20 Trailblazers Leading The Way In ADHD Diagnosis
How to Get an ADHD Diagnosis in the UK
When seeking referral, assessment or support for ADHD Patients often have to deal with a network gatekeepers. It is clear that a few of these gatekeepers in NHS CCGs aren't adhering to national guidelines for treating patients or their legal duty to prevent discrimination and health inequalities.
Some private ADHD clinics may not be adequately regulated as per reports from anecdotal sources. This may result in an inconsistency in diagnostic thresholds and assessment reports that could cause problems when trying to transfer to the NHS.
How can I get an official medical diagnosis?
ADHD is a mental health condition, meaning it can only be diagnosed by a healthcare professional with special expertise. This includes psychologists and psychiatrists (who are the only qualified to diagnose ADHD in the UK). People suffering from mental health issues frequently report symptoms of ADHD particularly those who have struggled for a long period. This means that they be feeling stuck in their current situation and are desperate for help to improve their life. The NHS can be confusing for those looking for the diagnosis.
You can receive an assessment through the NHS by asking your GP to refer you to a specialist. Your GP will be attentive to your concerns and might refer you to specialists for an evaluation. However, you may need to wait until the specialist is available.
In order to assess your ADHD medical experts will look into any mental health issues you may have had in the past, as well as your family history. They will also observe you in different settings, including at the workplace, school or at home to evaluate your behavior. You will be asked to write about your symptoms and how they affect your daily life. They may also inquire about your social life, relationships and other activities you take part in on a regular basis.
A specialist will look at all the evidence before deciding on a diagnose. They will make use of criteria, like being constantly restless and fidgety, having an insufficient attention span or difficulty focusing at work or at school or work, having difficulty staying focused on tasks, not finishing things and being extremely active. The diagnosis will be based on the presence of these traits in a variety of settings that affect your performance and if there's a distinct pattern that has remained for at least six years.
In recent months, there is a surge in the number of prominent people who have spoken out about their experiences of being diagnosed with ADHD. This has resulted in an increase in people seeking an assessment. This can lead to long wait for healthcare professionals. Some patients and their families opt to bypass the NHS in order to be assessed at private clinics. This is costly. It is essential to find a healthcare provider you can trust and answer questions honestly about your health issues.
What happens during the process of assessment?
Whether you self-refer or are recommended by your GP the process of assessing ADHD symptoms is very similar. The person who is conducting the assessment will ask you questions about how your symptoms affect your daily life, for example "What issues do you face at home?", "How do your symptoms affect your work?", and "Do you experience other symptoms that you think could be related to ADHD?"

You may have to fill out various forms or questionnaires before your appointment, based on where you are going for your examination. It is important to fill these out as quickly as possible so that your appointment doesn't get delayed. It is also essential to be familiar with the symptoms of ADHD to be able to recognise the signs and their effects on your life.
The test will usually involve an interview with a psychiatrist, specialist nursing staff or another appropriately qualified healthcare professional. The therapist will evaluate your mental health overall, and the specific symptoms of ADHD to determine whether they are caused by any other condition or unrelated to any other condition (NICE guidelines). The therapist will then go over possible treatment options with you which may involve medication.
It is important to keep in mind that GPs, nurses and psychologists will not be as knowledgeable about adult ADHD as Psychiatrists with specialization, so it is important to prepare and practice your symptoms prior to going for the assessment. This will help you explain the impact your symptoms are having in a way that is understandable to them. You will need to give examples of how your symptoms have had an impact on all aspects of your life from work to relationships, and how they have changed in time.
As part of the assessment you could be required to take certain tests, like a test for allergies. Your therapist could suggest additional tests to check for any medical conditions.
If you are self-referring, or are enrolled in the Right to Choose scheme, it is important to remember that even though you pay for your private examination however, you must wait for NHS scheduled appointments - and this can vary between NHS trusts and from one physician to another.
What is the outcome if I don't receive an answer to my question?
You can be diagnosed with ADHD if you have several factors in your favor. It can be harder for some groups of people to get diagnosed, for example, when you are of colour or assigned female at birth or if you have other mental health issues, such as bipolar disorder or depression.
If you're struggling to get a diagnosis, try speaking to your GP about the issue and ask for a referral to a psychiatrist. It's also worth trying to locate a private psychiatric service who specializes in adult ADHD tests. They may be able to provide a quicker service than the NHS.
The psychiatrist will look at your symptoms and determine whether they meet the criteria for ADHD, using the Nice guidelines as a guideline. They will also rule out other possible causes of your problem, such as depression, anxiety or thyroid issues. This can be a very thorough process, and it's not always easy for adults to present all the evidence required (for instance, they might have trouble finding old school reports that are in the back of the cupboard).
It's also possible that you won't be diagnosed with ADHD even the GP will agree to refer you to a psychiatrist. A psychiatrist can only diagnose ADHD if they believe that your ADHD symptoms are causing significant impairment. If they think you do not meet the criteria, they'll inform you the reason.
In the UK, it is legal in the UK to get treatment through the NHS in England, Wales and Northern Ireland when you have been diagnosed with ADHD. You might also be able to access medication through an Individual Funding Request however, this is contingent on the area you live in. You could be referred by your local specialist to prescribe the medication you want. NHS specialists tend to prefer Methylphenidate, Atomoxetine or Straterra first. They do not usually plan for long time periods of titration.
Participating in a support group, either in person or online, for adults with ADHD can be beneficial. They can be extremely helpful and comforting and can assist to talk through your experience with others who understand.
How can I receive treatment?
Adults are referred to ADHD specialist services to be assessed and treated. Typically, how to get an adult adhd diagnosis 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, many NHS health providers aren't able to accept these reports and patients are often blocked from accessing care. This is due to long waiting times or the rejection of referrals.
Support groups at the consensus meeting noted that a lot of ADHD patients seek out private assessments and diagnosis to avoid the lack of NHS funding in this area. Private clinics provide a more accurate, professional and faster diagnosis. They also assist in screening for comorbidities such as anxiety and depression that are common in ADHD. They can assist with titration of the final dose. The cost ranges from PS500 to PS1,200. Sometimes, a diagnosis and dosage are separately priced.
The diagnosis and treatment for ADHD can vary from individual to individual. The majority of people are treated using medications. These could be methylphenidates such as Ritalin or Concerta or atomoxetine like Strateva. Sometimes, non-drug interventions can be useful, such as training and education for parents and families of people with ADHD. Certain people with ADHD have found that changing their diet and establishing a sleep-friendly schedule helps. Some people have found that psychotherapy and hypnotherapy may help their symptoms. However the evidence supporting these therapies isn't as strong.
It is unacceptable that a lot of adults with ADHD are not able to access the care and treatment they require on the NHS. This situation must be addressed immediately by UK governments and regulators and clinical organizations. People with ADHD should have access to treatment that is devoid of discrimination and in line with their legal rights. To meet this demand it is essential to plan for long-term funding and to provide health, social, and judicial services together. The current situation cannot be endured and has a negative impact on individuals, their families and society. It is now the time to invest in this area.