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ADHD Diagnosis – Getting the Right One From the NHS The NHS requires that people undergo a thorough assessment for an accurate ADHD diagnosis. The BBC investigation revealed that a few private clinics may be giving an unreliable diagnosis or prescribing the wrong treatment. A valid ADHD diagnosis is based on symptoms, their severity, duration, and impact. The clinician will interview and analyze the patient's medical, psychiatric and family background. Diagnosis Adults who have symptoms they believe may be ADHD should seek out a diagnosis to determine the right treatment and control their life. If they suspect they may have ADHD, or if someone in their family or a friend has suggested it, getting a diagnosis can help them manage their symptoms. The first thing that patients must discuss their concerns with an GP. Discuss your symptoms with them and how they impact your daily life. The doctor will refer them to an experienced mental health professional who is experienced in diagnosing ADHD. This specialist should be a skilled psychiatrist who has had specific training in the field. This is crucial since it means that the psychiatrist will be sure that they are applying the right criteria to diagnose ADHD. The psychiatrist will conduct an interview with the patient and frequently will ask them to bring their spouse or close relatives and friends who are familiar with them. They must also examine the patient's medical history as well as mental health history, starting from childhood. They will also take into account the severity of the symptoms and how they affect the patient's lifestyle. There isn't a brain scan or blood test that can be used to confirm the ADHD diagnosis The psychiatrist will need to assess all of the information available. If the psychiatrist believes that the patient does not meet all the criteria for an ADHD diagnoses, they will discuss their reasons. It could be because the patient hasn't given sufficient details about their problems or that another condition explains their behavior better than ADHD. Or, it could be that the doctor believes that the patient's difficulties may be due to a different cause and not the condition. Certain people find it difficult to receive a correct diagnosis because of the prejudices held by some health professionals. This can be especially the case if they are a person of colour or assigned a female birth, or are not an English speaking. However there is a growing awareness of the issue and the NHS is working on tackling it. The Assessment If you're concerned that you might have ADHD you should seek an assessment from a medical healthcare professional who is skilled in conducting these tests. You can ask your doctor for a referral or consult with local university-based hospitals or medical schools to find out which professionals are qualified to conduct an ADHD evaluation for adults. You can also request a referral from an ADHD support group in your local area. A diagnosis of ADHD is dependent on the amount of, severity and duration of symptoms that affect specific areas of your life. These can include work, school and relationships. You may experience problems with regards to not performing at work or education as well as difficulties in forming and maintaining relationships, and being unorganized or disorganized. It is crucial to talk about these issues in a candid manner and not hold back from the fear of being criticized. There are a variety of healthcare professionals who can conduct an ADHD assessment from GP's to consultants psychiatrists. However, to provide a formally recognised diagnosis of ADHD, it must be done by a qualified Psychiatrist or Prescriber Qualified Specialist Nurse. This is because only a Psychiatrist can prescribe medication for the treatment of ADHD. You are typically questioned during an ADHD evaluation, and it is important to bring along a family member for assistance or to provide evidence. It is also beneficial to write down your symptoms and how they have impacted your life. The doctor will ask questions to gather information about your history and your current functioning. They will also conduct an examination to determine if you have any medical conditions that may be causing your ADHD symptoms. The NHS can also offer a private adult adhd diagnosis however, this could take a considerable amount of time due to the long NHS waiting lists. Some people find that paying out of pocket for private treatment and evaluation through the “Right to Choose” pathway is easier. It is important to remember that the cost and quality of private healthcare can differ greatly. Medication If you've struggled with symptoms of ADHD in adulthood it is a good idea to have a complete and comprehensive assessment done. This will allow you to get the right medication, and the help you require to manage your symptoms. There are numerous private companies that offer this service, but if you choose to go down this route it is essential to look into the reputation of your selected psychiatrist, as well as their knowledge and training with neurodevelopmental disorders. In recent months, a variety of public figures have come out about their struggles with ADHD. Sue Perkins, the host of the Great British Bake Off, was diagnosed with ADHD in her 50s. She claimed that the diagnosis “made everything seem to make sense”. But, despite adhd assessment private in awareness, NHS waiting lists remain overflowing with people wanting to receive a proper diagnosis and treatment. In order to avoid this, doctors frequently hesitate to refer their patients to specialist services in order to obtain a private ADHD diagnosis. This is largely because they don't have the time or resources, and in some instances, they might not be able to find a clinician who has expertise in neurodevelopmental disorders. In certain areas, the NHS staff might have to address other needs like mental health assessments. Some people also believe that private companies offering ADHD assessments over-diagnose people suffering from the condition. This could have devastating consequences for some. This issue was brought up by the BBC Panorama program and there is a need to improve accessibility for ADHD assessments. If you've been diagnosed with ADHD it is possible to treat it using a combination behavioural therapy and medication. Stimulant medications like amphetamine and methylphenidate are utilized to boost productivity and focus, while non-stimulants that are slower-acting like atomoxetine can be beneficial for improving your attention and impulse control. Some patients opt to utilize behavioural therapy and do not require medication. Priory can create a post-diagnostic care package for patients who require medication. 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 financial and human cost. It is crucial to conduct a psychiatric assessment and treatment plan for all adults suffering from ADHD. This should include medications as well as psychological and practical support and family therapy if needed. This should include family and workplace information on how to best support and manage an adult with ADHD. The first step is to interview with a mental health professional who is trained to assess ADHD and related conditions. Patients are required to bring a list of their symptoms, as well as any other mental health concerns to the first appointment. This interview will examine the patient's medical and psychiatric history as well as their family history. It will also discuss the effects of ADHD on the person's daily life and relationships. During this procedure the doctor will confirm that the symptoms match the criteria for ADHD defined in the Diagnostic and Statistical Manual of Mental Disorders. The symptom must be present in two settings of the person's life (either at home or at work). It must interfere with the person's normal functioning and cause a lot of distress. This can take the form a difficulty in keeping a job or managing finances or marriage, problems in school or in their overall quality of life. Psychologists and psychiatrists are among the professionals who can carry out an ADHD assessment. Psychologists understand how the brain functions however, they are not qualified to prescribe medications, so cannot recommend counseling. Psychologists are able to diagnose and treat ADHD and prescribe medication if required. If the Psychiatrist determines that the patient with ADHD needs medication, he or she will prescribe a prescription to an area pharmacist. This is done under the supervision and direction of the Psychiatrist. It should be completed in three months following the private assessment. This allows the patient to fully adjust to their final dosage of medication. If the GP agrees to continue NHS prescribing after the private ADHD assessment, the Psychiatrist will provide them with a comprehensive report and treatment recommendations, and will draw up an Shared Care Agreement with the GP.