ADHD Diagnosis - Getting the Right One From the NHS
The NHS requires that patients undergo a thorough evaluation for a proper ADHD diagnosis. The BBC investigation found that certain private clinics could be distributing unreliable diagnoses and inappropriate medication.
A reliable diagnosis for ADHD is based on the number, severity of, duration and impact of symptoms. The doctor will interview the individual and review the medical, psychiatric, family and personal history.
Diagnosis
For those who believe they have symptoms that could be related to ADHD and are seeking a diagnosis, it is the first step in finding a treatment and gaining control over their lives. Whether they have an instinct that they might be suffering from the condition, or have been told by a family member or friend that a member suggest they might have it, obtaining the correct diagnosis can allow them to find the treatment and support needed to manage their ADHD symptoms effectively.
The first thing that patients need to discuss their concerns with an GP. Tell them about your symptoms and how they affect your daily routine. The doctor will refer them to a seasoned mental health professional who is experienced in diagnosing ADHD. The specialist should be a seasoned psychiatrist who has received specialist training in the area. This is important because it allows the psychiatrist to be certain that they are using the right criteria to determine ADHD.
The psychiatrist will request that the patient bring their spouse or family members and friends who are familiar to them. They will also need to examine the patient's medical and mental background from childhood to now. They will also take into account the severity of the symptoms and how they have impacted the patient's life. A brain scan or blood test cannot confirm the ADHD diagnosis. The psychiatrist will have to take into account all available information.
If the psychiatrist does not think that the patient is meeting all the criteria required for an ADHD diagnosis, they will explain why. It could be because the patient did not provide enough information about their problems or another medical condition is more responsible for their behavior than ADHD. It could also be that the psychiatrist believes that the patient's issues are due to something else, and not ADHD.
Certain people find it difficult to get a proper diagnosis due to the prejudices of certain healthcare experts. This is especially the case if you're a person who is of color or a woman who was born, or do not speak English natively. The NHS is trying its best to solve this problem.
Assessment
If you think you may be suffering from ADHD or other disorders, you should be evaluated by a health care provider who has experience in such evaluations. You can ask your personal physician for a referral or consult at local universities' hospitals or medical schools to see the professionals who are certified to perform an ADHD evaluation for adults. You could also seek a referral from an ADHD support group in your area.
The diagnosis of ADHD is determined by the number, severity and duration of the symptoms in specific areas of one's life. These include relationships, school and work. You may have problems with not performing well in school or at working, having difficulties making and maintaining relationships, or being unorganized or forgetful. It is crucial to talk about these issues openly and not be hesitant to speak out against fear of criticism.
From GPs and consultant psychiatrists There are a variety of healthcare professionals who can conduct an ADHD assessment. However, to officially recognize a diagnosis of ADHD, it must be conducted by a qualified Psychiatrist or Prescriber Certified Specialist Nurse. This is because only a Psychiatrist is able to prescribe medication for the treatment of ADHD.
You are usually questioned during an ADHD assessment, and it is important to bring someone from your family to offer assistance or to provide evidence. It is also helpful to note down your symptoms and how they have affected your life. The doctor will ask questions to collect details about your past and your current functioning. They will also check you to determine if there are any medical conditions that could be causing your ADHD symptoms.
The NHS can also provide an adult adhd diagnosis privately however this could take a very long time due to the long NHS waiting lists. Some people prefer paying out of pocket for a private treatment and assessment through the "Right to Choose" route is simpler. But it is crucial to be aware that the quality of care from private providers is a lot different and it is crucial to choose your provider carefully.
Medication
It is beneficial to have a thorough and full assessment if you struggle with ADHD symptoms into adulthood. This will enable you to get the right medication, and the support that you need to manage symptoms. There are many private companies who offer this service. If you decide to use one of them, it is crucial to research the reputation of the psychiatrist, their training and experience in treating neurodevelopmental disorders.
A large number of public figures have been open about their struggles with ADHD in recent months. For example, Great British Bake Off host Sue Perkins was diagnosed in her 50s and stated that her diagnosis "made everything make sense". However, despite the increased awareness, NHS waiting lists remain jam-packed with people who want to get an accurate diagnosis and treatment.
Therefore, GPs are often reluctant to refer patients to specialist services for a private diagnosis of ADHD. This is due to the fact that they lack the time or resources and, in some cases they may not be able to locate a specialist who is skilled in neurodevelopmental disorders. In certain areas, the NHS staff may have to address other needs such as mental health assessments.
Some people also believe that private providers of ADHD assessments are unable to accurately diagnose those suffering from the condition. This could result in devastating effects for certain. This concern was raised by the BBC Panorama program and there is an urgent need to improve access for ADHD assessments.
Once you have a private diagnosis of ADHD it is possible to treat the disorder with a combination of behavioral therapy and medication. Stimulant drugs like methylphenidate and amphetamine can be used to improve attention and impulse control as well as slower-acting non-stimulants such as atomoxetine can be helpful in enhancing focus and productivity.
Certain patients choose only treatment for behavioural issues, and do not need medication. Priory can create a post-diagnostic treatment package for patients who require medication. This will include a thorough medical report, as well as a titration for the final dose, which can be shared with your GP.
Post-diagnostic treatment
A diagnosis of ADHD may result in significant human and financial costs. It is crucial to provide a psychiatric evaluation and treatment program for all adults suffering from ADHD. This should include medication as well as practical and psychological support and therapy for families if it is appropriate. This should also extend to family and workplace education about how to better manage and support an adult with ADHD in their daily life.
The first step is an interview with an expert in mental health care who is certified to evaluate ADHD and other related disorders. Patients should bring a list of their symptoms and any other mental health issues prior to their first appointment. This interview will review the patient's medical, mental health and family background. It will also discuss how the ADHD symptoms affect the person's daily life and relationships.
In this process the doctor will confirm that the symptoms are in line with the criteria for ADHD as defined in the Diagnostic and Statistical Manual of Mental Disorders. The symptom has to be present in two places of the person's daily life (either at home or at work). It must affect their normal functioning and cause significant distress or impairment. This can take the form a difficulty in securing a job, dealing with marriage or finances or school issues, or in their overall quality of living.
There is a wide range of professionals who can conduct an assessment for ADHD that includes Psychologists and psychiatrists. Psychologists are trained in the functioning of the brain, however they are unable to prescribe medications. They can only offer counseling. Psychologists are qualified to diagnose and treat ADHD and offer medications if required.
If private adhd assessment determines that the person with ADHD does need medication they will prescribe the medication and supply it to a local pharmacy. This is done under the supervision of a doctor and should be completed within three months of the private assessment to ensure that the person has time to be fully titrated into their final dose of medication. If the GP accepts to continue NHS prescribing after the private ADHD assessment The Psychiatrist will provide them with a a comprehensive report and treatment recommendations and will draft an Shared Care Agreement with the GP.