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How to Get an ADHD Diagnosis in the UKPeople suffering from ADHD often face a network of gatekeepers when seeking referral assessment, support and referral. It is clear that a lot of these gatekeepers, notably in NHS CCGs, do not follow the national guidelines for clinical practice and their legal obligations to stop health inequalities and discrimination.Anecdotal evidence also suggests that some private ADHD clinics aren’t adequately controlled. This could lead to inconsistent diagnostic thresholds, and assessment reporting that could cause problems when trying to transfer to the NHS.How do I get an official medical diagnosis?ADHD is an illness of the mind that means it must be diagnosed by a healthcare professional with specialist knowledge. This includes psychiatrists and psychologists (who are the only ones qualified to diagnose ADHD in the UK). People suffering from mental illness often have ADHD symptoms, particularly those who have struggled for a long period of time. This means that they can be feeling stuck in their current circumstances and are desperate for help to improve their life. However, the NHS can be difficult to navigate for people seeking a diagnosis.It is possible to receive a diagnosis through the NHS by asking your GP for the referral to see an expert. 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.To assess your ADHD medical professionals look at any mental health issues you may have had in the past and your family history. To evaluate your behavior, they’ll observe you in different settings, such as at home, school, or work. You will be asked to describe your symptoms, and how they affect your daily life. They might ask you questions about your social life, your relationships and other activities you engage in frequently.A specialist will consider all the evidence prior to making an assessment. They will use criteria like being irritable and fidgety all the time and having a short-term memory or difficulty focusing or keeping up at school or at work, not finishing tasks, and being extremely energetic. The diagnosis will be made based on the presence of these characteristics in a variety of settings that affect your functioning and if there is a clear pattern that has remained for at minimum six years.In the last few months, there has been an increase in the number of high-profile individuals who have opened up about their experiences being diagnosed with ADHD. This has led to a rise in the number of people seeking an assessment, which could result in long wait times for healthcare professionals. Many patients and their families opt to bypass the NHS through assessments at private clinics, which can be expensive. It is important to locate a healthcare professional you can trust and answer questions honestly about your symptoms.What happens during the test?If you’re self-referring or recommended by your GP the process of assessing for ADHD symptoms is essentially the same. The person who is conducting the test will ask questions about your symptoms and how they affect your daily life. For example, “What problems do experience at home?” “How does your symptoms impact your work?” “Do you have other symptoms you think could be related to ADHD?”You may be required to fill out various questionnaires or forms prior to your appointment, depending on the location you’re taking for your evaluation. Making sure you complete these forms as quickly as you can will prevent any delays during your appointment. You should also familiarise yourself with the symptoms of ADHD to be able to recognize the signs and their effects on your life.The evaluation will usually include an interview with either a psychiatrist, specialist nursing staff or a qualified healthcare professional. The therapist will examine your overall mental health and the specific signs of ADHD to determine whether they are caused by any other condition or are not related to any other medical condition (NICE guidelines). The clinician will then discuss possible treatment options with you which could include medication.Remember that GPs and nurses will not be as knowledgeable about adult ADHD as psychiatrists. It is therefore important to identify your symptoms and practice them before you attend the evaluation. This will help you explain the impact that your symptoms are having in a manner that is understandable to them. You will have to give examples on how your symptoms have affected your life in all areas from your work to your relationships, and over time.There may be tests performed as part of the assessment for example, an examination of your blood to look for any allergies. Your therapist may suggest additional tests to check whether you have any other medical issues.If you are self-referring, or enrolled in the Right to Choose scheme, it is important to understand that, even if you pay for your private assessment but you will still need to wait for NHS funded appointments – and this can differ between NHS trusts and also from one doctor to another.What is the outcome if I don’t receive an answer to my question?You could be diagnosed with ADHD in the event that you have several factors in your favor. It is more difficult for certain groups of people to get diagnosed, for example, those who are of colour or assigned female at birth or if you suffer from other mental health diagnoses like depression or bipolar disorder.If you are having difficulty getting a diagnosis, try speaking to your GP about it and asking for an appointment with a psychiatrist. It is also a good idea to find a private psychiatric provider that specializes in adult ADHD assessments. They can provide a more rapid service than the NHS.The psychiatrist will analyze your symptoms and determine if they meet the criteria for ADHD using the Nice guidelines as a reference. They will also look for other possible reasons for your symptoms for example, anxiety, depression or thyroid problems. It’s a long process, and adults may not have all the information they need.It’s also possible that you will not be diagnosed with ADHD even the GP will agree to refer you. A psychiatrist is able to diagnose ADHD in the event that they believe your ADHD symptoms cause significant impairment. If they think you don’t meet the criteria, they’ll 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 may also be able to get medication through an Individual Funding Request however, this is contingent on the location you live in. You could be referred to the right specialist in your area who will prescribe the medication of your choice. NHS specialists prefer Methylphenidate or Atomoxetine first and don’t usually make plans for long titration periods.Participating in a support group, whether in person or on the internet, for adults with ADHD can be beneficial. They can be very supportive and reassuring and can be a great way to share your story with other people who can relate to your experience.What can I do to get treatment?Adults may be directed to ADHD specialist services to be assessed and treated. These services are typically located in NHS hospitals or NHS community health teams. For instance the Maudsley Hospital, London, offers a national ADHD diagnostic service for adults. However, a majority of NHS healthcare providers do not accept these reports as valid and patients often face difficulties in their access to care such as long waiting times and the rejection of referrals (see below for more details).).Support groups at the meeting reported that many ADHD patients seek out private assessments and diagnosis to overcome the lack of NHS funding in this area. Private clinics offer a more accurate, professional and faster diagnosis. They can also assist in screening for comorbidities like depression and anxiousness which are common in ADHD. They can assist with titration of the final dosage. Costs vary from PS500-PS1,200 However, the diagnosis and titration is priced separately.The treatment and diagnosis of ADHD is different from person to. The majority of people are treated using medications. This may be methylphenidates such as Ritalin or Concerta, or atomoxetine, like Strateva. Other interventions that are not drugs can be beneficial, such as education and training for families and parents of those with ADHD. Some people with ADHD have found that altering their diet and creating an appropriate schedule for sleep can help. Some people find that hypnotherapy or psychotherapy can help with their symptoms, although the evidence on these isn’t as strong.It is inexcusable that so many people suffering from ADHD are not receiving the treatment and care they need through the NHS. This issue must be addressed immediately by UK governments as well as regulators and clinical organizations. People suffering from ADHD must have access to treatment that is free of discrimination and in line with their rights under the law. To reduce this unmet demand it is crucial to plan for long-term funding and to commission health, social, and judicial services together. The current situation is not sustainable and the impact on individuals, families and society is hugely damaging. It’s time to invest.

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