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How to Get an ADHD Diagnosis in the UK
Doctors can refer you to an NHS ADHD assessment. If you're waiting an extended period and are not getting an assessment, request your GP to use Right to Choose law which gives patients the right to choose their provider.
A psychiatrist will conduct a structured interview to evaluate your symptoms and impacts on different aspects of your life. They might ask for your school and childhood histories as well as reports.
Find a Psychiatrist
They can prescribe medication for ADHD. They can also provide talk therapy. If you have insurance, your psychiatrist's visits should be covered. Contact your insurance company if uncertain if a psychiatrist's services are covered by your insurance. You could also ask your GP to refer you to a psychiatric expert or search online for local services. If you don't have insurance you may choose to go through a private service. Make sure the Psychiatrist is licensed and is experienced in dealing with ADHD patients.
Many medical professionals have preconceived notions about what someone suffering from ADHD looks like. This can be problematic when trying to obtain a diagnosis. A lot of medical professionals do not have the necessary training or experience to diagnose adult ADHD. You will have to work hard to find an adult ADHD specialist who is able to properly evaluate your symptoms and accurately diagnose you.
It is crucial to establish a relationship of trust with your psychiatrist once you've identified one. This is important, especially if you plan to begin taking medication for ADHD. Think about getting a new psychiatrist in case you feel uncomfortable with your current one. It is essential to be able to trust your physician but you shouldn't settle for anything less.
Your doctor may recommend you to an adult specialist in ADHD for a medical evaluation. This usually includes a questionnaire, as well as an interview with the psychologist regarding your ADHD symptoms in various social settings. The psychologist will then analyze your results and determine if you meet the criteria for an adult ADHD diagnosis.
In England you can choose the location where you will receive your NHS assessments. The NHS offers a list of providers, and you are able to use your Right to Choose to choose the one that is most suitable for you. Some of these providers provide assessments online to adults, which can dramatically reduce wait times.
Ask your doctor
If you have a GP who has good understanding of ADHD they may be happy to refer you to an NHS diagnosis. In the UK this will require a clinical interview with a psychologist or psychiatrist (not nurses) that will include a questionnaire on ADHD symptoms as well as your medical history, and your family mental health history. It is also possible that neuropsychological tests will be performed along with the interview. This will help give a clearer picture of your strengths and weaknesses, as well as the possibility of comorbidities that could influence your ADHD symptoms.
Your GP can also assist by writing a letter stating that you want to be referred for an assessment under Right to Choose. You can download an example from ADHD UK to print off and give to your GP. If they refuse to sign this form of consent for any reason, it could be worth changing your GP particularly when you intend to go on to apply for a Shared Care Agreement for medication later on.
If your GP will agree to the referral then there will be a brief wait before you can meet with the specialist. The preparation for the interview is vital, as it will likely focus on your ADHD symptoms and how they affect your life at present. You will be asked to provide examples and to talk about how you've performed in various aspects of your life.
Once you have been formally diagnosed, your physician will provide you with advice on treatment options. These could include talking therapies and behavioral interventions, as well as prescription drugs. You will be advised about how to manage your ADHD and receive an evaluation with recommendations for ongoing treatment. If you are a student, it is likely that your therapist will suggest a shared care arrangement with your GP to prescribe medications for you.
Unfortunately, there are a lot of professionals in the UK including GPs, psychologists and nurses, who have little knowledge about ADHD. This makes it difficult to receive an assessment or access treatment. You may be told you don't have ADHD because you're not hyperactive, or that adults don't get treated and that children get rid of it. It can be a challenge to find a professional who will listen and understand your situation.
Right to Choose
If you live in England and your GP will send you for an ADHD assessment you have a legal right choose which provider to refer you to. This is known as the "Right to Choice". The only requirement for the provider to be able to provide the service is that they have an NHS Standard Contract (with your CCG or NHS England). It is recommended that you also know the waiting time of the service provider prior to calling them. You can do this by calling directly or asking your GP for more information.
It is important to know that GPs are general practitioners and are therefore not experts in diagnosing mental disorders such as adult ADHD. Therefore, you may have convince your GP that you need to be referred to a specialist for an ADHD assessment. If you're unable to convince your GP that you should be referred to a specialist, you can print and download a letter from the charity ADHD UK to give to your GP. It includes quotes from the NICE 87 guidance which state that a GP cannot refuse to diagnose adhd diagnosis adults and that only a specialist can make this diagnosis.
Ask your GP what their current waiting times are for an ADHD assessment. If the waiting time is too long, you may make use of your Right to Choice and choose another provider.
When you go for your ADHD assessment, you will be asked to fill out a questionnaire and to attend an interview. Interviews are usually conducted by a specialist nurse or psychiatrist. The interview will be centered on your history of ADHD and how it has affected your life. It will also examine your current symptoms. It is recommended to prepare for the interview and bring a family member to assist you.
It is also advisable to ask your GP to think about possible different options for your medication. They might not wish to prescribe stimulants but they must be reminded that there are medications that are not stimulant that can be used to manage ADHD symptoms. These can include the drugs methylphenidate (Ritalin), dexamphetamine, and Atomoxetine (Strateva). You might also consider cognitive-behavioral treatment or Adult ADHD Diagnosis psychotherapy to treat adults suffering from ADHD.
Private Assessment
If you're not content waiting for the NHS to refer you or you are concerned that your GP may have preconceived ideas about what ADHD looks like (this is a growing issue particularly for women, people of colour and those assigned as female at birth), then you can self-refer to a private assessment. The main service provider for these assessments is Psychiatry-UK, they have a great guide for doing this on their website that includes template forms that you can provide to your GP. They also have an inventory of providers on their website and the majority of them offer online diagnosis and in person.
A private assessment will usually be slightly longer than an ordinary psychotherapy visit. It will also include an organized interview. The interview will cover a variety of aspects of your life, and the way your symptoms affect your current functioning. They will also look at your symptoms in various situations and settings. It is a good idea to have a family member or friend member give you feedback. The psychiatrist will then consider their findings and notify you of your diagnosis.
They will let you know if they believe you are in line with the ADHD criteria or if another condition best explains your symptoms (traits). If they don't believe you meet the criteria, they will let you know why and you can ask them to refer you back.
After you have received a diagnosis, you can then decide if you wish to pursue the path of medication or not. You will have to discuss this with your GP and you might be able to sign a shared-care agreement for medication through your GP and this could save you money in the long term.
It is not recommended to rely on getting an ADHD diagnosis on the internet or any self-diagnosis tools as these can be inaccurate. You should seek a professional and impartial assessment to receive the best possible outcome. Depending on the severity of your symptoms and if you are willing to take medications, other assistance may be available. For example, if you are an undergraduate, you could receive an assessment from your university. They can give you advice on reasonable adjustments, and Disabled Student's Allowance.
Doctors can refer you to an NHS ADHD assessment. If you're waiting an extended period and are not getting an assessment, request your GP to use Right to Choose law which gives patients the right to choose their provider.
A psychiatrist will conduct a structured interview to evaluate your symptoms and impacts on different aspects of your life. They might ask for your school and childhood histories as well as reports.
Find a Psychiatrist
They can prescribe medication for ADHD. They can also provide talk therapy. If you have insurance, your psychiatrist's visits should be covered. Contact your insurance company if uncertain if a psychiatrist's services are covered by your insurance. You could also ask your GP to refer you to a psychiatric expert or search online for local services. If you don't have insurance you may choose to go through a private service. Make sure the Psychiatrist is licensed and is experienced in dealing with ADHD patients.
Many medical professionals have preconceived notions about what someone suffering from ADHD looks like. This can be problematic when trying to obtain a diagnosis. A lot of medical professionals do not have the necessary training or experience to diagnose adult ADHD. You will have to work hard to find an adult ADHD specialist who is able to properly evaluate your symptoms and accurately diagnose you.
It is crucial to establish a relationship of trust with your psychiatrist once you've identified one. This is important, especially if you plan to begin taking medication for ADHD. Think about getting a new psychiatrist in case you feel uncomfortable with your current one. It is essential to be able to trust your physician but you shouldn't settle for anything less.
Your doctor may recommend you to an adult specialist in ADHD for a medical evaluation. This usually includes a questionnaire, as well as an interview with the psychologist regarding your ADHD symptoms in various social settings. The psychologist will then analyze your results and determine if you meet the criteria for an adult ADHD diagnosis.
In England you can choose the location where you will receive your NHS assessments. The NHS offers a list of providers, and you are able to use your Right to Choose to choose the one that is most suitable for you. Some of these providers provide assessments online to adults, which can dramatically reduce wait times.
Ask your doctor
If you have a GP who has good understanding of ADHD they may be happy to refer you to an NHS diagnosis. In the UK this will require a clinical interview with a psychologist or psychiatrist (not nurses) that will include a questionnaire on ADHD symptoms as well as your medical history, and your family mental health history. It is also possible that neuropsychological tests will be performed along with the interview. This will help give a clearer picture of your strengths and weaknesses, as well as the possibility of comorbidities that could influence your ADHD symptoms.
Your GP can also assist by writing a letter stating that you want to be referred for an assessment under Right to Choose. You can download an example from ADHD UK to print off and give to your GP. If they refuse to sign this form of consent for any reason, it could be worth changing your GP particularly when you intend to go on to apply for a Shared Care Agreement for medication later on.
If your GP will agree to the referral then there will be a brief wait before you can meet with the specialist. The preparation for the interview is vital, as it will likely focus on your ADHD symptoms and how they affect your life at present. You will be asked to provide examples and to talk about how you've performed in various aspects of your life.
Once you have been formally diagnosed, your physician will provide you with advice on treatment options. These could include talking therapies and behavioral interventions, as well as prescription drugs. You will be advised about how to manage your ADHD and receive an evaluation with recommendations for ongoing treatment. If you are a student, it is likely that your therapist will suggest a shared care arrangement with your GP to prescribe medications for you.
Unfortunately, there are a lot of professionals in the UK including GPs, psychologists and nurses, who have little knowledge about ADHD. This makes it difficult to receive an assessment or access treatment. You may be told you don't have ADHD because you're not hyperactive, or that adults don't get treated and that children get rid of it. It can be a challenge to find a professional who will listen and understand your situation.
Right to Choose
If you live in England and your GP will send you for an ADHD assessment you have a legal right choose which provider to refer you to. This is known as the "Right to Choice". The only requirement for the provider to be able to provide the service is that they have an NHS Standard Contract (with your CCG or NHS England). It is recommended that you also know the waiting time of the service provider prior to calling them. You can do this by calling directly or asking your GP for more information.
It is important to know that GPs are general practitioners and are therefore not experts in diagnosing mental disorders such as adult ADHD. Therefore, you may have convince your GP that you need to be referred to a specialist for an ADHD assessment. If you're unable to convince your GP that you should be referred to a specialist, you can print and download a letter from the charity ADHD UK to give to your GP. It includes quotes from the NICE 87 guidance which state that a GP cannot refuse to diagnose adhd diagnosis adults and that only a specialist can make this diagnosis.
Ask your GP what their current waiting times are for an ADHD assessment. If the waiting time is too long, you may make use of your Right to Choice and choose another provider.
When you go for your ADHD assessment, you will be asked to fill out a questionnaire and to attend an interview. Interviews are usually conducted by a specialist nurse or psychiatrist. The interview will be centered on your history of ADHD and how it has affected your life. It will also examine your current symptoms. It is recommended to prepare for the interview and bring a family member to assist you.
It is also advisable to ask your GP to think about possible different options for your medication. They might not wish to prescribe stimulants but they must be reminded that there are medications that are not stimulant that can be used to manage ADHD symptoms. These can include the drugs methylphenidate (Ritalin), dexamphetamine, and Atomoxetine (Strateva). You might also consider cognitive-behavioral treatment or Adult ADHD Diagnosis psychotherapy to treat adults suffering from ADHD.
Private Assessment
If you're not content waiting for the NHS to refer you or you are concerned that your GP may have preconceived ideas about what ADHD looks like (this is a growing issue particularly for women, people of colour and those assigned as female at birth), then you can self-refer to a private assessment. The main service provider for these assessments is Psychiatry-UK, they have a great guide for doing this on their website that includes template forms that you can provide to your GP. They also have an inventory of providers on their website and the majority of them offer online diagnosis and in person.
A private assessment will usually be slightly longer than an ordinary psychotherapy visit. It will also include an organized interview. The interview will cover a variety of aspects of your life, and the way your symptoms affect your current functioning. They will also look at your symptoms in various situations and settings. It is a good idea to have a family member or friend member give you feedback. The psychiatrist will then consider their findings and notify you of your diagnosis.
They will let you know if they believe you are in line with the ADHD criteria or if another condition best explains your symptoms (traits). If they don't believe you meet the criteria, they will let you know why and you can ask them to refer you back.
After you have received a diagnosis, you can then decide if you wish to pursue the path of medication or not. You will have to discuss this with your GP and you might be able to sign a shared-care agreement for medication through your GP and this could save you money in the long term.
It is not recommended to rely on getting an ADHD diagnosis on the internet or any self-diagnosis tools as these can be inaccurate. You should seek a professional and impartial assessment to receive the best possible outcome. Depending on the severity of your symptoms and if you are willing to take medications, other assistance may be available. For example, if you are an undergraduate, you could receive an assessment from your university. They can give you advice on reasonable adjustments, and Disabled Student's Allowance.
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