Watch Out: What Private ADHD Diagnosis Is Taking Over And What Can We Do About It
How to Get a Private ADHD Diagnosis
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A psychiatric assessment is required to diagnose ADHD. This will be conducted by a psychiatrist or a specialist ADHD nurse.
It's a process that could involve some red tape like the requirement for old school records to be supplied. However, you can skip the wait and get an assessment in private by making an appointment directly through an online ADHD clinic.
What is an assessment that is private?
A private assessment of ADHD is a consultation where you meet with an expert to discuss your symptoms as well as how they affect your life. It usually requires two sessions and is much more detailed than a NHS psychiatric evaluation. The process involves an organized clinical interview with a specialist, and they will look at your symptoms from early years to your adulthood. They will also consider if there are any other disorders of the brain or mental issues that could cause your symptoms. They will concentrate on various areas of functioning, such as relationships or work. They will ask you to give examples of your symptoms and how they affect you.
It is important to remember that ADHD diagnosis is not always easy. Many people diagnosed with the disorder have multiple diagnoses. It is crucial to remember that the three main symptoms are inattentiveness, hyperactivity and impulsivity. In adults, hyperactivity often is not as boisterous hyperactivity seen in children, and may be present as the feeling of being constantly distracted or in constant motion. Inattention may also manifest as difficulties in focusing on tasks, being organised or sitting for long periods of time.
If you think medication will help your symptoms, a psychiatrist's official diagnosis is required. This will enable you to receive reasonable adjustments and Disabled Student Allowance. This can be done by asking your GP to recommend you to a psychiatric assessment.
You might find your GP isn't keen to refer you, or doesn't give you an appointment in a timely manner. If this is the case, it might be worthwhile to switch GPs - you can find more information about how to exercise your right to choose the Psychiatry UK website.
You might also be able book an appointment with a private psychiatrist on your own, either through the NHS or privately. Some providers do not require a letter of referral from your GP, but most will. Check with your chosen provider prior to booking.
How can I get an individual evaluation?
ADHD is a mental disorder that is complex and affects brain processes such as motivation, working memory, and attention. It can cause issues in a variety of areas for adults and can be challenging to live with. A private ADHD assessment will help you to understand the impact of the symptoms on your life and could be useful in identifying the best ways to treat them.
There are many providers who will carry out an ADHD assessment on behalf of the NHS. You have the option of exercising your right to choice (RTC) when you ask your GP to refer to one of these providers. If your GP refuses to refer you to a provider then you may need to find a different GP willing to help.
Typically, an assessment will be performed by a psychiatrist or specialist nurse (or another healthcare professional of the appropriate level, as per NICE guidelines). This is due to them being the only people who are able to diagnose ADHD. In https://www.iampsychiatry.uk/adult-adhd-assessments-and-treatments/ , an ADHD assessment will include questionnaires and a clinic interview in person or via video call. It usually takes between 45 and 90 minutes.
You will be asked about your current issues as well as your previous struggles since childhood if you are an adult. The healthcare professional will determine if you have any of the symptoms that are associated with ADHD like hyperactivity, inattention, or impulsivity. You will be asked to provide instances of when you've demonstrated these traits. The healthcare professional will then use this information to diagnose and recommend treatment options.
If you are struggling with a chronic illness and don't want to wait for a referral from the NHS getting a private assessment may be recommended. It is important to keep in mind that the private diagnosis does not mean you can automatically be prescribed medication by your GP. You'll have to discuss the issue with them, and if you decide to take medication, you should seek a shared-care agreement with your GP.
If you have a GP in England who is happy to refer you to an NHS provider to conduct an ADHD assessment, you can find a list of providers here. Some of these providers offer online assessments and have shorter waiting times.
How do I get a private diagnosis?
There are many ways to obtain an ADHD assessment. The NHS offers a procedure called "Right to Choose" where you can ask your doctor for a referral to any of the specialist doctors that are on their list. This will reduce the time to wait substantially. Private providers can also provide a quick diagnosis.
In general, it's best to find a specialist psychiatrist who has had experience with adult ADHD. It may take some time to locate one since they aren't readily available. Some will require an GP referral letter before they can see you for an examination however this is not always necessary.
Psychologists are able to evaluate your symptoms, but they are not able to prescribe medications. Other mental health professionals, including Psychologists, can assist you to manage your symptoms. However, they are unable to provide a formalised diagnosis of ADHD that is required to qualify for assistance such as the Disabled Student's Allowance or reasonable adjustments in the workplace.
A skilled Psychiatrist will be able to identify and explain your symptoms, determine whether they're consistent with ADHD, and consider any other mental health issues you may have. Your Psychiatrist is capable of providing you with the best treatment if your honest and forthcoming.
You'll have to pay for the assessment, but if you are diagnosed with ADHD, it may be possible to get medication through a shared-care agreement with your GP (you'll be required to pay the NHS prescription fee). If you're thinking of paying for a private diagnosis, we would advise you to talk with your GP before you book an appointment to ensure they are aware of what you're doing and provide their consent if needed.
It's also worth looking into joining a support group to connect with others with ADHD and to hear about their stories and suggestions. They can be extremely helpful, comforting and encouraging. You can find online spaces on Facebook and Reddit or look up local in person groups.
Are private assessments valid?
Recent BBC Panorama investigation has caused controversy over claims that private clinics give unreliable diagnosis. An undercover reporter went to three private ADHD assessment centers and was diagnosed with the condition by all of them despite the fact that he did not have ADHD. The report suggested that the assessments were rushed and did not take into consideration all the signs or impact of ADHD on the lives of people. It also raised concerns that patients who are not eligible for NHS assessments have no choice but to pay out of their own pockets to get a diagnosis and medication.
There is no doubt that your GP will refer you to one of the largest private companies to conduct an ADHD assessment (such as Priory), but they will tell you there could be a waiting time. The waiting period varies from one provider to another provider and is usually around six weeks. Ask friends and family for recommendations and then do a extensive research on the company. Selecting a reputable and experienced firm will likely mean that you'll have an easier time waiting than if you go through your GP.
During the assessment the psychiatrist will determine, subjectively, whether your ADHD symptoms are causing significant impact on your daily activities. They will want to rule out other causes such as anxiety, depression, or thyroid issues. They will usually request evidence from a family member (sometimes by filling in forms about your childhood) and school records if necessary. This can be a difficult process particularly for those with more complicated family circumstances or those who have not been able to find their childhood school reports.
If you've been diagnosed with ADHD by a qualified healthcare provider you may request disability benefits from your local authority. It is important to be aware that the majority of GPs aren't likely to sign a contract called a shared-care agreement in the event that you were diagnosed privately and you haven't been fully titrated to your final dose of medicine. This is because GPs do not have the knowledge to evaluate adults for ADHD and prescribe medication.