ADHD Diagnosis - Getting the Right One From the NHS
To give people an accurate diagnosis for ADHD the NHS requires a thorough examination. The BBC investigation revealed that a few private clinics could be handing out unreliable diagnoses and inappropriate medication.
A valid ADHD diagnosis is based on the symptoms, their severity, duration and impact. The clinician will interview and analyze the patient's medical, mental health and family medical history.
Diagnosis
Adults with symptoms they believe might be ADHD should seek a diagnosis to find the right treatment and take control of their life. If they suspect they may have ADHD or a family member or friend has suggested it, getting an assessment can help them manage their symptoms.
Patients must first discuss their issues with an GP. They must inform them of their symptoms and how they impact their daily lives. The doctor will recommend them to a skilled mental health professional who is experienced in diagnosing ADHD. This specialist should be psychiatrist who has undergone specialist training in this area. This is important because it allows the psychiatrist to be sure that they're using the right criteria to determine ADHD.
The psychiatrist will request that the patient bring their spouse or family members and acquaintances who are familiar with them. They must also examine the patient's medical history and psychiatric past, starting from childhood. They will also take into account the severity of the symptoms and how they affect the patient's life. A brain scan or blood test cannot confirm an ADHD diagnosis. The psychiatrist will need take into consideration all available information available.
If the psychiatrist feels that the patient doesn't meet the requirements for an ADHD diagnosis the psychiatrist will explain their reasoning. It could be because the patient did not provide enough information about their issues or another condition could be more responsible for their behavior than ADHD. It could also be that the psychiatrist believes that the patient's problems stem from something else, and not ADHD.
Some people have a harder time getting a proper diagnosis because of the prejudices of certain healthcare professionals. This is particularly the case if they're someone of color or a woman born at birth, or are not an English speaker. The NHS is working hard to tackle this issue.
Assessment
If you suspect you may be suffering from ADHD or other disorders, you should seek an evaluation by a health care provider who is experienced in these assessments. You may ask your physician for a referral or check with local medical schools or hospitals to determine which professionals are qualified for an ADHD assessment for adults. You can also ask a local ADHD support group for an appointment.
A diagnosis of ADHD is dependent on the amount, severity and duration of symptoms that affect specific areas of your life. These can include work, school and relationships. You may experience problems with regards to not performing at work or education or in difficulty in maintaining and forming relationships, or being forgetful or disorganised. It is essential to discuss these issues in a candid manner and not hide from the fear of being criticized.
There are a variety of healthcare professionals that can conduct an ADHD assessment, from GP's to consultant psychiatrists. However, to provide a formally recognised diagnosis of ADHD it must be conducted by a qualified Psychiatrist or a Prescriber qualified specialist nurse. Only a Psychiatrist is able to prescribe medication for ADHD.
In an ADHD assessment you will be questioned. It is important to bring a loved one with you to provide support or evidence. It is also helpful to write down your symptoms and how they have impacted your life. The doctor will ask you questions to learn about your past and how you are functioning. They will also look at your body to determine if you have any medical conditions that could be causing symptoms of ADHD.
The NHS can also provide an adult adhd diagnosis that is private, but this can take a very long time because of the long NHS waiting lists. Some people find it easier to pay out of their own pocket for an assessment and treatment that is private through the 'Right To Choose route. But, it is important to be aware that the quality of care offered by private practitioners varies widely and it is vital that you choose carefully.
Medication
If you have been struggling with symptoms of ADHD as an adult it is a good idea to have a complete and thorough assessment. adhd private assessment will enable you to get the right medication, and the assistance you require to manage the symptoms. There are many private companies that offer this service. If you decide to use one of them, it is important that you research the reputation of the psychiatrist, their education and experience in dealing neurodevelopmental disorders.
In recent months, a lot of prominent people 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 more rational". NHS waiting lists are still crowded despite an increase in awareness.
In the end, GPs are often reluctant to refer patients to specialist services in the event of a private diagnosis of ADHD. This is largely because they lack the time, and in some cases they may not be able find an expert clinician in neurodevelopmental disorders. In certain areas, NHS staff may have to handle other requirements like mental health assessments.
Many people believe that private providers of ADHD assessments over-diagnose adults with the condition. This could have devastating effects for some. The BBC Panorama programme raised this concern and there is a real need to increase access to specialist ADHD tests.
Once you have a private diagnosis of ADHD, it is possible to treat the disorder by using the combination of treatment for behavioural disorders and medications. Stimulant drugs like amphetamine and methylphenidate can be used to enhance the ability to control impulses and attention as well as slower-acting non-stimulants like atomoxetine are helpful in enhancing focus and productivity.
Some patients opt for the behavioural approach, and do not need medication. Priory can put together a post-diagnostic treatment package for patients who require medication. This will include a thorough medical report as well as a titration of the final dosage, which can be shared with your GP.
Post-diagnostic treatment
A diagnosis of ADHD may have significant financial and human costs. It is essential to provide a psychiatric evaluation and treatment program for all adults with ADHD. This should include medication as well as psychological and practical assistance, as well as family therapy if appropriate. This should also extend to the workplace and family members on how to better manage and assist an adult with ADHD in their daily life.
The first step is an interview with a mental health professional who is certified to evaluate ADHD or other conditions. Patients are required to bring a written list of their symptoms as well as any other mental health issues to the initial appointment. The interview will cover the patient's medical, psychiatric, and family history. It will also look at how the ADHD symptoms impact the patient's daily functioning and their relationships.
During this procedure the doctor will ensure that the symptoms meet the criteria for ADHD that are defined in the Diagnostic and Statistical Manual of Mental Disorders. The symptom has to be present in two different settings of the individual's life (either at home or at work). It must affect their normal functioning and result in significant distress or impairment. This can be in the form of difficulties in securing a job, coping with finances or marriage, problems in school or their general quality of life.
Psychologists and psychiatrists are among the professionals that can conduct an ADHD assessment. Psychologists are experts on the way that brains work, but are not qualified to prescribe medications, so can only suggest counselling. Psychiatrists can diagnose and treat ADHD and prescribe medication if required.
If the Psychiatrist is of the opinion that the person with ADHD requires medication they will prescribe the medication and supply it to the local pharmacy. This is under the supervision and direction of the Psychiatrist, and is expected to be completed within three months from the private assessment. This will allow the individual to fully adjust to their final dosage of medication. If the GP accepts to continue NHS prescribing following the private ADHD assessment the Psychiatrist will provide them with a complete report and treatment recommendations, and will draw up an Shared Care Agreement with the GP.