How to Get a Private ADHD Diagnosis
A psychiatric evaluation is required to diagnose ADHD. This will be conducted by a psychiatrist, or a specialist ADHD nurse.
It's a procedure that may be a bit complicated, such as the need for old school records to be submitted. But, you can avoid the line and receive an assessment in private by making an appointment directly through an online ADHD clinic.
What is a private evaluation?
A private assessment of ADHD is a consultation where you meet with an expert to discuss your symptoms, and how they impact your life. It usually lasts two sessions and is more thorough than an NHS psychotherapy assessment. The procedure involves an organized interview with an expert who will examine your symptoms from childhood through adulthood. They will also look into whether there are any other disorders of the brain or mental issues that could trigger your symptoms. They will concentrate on various areas of functioning, such as relationships or work. adhd private assessment will ask you to provide examples of your symptoms and how they affect your life.
It is worth bearing in mind that the diagnosis of ADHD is not an easy forward one and many people who are told they have the condition have a mixed diagnosis. It is essential to keep in mind that the three most prominent symptoms are hyperactivity, inattention and an impulsive nature. In adults, hyperactivity usually looks different from the boisterous hyperactivity that is seen in children. It can be manifested as a sense of the feeling of being constantly distracted or in constant motion. In the same way, inattention may be a sign of difficulty sitting still and being organised or having difficulty in focusing on tasks and oblivious to things easily.
If you think medication will aid in your symptoms, a psychiatrist's formal diagnosis is required. This will help you access reasonable adjustments and Disabled Student Allowance (DSA). The best way to accomplish this is to speak with your GP and request that they refer you to a psychiatrist for an assessment.
If your GP refuses to refer you to a specialist, or if they are unable to provide you with an immediate appointment, you may want to change GPs. If this is the case, it may be worthwhile to switch GPs You can find more information about how to make use of your right to choose on the Psychiatry-UK website.
You may also be able to book an appointment with a private psychiatrist directly through the NHS or independently. A majority of these doctors will require a referral letter from your GP but some don't and you should make sure to check with the provider you choose prior to making an appointment.
How can I get an evaluation from a private person?
ADHD is an intricate mental disorder that affects brain processes like motivation as well as working memory and attention. Adults may struggle to cope with the condition, which can create problems in many areas. A private ADHD assessment can help you to understand the impact of these symptoms on your life and could be helpful in determining ways to manage them.
There are many providers who can conduct an ADHD assessment on behalf of the NHS. You can assert your right to choose (RTC) by asking your GP to recommend you to one of these providers. If your GP refuses to do this you might want to find another GP willing to help.
Typically an assessment will be performed by a psychiatrist or specialist nurse (or any other healthcare professional who is appropriate according to NICE guidelines). They are the only professionals who are able to diagnose ADHD. Most of the time, the ADHD assessment will involve questionnaires and a meeting with a clinician in person or over video call. It usually takes between 45 and 90 minutes.
If you are an adult you will be asked about your current difficulties and your background from your childhood. The healthcare professional will examine whether you exhibit any of the symptoms that are associated with ADHD - inattention, hyperactivity and the tendency to be impulsive. You will be asked for instances where you displayed these traits. The healthcare professional will employ these to determine an assessment and suggest treatment options.
If you're suffering from a chronic condition and do not want to wait for a referral from the NHS getting an assessment from a private practitioner is recommended. However, it is important to keep in mind that the private diagnosis does not mean you can automatically be prescribed medication by your GP. You'll still need to discuss this with them and if you do decide to try medication it is recommended you seek a shared-care agreement with your GP.
You can find a list here of providers if your doctor in England will refer you for an ADHD assessment to an NHS provider. Some of these providers offer assessments online and have shorter waiting times.
How do I get a private diagnosis?
There are several methods to receive an ADHD assessment. The NHS has a process called 'Right to Choose' where you can request your GP for a referral to one of the specialist providers that are on their list. This can reduce the waiting time considerably. There are private practitioners who can offer a diagnosis quickly.
In general, it's recommended to seek out a specialist psychiatrist with expertise in adult ADHD. It may take some time to find one, as they are hard to come by. Some will require an GP referral letter prior to seeing you for an examination, but this is not always required.
Psychiatrists can assess the symptoms of your condition but they cannot prescribe medications. Other mental health professionals, including Psychologists - can assist you to manage your symptoms, but they are unable to provide you with a formal diagnosis of ADHD that is required to get access to assistance services such as Disabled Students' Allowance and reasonable adjustments at work.
A specialist Psychiatrist is able to diagnose and explain your symptoms. They will also evaluate whether your symptoms are consistent ADHD and will take into consideration any other mental health issues you may have. Your Psychiatrist will be capable of providing you with the best treatment if you are honest and forthcoming.
You'll have to pay for the assessment. If you're diagnosed with ADHD it may be possible to receive medication under a shared-care agreement with your physician. (You'll still have to pay the NHS prescription fee). If you're considering paying for an private diagnosis, we'd suggest you talk to your GP prior to booking an appointment so they know what you're doing and give their consent, in the event of need.
It is also worthwhile to consider joining a support group to connect with others with ADHD, and hear their stories and suggestions. They can be very helpful, comforting and motivating. You can find online spaces on Facebook and Reddit and also look for local in person groups.
Are private assessments valid?
A recent BBC Panorama investigation has sparked controversy over claims that private clinics are distributing unreliable diagnoses. An undercover reporter went to three private ADHD assessment providers and was diagnosed with the condition by all of them despite the fact that the patient did not have ADHD. The report stated that these assessments were rushed, and didn't take into account the full spectrum of symptoms or the impact ADHD affects people's everyday lives. It also raised concerns about the fact that patients who aren't eligible for NHS assessments have no choice but to pay out of their own pocket to get a diagnosis and medication.
It is true that GPs may suggest you to have an ADHD assessment through one of the major private companies (such as Priory) however they will typically advise you that there is likely to be a waiting time. The waiting time differs from one provider to the next and is usually six weeks. Ask friends and family for recommendations and conduct extensive research on the company. If you choose a well-established and experienced company you'll likely have a shorter waiting time than if you go to your GP.
In the course of the evaluation, a psychiatrist will, albeit subjectively examine whether your ADHD symptoms cause significant impairment to your daily functioning. They will seek to rule out other reasons, like anxiety, depression, or thyroid problems and will typically ask you to supply supporting evidence from a family member (sometimes by filling in forms about your childhood) and school reports, if necessary. This is a stressful process especially for those who have complicated family circumstances or who are unable to locate their school records from childhood.
If you've been diagnosed with ADHD by an accredited healthcare professional you may apply for disability benefits through your local authority. However, you should be aware that most GPs are not willing to sign a document known as a shared care agreement in the event that you were diagnosed privately and have not also been fully titrated into your final dose of medication. This is due to the fact that GPs are not qualified to diagnose and treat adults with ADHD.