Getting a Private Diagnosis For ADHD
Communication is a challenge for people who suffer from ADHD particularly with coworkers and supervisors. This makes it difficult for them to succeed at work and school.
GPs can refer patients to private specialists for an ADHD assessment. But, it's essential to confirm that your GP will sign an agreement for shared care before you start.
The Assessment
In the UK there are many adults who suffer from ADHD choose to have their assessments and medications prescribed privately due to the long NHS waiting times. However, as how to get an adult adhd diagnosis shows that not all private clinics are monitored and could be giving incorrect diagnoses.
Only psychiatrists are able to diagnose ADHD in adults and prescribe medication. Counsellors and other mental health professionals are not able to diagnose ADHD.
The majority of private assessment providers will require you to fill out a series of forms and questionnaires before your appointment, which they'll review prior to the time of your appointment. You should bring these questionnaires and forms with you, as well as any other documents or information that could be useful. For example, if you have been referred to them by your GP it is important to bring these with you as well.
After your doctor has reviewed your questionnaires after which they will set up an appointment to discuss the results and findings. Bring a list of your symptoms with you (and any documentation) since this information will be used to help them make an informed diagnosis. They will also ask you about your life now and how ADHD has affected you to date. They might suggest you talk to a close family member about your symptoms and the impact they can have on your daily routine.
During this period your psychiatrist will talk with you about whether they believe you might be suffering from ADHD and what the best treatment options are for you. If they believe that you have ADHD you will be provided with a written report detailing their findings. They will talk with you if they feel you suffer from ADHD and determine whether it is better to take this diagnosis to your GP. This means that both parties will be on the the same page with regards to your condition, treatment, and management. You should discuss this report with your GP if you want them to prescribe medication as part of a Shared care agreement with your psychiatrist. It is also an excellent idea to inform the DVLA that you have been diagnosed with ADHD as it could impact your driving ability.
Diagnosis
It's important to know what happens during the private diagnosis process if you're considering it. In the course of your assessment, you'll likely meet a psychiatrist or a psychologist, as they are the only healthcare providers in the UK competent to diagnose ADHD. The assessment will include an in-depth review of your symptoms and how they impact your daily life. Your mental health professional will also ask questions about your family history as well as any other issues you're dealing with.
Your doctor will examine your current symptoms and compare them with the criteria for ADHD in adults as set by the American Psychiatric Association. For instance, he/ will determine if you are having trouble paying attention or following directions, and whether your hyperactivity results in difficulty keeping up with tasks. Your doctor will also want to know if you've had trouble with these symptoms since childhood. This could include asking your teachers or parents for details about the first time these symptoms started to appear.
The specialist will conduct tests such as QbCheck to determine if you suffer from ADHD symptoms. The specialist might also conduct a medical interview and request a variety of other assessments. This could take as long as two sessions.
During the interview, your doctor will ask you to provide examples of how your symptoms affect your daily life. The psychologist or psychiatrist may ask about your family history and other issues that you are dealing with, such as depression.
It is essential to select the most appropriate therapist for your assessment. A reputable clinic, like Harley Psychiatrists in London, will use a comprehensive assessment to find out whether you suffer from ADHD. They will also provide a range tailored treatment options.
Private providers could be diagnosing ADHD patients too quickly, without a thorough examination. BBC's Panorama program recently exposed a clinic that diagnosed a patient as having ADHD following a video-call, and gave him powerful medication.
A private diagnosis won't be accepted by the NHS. Your doctor will not sign a form transferring your medication from the NHS to your doctor. This is because a lot of GPs do not have the expertise of skills, experience, and knowledge to recognize ADHD.
Medication
The process for getting an adult diagnosis of ADHD is a complex one that involves gatekeepers. The knowledge and attitudes of these people can determine the capacity of help seekers to gain access to treatment.
You might want to consider a private diagnosis if your GP does not want to refer you to an NHS ADHD assessment or if you're unhappy with the waiting time. Private assessments can cost up to PS800 and require filling out questionnaires, a meeting with a psychiatrist and psychiatric report. The cost could be prohibitive for some, but it is possible to sign an agreement for shared care with your physician that permits you to pay for the NHS prescription cost and then see a private clinician for medication.
However, there's a concern that some private practitioners are over-diagnosing ADHD, especially through online clinics. A recent BBC Panorama 'expose' highlighted several instances where the online tests were not properly performed. In addition, people who are addicted to alcohol or drugs often show symptoms that are often confused with ADHD. These are referred to as comorbid symptoms and may include anxiety, depression or a substance use disorder.
It is important to have an evaluation and diagnosis for psychiatric issues before taking stimulants (methylphenidate and amphetamines) to treat the condition. These are class B drugs that can cause serious health problems if not taken as prescribed. They also pose a significant risk of addiction.
Many people who have a history of drug and alcohol abuse can alleviate their symptoms by altering their surroundings, delegating tasks, and hiring assistants. However, it is vital to remember that these actions cannot replace an evaluation of psychiatric condition and a formalised diagnosis for workplace protections under the Equality Act.
Psychologists and counsellors are able to provide an ADHD evaluation however they are not able to prescribe medication. In certain instances, a psychiatric nurse or psychiatrist could be able to provide this service but only if they are certified in the diagnosis process and have a valid medical registration.
Some people are not diagnosed as having ADHD by their GP because they believe they do meet the criteria, or other diagnoses would better explain the person's difficulties. This isn't necessarily a problem however it can be frustrating if the symptoms are distressing and affecting your daily routine.
Therapy
A private diagnosis of ADHD doesn't mean that therapists are less strict or bend the rules than when they work within NHS guidelines. Patients who are treated in a private environment need to undergo an assessment that is in line with the National Institute of Clinical Excellence guidelines and best practices. If a private health care provider is found to have a diagnosis of overdiagnosed ADHD the patient is likely to be disciplined by appropriate authorities.
In addition to a thorough psychological examination, many adults who are diagnosed with ADHD also benefit from cognitive treatment for behavioural problems (CBT) and mindfulness techniques. Therapists will collaborate closely with clients to help them overcome their challenges and devise strategies to improve their life and reduce the effects of ADHD symptoms. This can be done either in person or through a video conference, based on where the client is located.
The aim of CBT is to address the root of a client's difficulties by giving them healthy coping skills and helping them recognize their negative habits. These can include procrastination, poor management, and difficulty focus as signs of adult ADHD. Therapists work with clients to develop strategies to reduce symptoms and create a positive environment.
Adult ADHD is a frequent diagnosis for adults who feel relieved that they have an explanation for their problems. However, they might discover that their diagnosis triggers lots of emotions that are difficult to manage. There are numerous support groups for those who require them.
For those who are interested in receiving treatment for their ADHD symptoms A mental health professional will provide them with a treatment program that includes medication and psychotherapy. The use of medication can improve the concentration of a patient, stop them from losing things, and allow them to sit still for longer periods of time, allowing them to learn new skills and listen attentively. A psychiatrist might prescribe stimulants such as methylphenidate for people suffering from ADHD symptoms.