ADHD Diagnosis: 10 Things I'd Like To Have Known Earlier
How to Get an ADHD Diagnosis in the UK
When seeking assistance, referral or assessment for ADHD Patients often have to deal with an array of gatekeepers in the network. It is evident that a number of these gatekeepers, notably in NHS CCGs, are not following the national guidelines for treating patients and their legal duty to prevent health inequality and discrimination.
Anecdotal evidence suggests that some private ADHD clinics are not sufficiently regulated. This could lead to inconsistent diagnostic thresholds and assessment reporting, which can cause difficulties when trying to transfer to the NHS.
How do I obtain an medical diagnosis?
ADHD is a mental illness, which means it can only by diagnosed by a healthcare provider with specialist knowledge. This includes psychiatrists and psychology (who are the only ones qualified to diagnose ADHD here in the UK). Mentally ill people frequently report ADHD symptoms, especially those who have been struggling for a long period of time. This means they may feel stuck in their current circumstances and need help to improve their life. However it is true that the NHS isn't always easy to navigate for those who are seeking an assessment.
It is possible to obtain an assessment through the NHS by asking your GP for the referral to see an expert. Your GP should take your concerns seriously and should be able to send you to a specialist for an examination but you may have to wait while the specialist is available.
To assess your ADHD medical professionals look at any mental health issues you might have faced in the past as well as your family history. To determine adhd diagnosis uk , they'll observe you in different situations, like at school, home, or work. They will ask you to explain your symptoms and how they impact your daily life. They may ask you about your social life, your relationships and other activities you engage in regularly.
A specialist will look at all the evidence before making an appropriate diagnosis. They will consider criteria like being unrestful and fidgety all the time and having a short-term memory, having difficulty staying focused and unable to keep up in school or at work, not finishing tasks, and being extremely energetic. The diagnosis is determined by an array of characteristics that can be seen in a variety of settings and affect your functioning.
In recent months, there has been a rise in the number of high-profile people who have spoken out about their experiences with being diagnosed with ADHD. This has led to an increase in people seeking a diagnosis. This can lead to long wait times for healthcare professionals. Some patients and their families avoid the NHS in order to undergo assessments at private clinics. This can be costly. It is essential to locate a healthcare professional you are comfortable with and answer any questions honestly regarding your symptoms.
What happens during the test?
Whether you're self-referring or getting recommended by your GP the process of assessing ADHD symptoms is essentially the same. The person conducting the assessment will ask questions about your symptoms and how they impact your daily life. For example, "What problems do experience at home?" "How does your symptoms impact your work?" "Do you have other symptoms that you believe could be related to ADHD?"
You may need to fill out a variety of questionnaires or forms prior your appointment, based on the location you're going to for your examination. It is important to fill these out as quickly as you can so that your appointment doesn't get delayed. You should also familiarise yourself with the signs of ADHD to be able to recognize them and discuss their impact on your life.

The test will usually involve an interview with either a psychiatrist or specialist nursing staff or a qualified healthcare professional. The therapist will assess both your mental health and ADHD symptoms to determine if they're caused by another illness or not (NICE guidelines). The clinician will discuss with you the treatment options that may include medications.
Keep in mind that nurses and doctors aren't as well-versed in adult ADHD as Psychiatrists. Therefore, it is important to plan your symptoms and practice them prior to when you attend the evaluation. This will enable you to communicate the impact your symptoms are having in a manner that is easily understood by them. You'll need to provide examples of how your symptoms have impacted on all aspects of your life, from work to relationships and how they've changed over time.
As part of the assessment you might be required to take certain tests, like a test for allergies. Your therapist might suggest additional tests to check whether you have any other medical issues.
If you are self-referring, or are enrolled in the Right to Choose scheme, it is crucial to know that although you pay for your private examination, you still have to wait for NHS funded appointments - and this may differ between NHS trusts and from one physician to another.
What is the outcome if I don't receive a diagnosis?
There are several things that could prevent you from being diagnosed with ADHD. Certain groups could have a harder time getting diagnosed. For example that they are of color or were assigned female at birth or if they have other mental health conditions like depression or bipolar disorder.
If you are struggling to get an answer, you can talk to your GP about it and request the referral to a psychiatrist. You may also locate a private psychiatrist who specializes in adult ADHD tests. They may be able to provide a quicker service than the NHS.
The psychiatrist will examine your symptoms to determine if they fit the Nice guidelines for ADHD. They will also look for other possible causes for your issue like depression, anxiety, or thyroid issues. This is a thorough process, and it's not always easy for adults to present all the evidence required (for instance, they may have trouble finding old school reports that are in the back of the cupboard).
It is possible that you are not diagnosed with ADHD even you and your GP agrees. This is because a psychiatrist will only determine that your ADHD symptoms are causing significant impairment. If they think that you do not meet the criteria, they will tell you why.
If you've been diagnosed with ADHD, it is legal in the UK to receive treatment through the NHS. This is applicable to England, Wales, and Northern Ireland. You may be able to obtain medication through an individual funding request, but it depends on the location you reside in. You could be referred by your physician to prescribe the medication of your choice. NHS specialists are more likely to prescribe Methylphenidate Atomoxetine or Straterra first and they do not always plan for long time periods of titration.
Joining a support group whether in person or online for adults suffering from ADHD can be beneficial. They can be a source of support and calm. It can also be helpful to share your story with other people who understand.
How can I get treatment?
Adults may be referred to ADHD specialist services to be assessed and treated. Typically, these are located in NHS hospitals and NHS community health teams. For instance, the Maudsley Hospital in London offers a nationwide ADHD adult diagnostic service. However, a significant number of NHS healthcare providers do not recognize these reports as legitimate and patients frequently face obstacles in their access to healthcare including long wait times and rejection of referrals (see below for more details).).
Support groups have reported at the consensus meeting that many ADHD sufferers seek out private assessments and diagnoses to circumvent the NHS's lack of funding in this area. Private clinics offer a much faster and more professional and a more generalized diagnosis. They can also be helpful in the screening of comorbidities like anxiety and depression that are prevalent in ADHD and also in helping with titration until the final dosage of the medication. The cost can vary from PS500 to PS1,200. Sometimes the diagnosis and dosage are separately priced.
The diagnosis and treatment of ADHD differs from person to. Most people are treated with medication. These could be methylphenidates such as Ritalin or Concerta, or atomoxetine, like Strateva. Sometimes, non-drug treatments are beneficial, like training and education for parents and families of individuals with ADHD. Some people suffering from ADHD find that a change in diet can help, as well as trying to develop a sleep-friendly routine. Others find that hypnotherapy or psychotherapy can help with their symptoms, but the evidence for these therapies isn't as strong.
It is unacceptable that many adults with ADHD cannot access the medical and treatment they require through the NHS. This situation must be addressed immediately by UK governments and clinical and regulatory bodies. People suffering from ADHD should have access to treatment, free from discrimination and in accordance with their rights under the law. Long-term planning of funding and a coordinated commissioning of social, health care and judicial services are essential to address this need that is not being met. The current situation can't be endured and has a negative effect on individuals, their families and the society. It's time to invest.