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ADHD Diagnosis – Getting the Right One From the NHS For people to get an accurate diagnosis for ADHD the NHS requires a thorough examination. The BBC investigation revealed that some private clinics may be giving out unreliable diagnosis and inappropriate treatment. A valid ADHD diagnosis is based on symptoms, their severity, duration and impact. The physician will interview the patient and review the medical or psychiatric history, as well as family and personal background. Diagnosis Adults who experience symptoms that they believe could be ADHD should look for a diagnosis in order to find the best treatment and control their lives. If they suspect they may have ADHD, or if someone in their family or a friend has suggested it, the diagnosis will aid in managing their symptoms. Patients must first discuss their issues with a GP. Discuss your symptoms with them and how they impact your daily routine. The doctor will then recommend them to a specialist mental health professional who is experienced in diagnosing ADHD. The specialist is a psychiatrist who has completed specialist training in this field. This is important because it allows the psychiatrist to be confident that they're applying the correct criteria to diagnose ADHD. The psychiatrist will ask the patient to bring their spouse or close family members and friends who are familiar with them. They must also consider the patient's medical history as well as the psychiatric history, beginning from childhood. They will also consider the severity of symptoms and the impact on the patient's daily life. There is no brain scan or blood test that can confirm an ADHD diagnosis, so the psychiatrist must evaluate all the available information. If the psychiatrist does not feel that the patient meets all the criteria for an ADHD diagnosis, they will explain the reasons. It could be that the patient hasn't provided sufficient detail about their difficulties, or it might be that a different condition is responsible for their behavior more effectively than ADHD. Alternatively, it might be the case that the psychiatrist believes that the patient's difficulties may be due to a different cause and not the ADHD condition. Certain people find it difficult to receive a correct diagnosis because of the prejudices held by some health experts. This is especially the case when they are an individual of color or assigned a female birth, or are not an English native speaker. The NHS is doing its best to tackle this issue. The Assessment If you are concerned you might be suffering from ADHD you should get an evaluation from a health healthcare professional who is skilled in conducting such assessments. You may ask your physician to recommend a specialist or check with local university-based hospitals or medical schools to see the professionals who are certified to perform an ADHD assessment for adults. You can also ask an individual from your local ADHD support group for recommendations. The diagnosis of ADHD is determined by the severity, number, and duration of symptoms in specific areas of your life. These can include school, work and relationships. There are many reasons to be concerned about being unable to perform at school or at working, having difficulties making and maintaining relationships, or being unorganized or forgetful. It is crucial to talk about these issues in a candid manner and not hold back from the fear of being criticized. From GPs to psychiatrists who consult There are a myriad of healthcare professionals who can perform an ADHD assessment. However, to provide a formally recognised diagnosis of ADHD the assessment must be performed by a qualified Psychiatrist, or Prescriber Qualified Specialist Nurse. Only a Psychiatrist is able to prescribe medication for ADHD. During an ADHD assessment, you will be questioned. It is essential to bring a family member with you to provide support or evidence. It is also beneficial to write down your symptoms and how they have affected your life. The doctor will ask you questions to gather information about your history and how you are doing. They will also check your body to determine if you have any medical conditions that may cause the symptoms of ADHD. You can also access an adult adhd diagnosis through the NHS however it may take an extended time due to the clogged NHS waiting lists. Some people find it easier to pay out of their own pockets for a private assessment and treatment via the 'Right to Choice route. It is important to remember that the cost and quality of private healthcare can differ dramatically. Medication It is beneficial to get a comprehensive and full assessment if you are struggling with ADHD symptoms into adulthood. This will help you receive the correct medication and the help you require to manage the symptoms. There are many private companies that offer this service. If you choose to go with one of them, it is essential to research the reputation of the psychiatrist, their education and experience dealing neurodevelopmental disorders. In recent months, a variety of prominent people have spoken out about their struggles with ADHD. Sue Perkins, the host of the Great British Bake Off, was diagnosed with ADHD in her 50s. She said that this diagnosis “made everything seem to make sense”. However, despite increased awareness, NHS waiting lists remain overflowing with people wanting to receive a proper diagnosis and treatment. In order to avoid this, doctors often hesitate to refer their patients to specialist services for an official ADHD diagnosis. This is due to the fact that they don't have the time or resources and, in some instances they may not be able to locate a specialist with expertise in neurodevelopmental conditions. In certain areas, this is exacerbated by the fact that NHS staff could be tasked with other care needs such as mental health assessments. Many people believe that private companies offering ADHD assessments over-diagnose adults with the condition. This could result in devastating effects for certain. This issue was highlighted by the BBC Panorama program and there is a need to increase access to ADHD tests. If you've been diagnosed as having ADHD and you've been diagnosed, you can treat it by combining therapy for behavioural issues and medication. The stimulant medications like methylphenidate and amphetamine can be utilized to boost concentration and control of impulses, while slower acting non-stimulants like atomoxetine are beneficial in improving concentration and productivity. Some patients choose to only use behavioural therapy and do not require medication. For those who need to take medication, a post-diagnostic plan of care can be put together at Priory. This includes a detailed medical report and titration of the final dosage, which can be shared with your GP. Post-diagnostic care A diagnosis of ADHD can result in significant human and financial costs. This is why it is crucial that a psychiatric evaluation and treatment program is accessible to all adults with ADHD. This should include medications, psychological and practical assistance and family therapy when appropriate. This should include workplace and family information on how to best assist and manage an adult suffering from ADHD. The first step is an interview with an expert in mental health care who is certified to evaluate ADHD and related conditions. Patients must bring a list of their symptoms as well as any other mental health issues they have to the initial appointment. The interview will look into the patient's medical and psychiatric history and their family history. It will also discuss the effects of ADHD on the individual's daily life and relationships. During this examination, the doctor will make sure whether the symptoms are in line 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 person's life (either at home or at work). It should affect the person's normal functioning and cause significant distress. This may be in the form of difficulties in keeping a job, trouble with marriage or coping with finances, issues at school or in their overall level of living. Psychologists and psychiatrists are among the professionals who can carry out an ADHD assessment. private adult adhd assessment uk are trained in the function of the brain, however they cannot prescribe medication. They can only offer counseling. Psychiatrists can diagnose and treat ADHD and prescribe medication if necessary. If the Psychiatrist decides that the person with ADHD is in need of medication they will write a prescription and send it to a local pharmacy. This is under the supervision of a doctor and should be completed within three months after the private assessment to ensure that the patient has time to be fully adjusted to their final dosage of medication. If the GP agrees that they will continue prescribing ADHD medication on the NHS following the private ADHD assessment the Psychiatrist will provide a thorough report that includes treatment recommendations. They will also prepare the Shared Care Agreement.