ADHD Assessments in the UK
ADHD symptoms can have a significant impact on your work and life. A diagnosis of ADHD can help you comprehend your challenges and figure out ways to manage the symptoms.
In the UK you can get an NHS ADHD assessment from your GP. This will involve a candid discussion about your challenges and could include a screener or questionnaire.
What is an ADHD assessment?
A comprehensive ADHD assessment evaluates symptoms that may indicate the presence of attention deficit hyperactivity disorders. It involves gathering information from various sources, such as a medical history and observations from family members, teachers and other acquaintances. The test may also comprise neuropsychological tests that give greater understanding of weaknesses and strengths and can help determine comorbid disorders.
The NHS offers a procedure where patients can request an ADHD assessment at the health service provider they choose. This provides a more personalized approach to mental health and is beneficial for patients who have a difficult time waiting for appointments with the NHS.
However, the NHS has a bureaucracy that means patients sometimes have to wait for years before being seen. Adults and children suffering from symptoms of the disease may be extremely upset. Private organizations offer an alternative to the NHS to assess those who need it.
During the assessment an experienced psychotherapist or clinical psychologist will listen to the patient's story and observe their behavior in various situations. They will inquire about their work, school and personal life, as well as whether their problems are due to ADHD or another condition such as depression or anxiety. The information they collect will be used to create an image of a person's struggles and to make an assessment.
The clinician will also review the medical history of the patient to determine if there are factors that may be contributing to ADHD symptoms. For example, some people may be genetically inclined towards ADHD and have had symptoms in their early childhood. Others may suffer from thyroid disorders that could cause symptoms similar ADHD.
During the evaluation it is crucial that the individual is honest with the clinician. It can be difficult to admit that you have difficulty staying organized and focused but it is vital to receive the correct treatment. Patients who do not receive treatment for ADHD could suffer serious consequences, such as being late to work and failing classes, which can result in financial or social problems.
What happens during an ADHD assessment?
An ADHD evaluation will usually be performed by a psychiatrist, psychotherapist or psychologist who has had experience with the condition. They will be able to offer diagnosis and treatment options that could help you or your child.
During adhd diagnostic assessment will look over the medical history of you and your symptoms. They will also be looking to determine how your symptoms affect your work and social life, and if any other conditions trigger them. They will also ask about your family history of mental health issues, particularly if any of your close relatives have been diagnosed with ADHD.
Then, you will be asked to fill out the symptom checklist. This will allow the healthcare professional to identify whether you are experiencing a predominantly inattentive presentation, a predominately hyperactive-impulsive presentation or a combined presentation. Generally, you will need at least six established symptoms of either inattention or hyperactivity-impulsivity to receive an ADHD diagnosis as an adult. Children will require more signs to qualify for an ADHD diagnosis.
The healthcare professional will then ask you or your children about their behavior and how it impacts their daily activities. They will also ask you about any other issues you or your child may have, such anxiety disorders or difficulties with learning.
Based on the results of the interview and questionnaire the healthcare professional might recommend further diagnostic testing. This may include a brain scan or blood tests to test for any medical cause of your or your child's symptoms.
If your GP believes that you or your child has ADHD, they will refer you to an expert psychiatrist, psychologist or psychotherapist for a formal assessment. The NHS procedure to receive an ADHD diagnosis is free, but it can take longer than the private method. Having a diagnosis of ADHD as an adult can prove beneficial in many ways, for example, the ability to request accommodations at school or work that can improve your performance and make life easier. This could be things like a quiet workplace or extra time for tests or being able to take advantage of your lunch break to attend an appointment with your doctor.
How long does it take to conduct an ADHD assessment?
In general, it can take anywhere from three to four hours for a psychiatrist complete an ADHD assessment. This includes one to one interviews, examining questionnaires (rate how often and how severe you're experiencing symptoms) and an observational test of your behaviour as required. It is recommended to be prepared by keeping a diary of your symptoms and answering the questionnaires prior to your appointment. This will help your appointment run smoothly and ensures that important information isn't missing.
During the consultation, your doctor will inquire about your daily routine and your mental health history and any mental health issues that you or your children may be suffering from. The doctor will also take into consideration whether you've been diagnosed with ADHD in the past, as this can affect the type and dosage prescribed. Bring your partner or children along to the appointment. They might have valuable insights.
Being honest with your answers and being honest with the examiner is vital. This can be a challenging process, especially for adults, but an honest approach is crucial to obtain the most accurate diagnosis possible. It is not uncommon for people to report some symptoms, however, this can impact the results of the examination. This can cause a misdiagnosis and an incorrect treatment plan, which can cause significant difficulties.
The length of the examination will also depend on how much background information is required. The longer your assessment is in case you have a complex medical or psychiatric background.
When you're seen by the specialist, they'll create an extensive ADHD assessment report. They will, with your permission the report will be sent to your GP. This can help to improve the understanding of your GP about the condition and assist in getting you the best possible treatment. We also provide advice and guidance between appointments via emails or phone calls. This is free of charge. If you require an invitation letter for your school or workplace there will be an additional fee.
What happens following an ADHD evaluation?
Prior to your appointment, we will send you the relevant forms to fill out. These forms will include a self-report rating of your symptoms, questions on family history, and a comprehensive medical and psychiatric questionnaire. These forms allow us to stay on schedule and give the psychiatrist as much time as they need to assess your symptoms for ADHD. Please fill out these forms prior to your appointment to allow the psychiatrist to examine the forms prior to meeting with you.
The assessment will be conducted by a psychologist or psychiatrist who is certified as a specialist. In the UK, only these professionals are able to diagnose ADHD. Your doctor may be able to discuss your concerns with you, but they can't formally refer to an assessment. Your assessment is likely to be conducted via video-call but in some instances you might be able to meet your clinician in person.
During the ADHD assessment, you'll be asked about your current symptoms and how they affect your daily life. It is essential to speak the truth and remember symptoms you may have experienced in your childhood. This is because, according to current guidelines for diagnosis it is believed that the diagnosis of ADHD in adults can only be confirmed if there were symptoms during childhood.
You might also be asked to share certain details about your job or relationships, as well as other aspects of your daily life. This allows your psychiatrist to gain a full picture of your issues, so that they can make an informed decision on whether or not you suffer from ADHD.
If you are assessed for ADHD Your doctor will talk with you about treatment options. They will be able recommend medication, CBT and other treatments to help manage the condition. They can also discuss with you any potential side effects.
A diagnosis from a professional of ADHD is often a great relief for a lot of people. It can ease anxiety or self-doubt by confirming that ADHD is the reason for your struggles and not a personal failing. It can also aid your loved ones to understand your struggles more, and increase empathy for you.