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ADHD Diagnosis – Getting the Right One From the NHS The NHS requires that people undergo a thorough evaluation for an accurate ADHD diagnosis. The BBC investigation found that some private clinics might be handing inaccurate diagnoses and prescribing inappropriate medications. A valid ADHD diagnosis is based on symptoms and their severity, duration and impact. The clinician will interview the patient and go over the medical or psychiatric history, as well as family and personal background. Diagnosis Adults with symptoms they believe may be ADHD should seek a diagnosis to find the appropriate treatment and control their lives. If they feel that they might be suffering from the disorder, or have had a family or friend member suggest that they might have it, obtaining the right diagnosis can allow them to find the appropriate treatment and help to manage their ADHD symptoms effectively. Patients must first discuss their issues with the GP. They must inform them of their symptoms and how they impact their daily lives. The GP will then refer them to a specialist mental health professional who is experienced in diagnosing ADHD. The specialist should be an experienced psychiatrist who has had specialist training in the area. This is crucial since it means that the psychiatrist will be certain that they are applying the right criteria to diagnose ADHD. The psychiatrist will interview the patient and often request their partner, or close relatives and friends who are familiar with them. They'll also need to look at the patient's medical and psychiatric history from childhood onwards. They will also take into consideration the severity of symptoms and the effects on the patient's life. There is no brain scan or blood test that can be used to confirm the ADHD diagnosis, so the psychiatrist will have to evaluate all the available information. If the psychiatrist is of the opinion that the patient doesn't meet all the criteria for an ADHD diagnosis and will then explain their reasoning. It could be that the patient hasn't given sufficient details about their problems or that another medical condition is responsible for their behavior more effectively than ADHD. It could also be that the therapist believes that the patient's issues result from something else rather than ADHD. Some people find it harder to obtain a diagnosis due to the prejudices of certain health experts. This is especially the case if you're an individual of color or a woman born, or do not speak English natively. However, there is a growing awareness of the issue and the NHS is trying to tackle the issue. The Assessment If you suspect that you may have ADHD and are concerned, you should seek an evaluation by a health care provider who is experienced in these evaluations. You can ask your doctor to recommend a specialist or check at local universities' hospitals or medical schools to determine who is qualified to perform an ADHD evaluation for adults. You can also ask the local ADHD support group for recommendations. A diagnosis of ADHD is dependent on the amount of, severity and duration of symptoms that impact specific areas of your life. This could include work, school and relationships. You might experience issues with regards to not performing in your education or at work as well as difficulties in maintaining and forming relationships, or being forgetful or disorganized. It is important to discuss these issues in a candid manner and not hide from fear of criticism. From GPs and consultant psychiatrists, there are many healthcare professionals who can carry out an ADHD assessment. However, in order to officially recognize a diagnosis of ADHD the assessment must be conducted by a qualified Psychiatrist, or a Prescriber Certified Specialist Nurse. This is because only a Psychiatrist can prescribe medication to treat symptoms of ADHD. You are usually questioned during an ADHD evaluation and it is crucial to bring a family member for support or evidence. It is helpful to note your symptoms and how they affect your life. The doctor will ask questions to discover more about your history and present functioning. They will also examine your body to determine if you have any medical conditions which could cause the symptoms of ADHD. The NHS can also provide an adult adhd diagnosis that is private, but this can take a considerable amount of time due to the overflowing NHS waiting lists. Some people prefer to pay out of their own pocket for a private assessment and treatment through the 'Right to Choose route. But it is essential to be aware that the quality of treatment offered by private providers varies greatly and it is crucial that you choose carefully. Medication It is recommended to have a thorough and complete assessment if you are struggling with ADHD symptoms as you age. This will enable you to receive the correct medication and assistance you require to manage your symptoms. There are private adhd assessment uk of this service, but if you choose to go this route it is essential to look into the reputation of your chosen psychiatrist and their expertise and training in dealing with neurodevelopmental disorders. private adhd assessment london of public figures have been open about their struggles with ADHD in recent months. 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 the increasing awareness, NHS waiting lists remain full of people who want the right diagnosis and treatment. To avoid this, GPs often hesitate to refer their patients to specialist services to obtain a private ADHD diagnosis. This is largely because they lack the time, and in some cases they may not be able to locate a clinician who has expertise in neurodevelopmental disorders. In certain areas, NHS staff may have to address other needs such as mental health assessments. There is also a perception that some private companies offering ADHD assessments are over-diagnosing adults with the condition, which could result in devastating consequences for certain people. The BBC Panorama programme raised this issue, and there is a dire need to increase accessibility to specialized ADHD assessments. Once you have a private diagnosis of ADHD, it is possible to treat the disorder with a combination of behavioral therapy and medication. Stimulant medications like amphetamine and methylphenidate can be used to improve concentration and productivity, whereas non-stimulants with a slower onset like atomoxetine are effective in improving your attention and impulse control. Some patients only choose treatment for behavioural issues, and do not need medication. For those who require medication, a post-diagnostic package of care could be formulated at Priory. This includes a detailed medical report and titration of the final dose, which can be shared with your GP. Post-diagnostic treatment A diagnosis of ADHD can result in significant human and financial costs. It is crucial to conduct a psychiatric assessment and treatment plan for all adults with ADHD. This should include medications as well as psychological and practical support and family therapy when appropriate. This should also extend to family and workplace education about how to better manage and support an adult with ADHD in their daily life. The first step is an appointment with a mental health professional who is qualified to assess ADHD or other issues. Patients should bring a written list of their symptoms, as well as any other mental health concerns prior to their first appointment. This appointment will review the patient's medical and psychiatric history as well as their family history. It will also examine the impact of ADHD on the person's everyday life and relationships. During this procedure, 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 has to be present in two settings of the person's life (either home or work). It must interfere with the person's normal functioning, and cause distress. This could take the form of a problem in securing a job, coping with finances or marriage or school problems, or in their general quality of life. There are a range of professionals who perform an assessment for ADHD, including Psychologists and Psychiatrists. Psychologists are experts on the way that brains work, but are not qualified to prescribe medication, and can only recommend counselling. Psychologists are able to diagnose and treat ADHD and prescribe medication when necessary. If the Psychiatrist decides that the patient has ADHD requires medication, they will prescribe a prescription to local pharmacists. This is under the supervision and direction by the Psychiatrist. The procedure should be completed in three months following the private assessment. This will allow the patient to fully adjust their final dosage of medication. If the GP accepts to continue to prescribe ADHD medication on the NHS following the private ADHD assessment the Psychiatrist can write a detailed report that includes treatment recommendations. They can also draw up an agreement known as a Shared Care Agreement.