7 Small Changes That Will Make The Difference With Your ADHD Diagnosis
How to Get an ADHD Diagnosis in the UK
People with ADHD typically have to deal with a number of gatekeepers when seeking referral or assessment and support. adhd diagnosis uk adults is clear that many of these gatekeepers, notably in NHS CCGs, are not following national clinical guidelines and their legal duty to stop health inequalities and discrimination.
Private ADHD clinics might not be adequately regulated according to reports from anecdotal sources. This could lead to different thresholds for diagnosis, and assessment reporting that can create problems when trying to transfer to the NHS.
How can I get an medical diagnosis?
ADHD is a mental illness and is only diagnosed by a healthcare professional with specialist knowledge. This includes psychologists and psychiatrists (who are the only professionals qualified to diagnose ADHD in the UK). Patients with mental health issues frequently experience symptoms of ADHD, especially those who have been struggling for a long time. They may feel stuck in their current situation and in desperate need of help. The NHS can be confusing for those looking for an answer to a medical condition.
It is possible to receive an diagnosis through the NHS by asking your GP for the referral to see a specialist. Your GP should be attentive to your concerns and be able to refer you for an assessment however, you may have to wait while the specialist is in.
In assessing you for ADHD healthcare professionals will look at your family history of ADHD and any other mental health issues that you've had in the past. They will also observe you in various settings, including at home, at school or at work to determine your behavior. You will be asked to explain your symptoms and how they impact your daily life. They might ask you questions about your social life, your relationships and other activities you engage in often.
A doctor will take into consideration all the evidence prior to making an assessment. They will consider criteria like being unrestful and fidgety at all times, having short-term memory issues, having difficulty staying focused or keeping up with school or work, not finishing tasks and being overly energetic. The diagnosis will be based on the presence of these characteristics in multiple settings, affecting your performance and if there's a distinct pattern that has remained for at least six years.
In the last few months, there is a surge in the number of well-known individuals who have opened up about their experiences being diagnosed with ADHD. This has resulted in an increase in people seeking an assessment. This can result in long wait for healthcare professionals. Some families and patients opt to avoid the NHS by having their health checked at private clinics, which can be expensive. It is crucial to find a healthcare provider you can trust and answer honestly about your health issues.

What happens during the assessment process?
The method of conducting an assessment of ADHD symptoms is the same whether you self-refer or get referred by your GP. The person who is conducting the assessment will ask you questions about how your symptoms impact your daily life, for example "What issues do you face at home?", "How do your symptoms impact on work?", and "Do you experience other symptoms that you think might be related to ADHD?"
You may need to fill out various forms or questionnaires before your appointment, based on where you are going for your evaluation. Complete these forms as quickly as you can will prevent any delays during your appointment. You should also familiarise yourself with the signs of ADHD to be able to recognize them and talk about their impact on your life.
The assessment will usually include an interview with a psychiatrist, specialist nurse or any other qualified healthcare professional. The therapist will examine your mental health overall and the specific signs of ADHD to determine if they are being caused by any other condition, or are unrelated to any other conditions (NICE guidelines). The therapist will discuss with you the options for treatment that could include medications.
Remember that GPs and nurses are not as well-versed in adult ADHD as psychiatrists. It is therefore important to prepare your symptoms and practice them before you take part in the evaluation. This will enable you to communicate the impact that your symptoms are having in a way that is easily understood by them. You will have to give examples of how your symptoms have affected your life in all ways, from your work to your relationships, and then over time.
As part of the examination, you may have to undergo some tests, such as an allergy test. Your therapist may suggest additional tests to determine for any medical conditions.
If you are self-referring, or are enrolled in the Right to Choose scheme, it is important to remember that although you pay for your private evaluation however, you must wait for NHS funded appointments - and this can differ between NHS trusts and from one physician to another.
What happens if I don't have a diagnosis?
You may be diagnosed with ADHD when you have a number of things in your favor. Certain groups could be more difficult to get diagnosed. For example when they are of color, were assigned female at birth or if they have other mental health diagnoses such as depression or bipolar disorder.
If you're struggling to get an answer, consult your GP and request a referral. It is also a good idea to find a private psychiatric provider that specialises in adult ADHD evaluations. They usually provide more rapid service than the NHS.
The psychiatrist will examine your symptoms to determine if they fit the Nice guidelines for ADHD. They will also attempt to rule out other causes of your symptoms, such as depression, anxiety or thyroid issues. This can be a thorough process, and it's not always easy for adults to provide all the evidence required (for instance, they might be unable to locate old school reports in the back of the cupboard).
It is possible that you are not diagnosed with ADHD even when your GP agrees. A psychiatrist is able to diagnose ADHD if they believe that your ADHD symptoms cause significant impairment. If they believe that you don't meet the criteria, they will inform you the reason.
In the UK, it is legal to seek treatment through the NHS in England, Wales and Northern Ireland when you have a diagnosis of ADHD. You could also obtain medication through an Individual Funding Request, but this depends on the area you live in. You may be referred the right specialist in your area who will prescribe the medicine you prefer. NHS specialists tend to prefer Methylphenidate Atomoxetine or Straterra first, and they do not usually plan for long titration periods.
Joining a support group, whether in person or online for adults suffering from ADHD can be beneficial. They can be helpful and calm. It can also be helpful to share your experience with other people who understand.
What can I do to get treatment?
Adults are directed to ADHD specialist services for assessment and treatment. Typically, these are located in NHS hospitals and NHS community health teams, for example the Maudsley Hospital in London offers a nationwide ADHD adult diagnostic service. However, many NHS healthcare providers don't accept these reports and patients are often blocked from accessing care. This is due to lengthy waiting periods or rejection of referrals.
Support groups at the consensus meeting noted that a lot of ADHD patients seek out private assessments and diagnosis to circumvent the absence of NHS investment in this area. Private clinics provide a faster and more professional, and generally understanding diagnosis. They can also help screen for comorbidities, such as depression and anxiousness which are common in ADHD. They also help with titration of the final dosage. Costs vary from PS500-PS1,200, although often a diagnosis and titration are priced separately.
The diagnosis and treatment for ADHD can vary from individual to individual. The most popular treatment is medication, and this may be in the form of methylphenidates (Ritalin, Concerta) or atomoxetine (Strateva). Sometimes, non-drug interventions can be useful, such as education and training for parents and families of individuals with ADHD. Some people with ADHD have found that a change in diet can help, as well as developing a sleep-friendly routine. Some people find that psychotherapy and hypnotherapy may alleviate their symptoms. However the evidence behind these therapies is less extensive.
It is unacceptable that many adults with ADHD are not able to access the care and treatment they need on the NHS. This problem must be addressed immediately by UK government officials and regulatory and clinical bodies. People with ADHD should have access to treatment that is free of discrimination and in accordance with their rights under the law. To meet this demand, it is vital to plan for long-term funding and to provide health, social care and judicial services in tandem. The current situation cannot be sustained and has a negative effect on individuals, their families and the society. It's time to invest.