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ADHD Diagnosis – Getting the Right One From the NHS The NHS requires that patients undergo a thorough evaluation in order to receive a proper ADHD diagnosis. The BBC investigation highlighted that some private clinics might provide unreliable diagnoses and inappropriate medication. A reliable diagnosis for ADHD is determined by the severity, number and duration of symptoms. The clinician will interview the individual and review the medical, psychiatric, family, and personal history. Diagnosis For those who believe they are suffering from symptoms that could be associated with ADHD, getting a diagnosis is a key step to finding treatment and gaining control over their lives. If they believe they suffer from ADHD, or if someone in their family or a friend has suggested it, getting a diagnosis can aid in managing their symptoms. The first thing patients must discuss their issues with the GP. Tell them about your symptoms and how they impact your daily life. The doctor will recommend them to a specialist mental health professional who is skilled in diagnosing ADHD. This specialist should be a psychiatrist who has undergone specialist training in this area. This is crucial since it means that the psychiatrist will be confident that they are using the correct criteria to diagnose ADHD. The psychiatrist will interview the patient and often will ask them to bring their spouse, or close relatives and friends who know them well. They will also have to consider the patient's medical history and the psychiatric history, beginning from childhood. They will also take into consideration the severity of the symptoms and their impact on the patient's life. A brain scan or blood test can't confirm an ADHD diagnosis. The psychiatrist will have take into consideration all available information available. If the psychiatrist does not think that the patient is meeting all the criteria for an ADHD diagnosis the psychiatrist will explain why. It could be that the patient did not give enough details about their difficulties or that another medical condition is more responsible for their behavior than ADHD. It could also be that the psychiatrist believes that the patient's issues result from something else rather than ADHD. Some people are unable to get a proper diagnosis because of the prejudices espoused by certain healthcare experts. This can be especially the case if they are an individual of color or a woman born at birth, or are not an English speaking. However there is an increasing awareness of the issue and the NHS is trying to tackle the issue. Assessment If you are concerned that you may have ADHD you should seek an evaluation from a health healthcare professional who is skilled in conducting these assessments. You can ask your doctor to refer you or check with local medical schools or hospitals to find out which professionals are qualified for an ADHD assessment for adults. You may also ask an individual from your local ADHD support group for an appointment. A diagnosis of ADHD is determined by the number severity, duration and severity of symptoms that affect particular areas of your life. This could include work, school and relationships. You might be struggling with not performing well in school or at working, having difficulties creating and maintaining relationships or being forgetful or unorganised. It is essential to address these issues and not be afraid to confront criticism. From GPs to consultant psychiatrists There are a myriad of healthcare professionals who can carry out an ADHD assessment. To provide a formal diagnosis of ADHD it should be carried out either by a qualified Psychiatrist, or a qualified Prescriber Special Nurse. This is because only a psychiatrist can prescribe medication for the treatment of ADHD. You will usually be interviewed during an ADHD evaluation and it is essential to bring along an adult family member to provide assistance or to provide evidence. It is beneficial to write down your symptoms, and how they impact your life. The doctor will ask you questions to gather information about your background and how you are doing. They will also examine your body to determine if there are any medical conditions which could be causing the symptoms of ADHD. The NHS can also offer an adult adhd diagnosis privately however, this could take a very long time due to the long NHS waiting lists. Some people find that paying out of pocket for private treatment and assessment through the “Right to Choose” pathway is easier. It is important to keep in mind that the cost and quality of private care can vary significantly. Medication It is a good thing to have a thorough and complete assessment if you struggle with ADHD symptoms as you age. This will enable you to receive the correct medication and assistance you require to manage your symptoms. There are many private providers that offer this service. If you choose to go with one of them, it is essential to research the reputation of the psychiatrist, their training and experience dealing neurodevelopmental disorders. A lot of celebrities have spoken out about their struggles with ADHD in recent months. Sue Perkins, the host of the Great British Bake Off, was diagnosed with ADHD in her 50s. She stated that this diagnosis “made everything seem more rational”. NHS waiting lists are still crowded despite an increase in awareness. Therefore doctors are often reluctant to refer patients to specialist services to confirm a diagnosis of ADHD. This is partly because they do not have the time and in some cases they may not be able to find a clinician with experience in neurodevelopmental conditions. In certain areas, this is further exacerbated by the fact that NHS staff could be assigned other requirements such as mental health assessments. There is also a perception that certain private providers of ADHD assessments are prone to misdiagnosing people with the condition, which can result in devastating consequences for certain people. The BBC Panorama programme raised this concern and there is a pressing need to improve access to specialized ADHD assessments. If you've been diagnosed as having ADHD, you can treat it by combining behavioural therapy and medication. The stimulant medications like methylphenidate and amphetamine can be used to boost concentration and control of impulses as well as slower-acting non-stimulants such as atomoxetine can be beneficial in improving concentration and productivity. Some patients prefer to use behavioural therapy and do not require medication. Priory can create a post-diagnostic treatment package for those who require medication. This will include a thorough medical report as well as a titration of the final dose, which can be shared with your GP. Post-diagnostic care A diagnosis of ADHD could be accompanied by significant human and financial costs. It is essential to conduct a psychiatric assessment and treatment plan for all adults with ADHD. This should include medications as well as psychological and practical support and family therapy if needed. This should include family and workplace information on how to best support and manage an adult with ADHD. The first step is an interview with an expert in mental health care who is trained to assess ADHD and related conditions. Patients must bring a list of their symptoms as well as any other mental health issues prior to their first appointment. This interview will examine the patient's medical and psychiatric history, as well as their family history. It will also discuss how the ADHD symptoms affect the individual's daily functioning and their relationships. During this procedure, the doctor will ensure whether the symptoms match with the criteria for ADHD as defined in the Diagnostic and Statistical Manual of Mental Disorders. The symptom must be present in two different settings of the individual's life (either home or work). It must interfere with the person's normal functioning, and cause a lot of distress. private adhd assessment uk can take the form of having difficulty getting a job, problems with marriage or coping with finances, issues at school or in their overall level of living. There is a wide range of professionals who carry out an assessment for ADHD, including Psychologists and psychiatrists. Psychologists are experts on how the brain works however, they are not qualified to prescribe medications, therefore they can only suggest counselling. Psychologists can diagnose and treat ADHD and prescribe medication if needed. If the Psychiatrist is of the opinion that the person has ADHD needs medication, he or she will write a prescription for local pharmacists. This is done under the supervision and direction by the Psychiatrist. The procedure should be completed within three months after the private assessment. This allows the patient to fully adjust to their final dosage of medication. If the GP is in agreement to continue to prescribe ADHD medication on the NHS following the private ADHD evaluation the Psychiatrist can provide a comprehensive report with treatment recommendations. They can also draft the Shared Care Agreement.