ADHD Assessment in the UK
An ADHD assessment is usually a fairly thorough process. A psychiatrist will determine if your symptoms cause significant impairment, and also rule out other conditions like thyroid issues or depression. They may also ask for old school records or other supporting evidence.
It is crucial that the person performing your assessment is a specialist in ADHD. This is the case for psychiatrists as well as GPs.
Waiting times
In the UK adults who require an ADHD diagnosis are being left waiting for years for an appointment with a psychiatrist. This is despite the fact that the condition is recognized as a serious mental health disorder and that it has major impact on the lives of people. In some areas waiting times can be as long as four years. The charity ADHD UK has called for urgent actions to improve the situation.
The issue is being amplified by the increasing awareness of the condition, as well as an increase in the demand for treatments. NHS services are struggling to keep up with the demand, and a lot of patients are choosing to seek treatment through private clinics. The Right to Choose scheme has made it easier for patients to choose private health providers.
One such service is Psychiatry UK, which operates an online ADHD assessment and medication service for the NHS in various parts of the country. The number of adults seeking an assessment has exploded and is currently over its capacity. Those who choose to go the private route are typically much better served, as private psychiatrists are more adept at dealing with adults and will be more familiar with the nuances of the condition. They are also more likely to have experience in managing co-morbidities such as depression and anxiety which are often associated in ADHD.
Many are still concerned about the quality of private assessments and the possibility for them to overdiagnose a disease. The issue was brought to the attention of the public when an BBC Panorama investigation exposed the method by which some private clinics were granting diagnoses without due process. Some have accused the program of propagating stigma and stereotypes about those with ADHD.
However, the BBC should be praised for exposing the issue and highlighting the dire situation of adults who require an ADHD diagnosis. It's a shame that some people who need assistance are forced to seek it out privately, and the NHS should come up with ways to deal with the issue. In the meantime, if you think you might have ADHD, you can try a free screening with a charity, or pay for an assessment from a private psychiatrist. They are generally less expensive than the NHS but do not include prescriptions.
Second opinion
If you're struggling with symptoms of ADHD It is essential to be diagnosed. A correct diagnosis will help you manage your symptoms and also prescribe medication. You may be referred to see a psychiatrist as part of your treatment. Private clinics often offer diagnosis and titration. These clinics are usually very familiar with the vast range of adults with ADHD which includes both genders. They can also test for co-morbidities such as anxiety and depression.
Private ADHD assessments can be expensive however they are typically much quicker than NHS waiting times. Typically, you will pay for a first assessment and then be able to schedule follow-up appointments as needed. private adhd assessment are covered by your insurance if you have it. These appointments will be conducted by specially trained nurses who have a special interest in ADHD and are able to evaluate the condition. Initial appointments typically involve clinical interviews and rating systems. You will also be asked to answer questionnaires, and you may be referred to further tests such as an MRI or EEG.
It is possible to pay between PS500 and PS1,200 at a private clinic for an ADHD assessment. The price includes both the assessment time as well as the cost of titration. Some private ADHD assessments offer titration apart from diagnosis, and may be less expensive. However the process of titration is longer and requires additional appointments.

The BBC's Panorama investigation has revealed that one patient waited for three years to receive an NHS evaluation, before going to a doctor in desperate need. The BBC investigation revealed a number of cases in which patients were given a diagnosis of ADHD which was later removed. This is a problem since it can be extremely stressful for patients to be incorrectly diagnosed, and a few patients have been prescribed medication that has adverse side effects.
In Scotland the Scottish government, an ADHD assessment costs PS1,335 which includes the initial assessment and the titration. Most health insurance plans will cover these tests, but it's worth checking with your insurer to determine if the policy you have will cover it.
Referral to specialist clinics
If your GP refers to a specialist clinic the clinician will ask questions and perform a clinical evaluation. They will determine whether your symptoms are indicative of ADHD and if they match the criteria for diagnosis. They will also look for co-morbidities, or other mental health issues. Most often, these are depression and anxiety. The doctor will then discuss treatment options with you, including medication, if necessary.
During an assessment the psychiatrist will inquire you about your family history and current issues at home and work. They will also inquire about any medications that you're taking. They will then conduct a formal interview. You should bring an experienced person or relative along to provide any additional information. The assessment will usually take a few sessions to reach an accurate diagnosis. Some clinics provide a full assessment, while others only test for specific symptoms.
The poor quality of NHS ADHD services has come under scrutiny following a Panorama investigation. The undercover reporter was diagnosed with ADHD in three private clinics, while his doctor said that he did not have it. The BBC claimed that the story was a case of "over-diagnosis" by private firms. However, GPs are only allowed to refer patients for further investigation or prescribe medication in accordance with strict guidelines.
Many GPs are unwilling to sign an agreement for shared healthcare with the NHS. This is the only way they can transfer the patient's care to the NHS after a private diagnosis. This is due to the fact that they believe that they're not experts in ADHD or psychiatry. Many private psychiatrists do not prescribe medication to their patients, which can make it difficult for them to get the treatment they need.
If your GP hasn't yet referred you to an ADHD assessment request them to do so. You can find out your estimated waiting time by calling the local mental health service or by using the Right To Choose site. The site allows you to select an online ADHD assessment service, which will be provided by the NHS.
Confirmation of diagnosis
A diagnosis of ADHD can change your life. It aids people in understanding themselves and also their family and friends. It can also help them determine the best treatment strategy. It's not always easy to obtain an accurate diagnosis. Especially in the UK where people are facing long waiting times for an assessment from the NHS. This can be frustrating for many people who are trying to determine if they are having ADHD.
If you are unable to wait, you can self-refer to a specialist psychiatrist for a private assessment. This will help you save time and the hassle of visiting your GP. It is not an easy process and can take months however, it will provide you with an accurate diagnosis than the NHS one. It is crucial to make sure that the person conducting your test is a psychiatrist or psychologist, as these are the only healthcare professionals who are competent to determine ADHD in the UK.
A private assessment may include an interview with a clinical psychologist or a psychiatrist. The doctor will ask questions about your mental health, childhood experiences and other aspects. The doctor will use rating scales to ask about your current challenges at work, in school, or in relationships. The doctor will also discuss other symptoms that could be indicative of ADHD.
The psychiatrist will then provide a thorough ADHD report to your GP with your consent. They may also prescribe medication if needed. They can also help you in obtaining other types of support, including study skills and mentoring. They will also assist with applying for Disabled Student Allowance if you are a student at university.
While it's not the best idea to cut corners however, the reality is that NHS services are crowded and underfunded. As a result, there are some who try to cut costs by using online assessments or private clinics that offer quick appointments but with no clinical expertise. These methods are not recommended, but there's no reason why people suffering from ADHD should not seek a diagnosis appointment if they are able to afford it.