal functioning, and cause significant distress. This can be in the form a difficulty in securing a job, dealing with marriage or finances or school issues, or their general quality of life.
Psychologists and psychiatrists are among the professionals who can carry out an ADHD assessment. Psychologists are trained in the function of the brain, however they are unable to prescribe medications. They are able to provide advice. Psychologists can diagnose and treat ADHD and prescribe medication when necessary.
If the Psychiatrist determines that the person has ADHD requires medication, he or she will prescribe a prescription to local pharmacists. This is under the supervision and direction of the Psychiatrist. It should be completed within three months following the private assessment. This will allow the patient to fully adjust their final dosage of medication. If the GP agrees to continue NHS prescribing following the private ADHD assessment the Psychiatrist will provide them with a a comprehensive report and treatment recommendations, and will draft a Shared Care Agreement with the GP.
