4 Dirty Little Secrets About ADHD Diagnosis Industry ADHD Diagnosis Industry
How to Get an ADHD Diagnosis in the UK
Patients with ADHD are often confronted with a network of gatekeepers when seeking referrals assessment, support and referral. It is clear that a few of these gatekeepers in NHS CCGs aren't following national clinical guidelines or their legal obligation to stop discrimination and health inequality.
Anecdotal evidence also suggests that some private ADHD clinics aren't properly regulated. This could lead to inconsistent diagnostic thresholds and assessment reporting, which can cause difficulties when trying to transfer back to the NHS.
How do I obtain an official medical diagnosis?
ADHD is a mental health issue that means it must be diagnosed by a healthcare professional who has special expertise. This includes psychologists and psychiatrists (who are only qualified to diagnose ADHD in the UK). People with mental health conditions frequently experience symptoms of ADHD particularly those who have been struggling for a long period. They may feel stuck in their current situation and desperate for help. The NHS can be difficult for those seeking a diagnosis.
You can get an appointment with the NHS by asking your GP to refer you to a specialist. Your GP will be attentive to your concerns and should be able to send you to a specialist for an examination however, you may have to wait until the specialist is in.
To determine if you have ADHD, healthcare professionals look at any mental health issues that you may have experienced in the past, as well as your family history. They will be observing you in various settings, including at home and school or work, to assess your behaviour. They will ask you to describe your symptoms and how they impact your daily life. They may also inquire about your relationships with friends, social life and any other activities that you engage in regularly.
A specialist will consider all the evidence prior to making an appropriate diagnosis. They will look at criteria like being unrestful and fidgety throughout the day and having a short-term memory or difficulty focusing and unable to keep up with school or work, failing to complete tasks and being extremely active. The diagnosis is based on an array of characteristics that can be observed in different settings and affect your functioning.
In the last few months, there has been an increase in the number of high-profile individuals who have spoken out about their experiences with being diagnosed with ADHD. This has led to an increase in the number of people seeking an assessment, which could cause long wait times for healthcare professionals. Some patients and their families avoid the NHS in order to have their medical examinations at private clinics. This is costly. It is essential to choose a doctor you can trust and answer questions honestly about your health issues.
What happens during the process of assessment?
Whether you're self-referring or getting referred by your GP the process of assessing ADHD symptoms is very similar. The person doing the assessment will ask you questions about how your symptoms affect your daily life, like "What problems do you experience at home?", "How do your symptoms affect your work?", and "Do you experience any other symptoms that you think might be related to ADHD?"
Depending on where you go to get your assessment, there may be different forms or questionnaires for you to complete prior to your appointment. It is important to complete these as quickly as you can so that your appointment doesn't get delayed. You should also familiarise yourself with the signs of ADHD to be able to recognize them and discuss their impact on your life.
The assessment will typically include an interview with a psychiatrist or specialist nursing staff, or a qualified healthcare professional. The therapist will examine your mental health and ADHD symptoms to determine if they're caused by another condition or not (NICE guidelines). The clinician will discuss with you the treatment options, which may include medications.
It's worth remembering that nurses, GPs and psychologists will not be as knowledgeable about adult ADHD as Psychiatrists who specialize in it, so it is important to practice and prepare your symptoms prior to going for the assessment. This will enable you to describe your symptoms in a manner they can comprehend. You'll have to provide examples on how your symptoms have impacted your life in all aspects from your work to your relationships, and over time.
You might have some tests done in the course of your examination like an examination of your blood to look for any allergies. Your therapist could suggest additional tests to check if you have other medical problems.
If you self-refer or enrolled in the Right to Choose scheme, it is important to remember that, even if you pay for your private examination 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 a diagnosis?
There are a variety of factors that can prevent you from getting diagnosed with ADHD. Certain groups could have a difficult time getting diagnosed. For instance when they are of color or were assigned female at birth or if they suffer from other mental health conditions like bipolar disorder or depression.
If how to diagnose adults with adhd struggling to get an answer, consult your GP and request a referral. You could also find a private doctor who is specialized in adult ADHD assessments. They can often offer more rapid service than the NHS.
The psychiatrist will look at your symptoms and decide if they meet the criteria for ADHD using the Nice guidelines as a reference. They will also try to eliminate other causes of your symptoms, such as anxiety, depression or thyroid issues. This can be a thorough process, and it'sn't always easy for adults to present all the evidence needed (for instance, they might be unable to locate old school reports in the back of the cupboard).
You might not be diagnosed with ADHD even you and your GP agrees. A psychiatrist is able to diagnose ADHD if they believe that your ADHD symptoms cause significant impairment. If they believe that you do not meet the criteria, they'll tell you why.

If you have been diagnosed with ADHD it is legal in the UK to seek treatment through the NHS. This is applicable to England, Wales, and Northern Ireland. You may be able to receive medication through an individual funding request, but it is contingent on where you live. You may be referred a specialist in your local area who will prescribe the medication of your choice. NHS specialists are more likely to prescribe Methylphenidate Atomoxetine or Straterra first. They don't always plan for lengthy time periods of titration.
It is helpful to join a support group for adults with ADHD in person and online. They can be supportive and calm. It can also help to share your story with others who can relate to.
How can I get treatment?
Doctors can recommend adults to specialists ADHD services for assessment and medication. These services are usually found in NHS hospitals or NHS community health teams. For example the Maudsley Hospital, London, provides a national ADHD diagnostic service for adults. However, many NHS healthcare providers do not accept these reports, and patients are often blocked from accessing care. This is due to long waiting times or rejection of referrals.
Support groups at the consensus meeting reported that many ADHD patients seek out private assessments and diagnosis to avoid the absence of NHS investment in this area. Private clinics can provide an accurate, professional and faster diagnosis. They can also help screen for comorbidities like depression and anxiousness which are common in ADHD. They can assist in titrating the final dose. Prices vary from PS500 to PS1,200, although sometimes a diagnosis and titration are charged separately.
The diagnosis and treatment for ADHD is different from individual to individual. The most common treatment is medication, and it can be in the form of methylphenidates (Ritalin, Concerta) or atomoxetine (Strateva). Sometimes, non-drug interventions can be useful, such as training and education for parents and families of individuals with ADHD. Certain people with ADHD find that a change in their diet can help, as well as developing a sleep-friendly routine. Some people have found that psychotherapy and hypnotherapy may aid in reducing symptoms. However, the evidence for these therapies isn't as strong.
It is unacceptable that many adults with ADHD cannot access the treatment and care they need through the NHS. This situation must be addressed urgently by UK government officials and regulators and clinical organizations. People suffering from ADHD deserve to have access to treatment without discrimination and in line with their legal rights. Long-term planning of funding, and a coordinated commissioning of health, social care and judicial services are essential to meet this unmet need. The current situation cannot be sustained and has a negative impact on individuals, their families and the society. It is time to invest in this area.