How to Get a Private ADHD Diagnosis
If you'd like to be diagnosed with ADHD, a psychiatric assessment will need to take place. The test will be conducted by a psychiatrist or a specialist ADHD nurse.
This could be a lengthy procedure, since the old school records might need to be provided. You can cut down on the waiting time by scheduling an appointment for a private ADHD assessment directly through an online ADHD center.
What is a private assessment?
A private assessment of ADHD is a meeting where you meet with an expert and discuss your symptoms and how they affect your life. It usually lasts two sessions and is more comprehensive than an NHS assessment of psychiatric disorders. The process involves a structured interview with a expert who will look at your symptoms from childhood until adulthood. They will also consider if there are other neurological or mental health issues that could trigger your symptoms. They will ask you about your symptoms in different areas, such as at work or in relationships.
It is worth bearing in mind that a diagnosis of ADHD is not an easy up and down one. A lot of people who are told that they have the condition have a mixed diagnostic picture. It is important to remember that the three primary symptoms are inattentiveness, hyperactivity and an impulsive nature. In adults, hyperactivity typically is not as boisterous hyperactivity seen in children, and may be manifested as a sense of an inability to settle or a constant rushing. Inattention may also manifest as difficulties in focusing on tasks, being organised or sitting down.
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). This can be accomplished by asking your GP to recommend you to a psychiatric assessment.
If your GP refuses to refer you or cannot offer you an immediate appointment You may wish to change GPs. You may want to consider changing GPs in this situation. The Psychiatry UK website provides more details on how to exercise your choice.
You might also be able to make an appointment directly with a private psychiatric service, either through the NHS system or privately. The majority of these providers require an appointment letter from your GP but some don't, so check with your chosen provider before booking.
How can I get an assessment in private?
ADHD is a nexus of mental illness that affects brain processes like motivation, working memory and attention. Adults may struggle to cope with the condition, which can cause difficulties in a variety of areas. A private ADHD assessment will help you understand the impact these symptoms have on your life, and help you manage the symptoms.
There are a variety of providers who will carry out an ADHD assessment on behalf of the NHS. You have the option of exercising your right to choose (RTC) when you ask your GP to refer to one of these providers. If your GP is unwilling to do this you might want to find another GP willing to help.
A specialist nurse or psychiatrist typically conducts the assessment (or any other qualified healthcare professional, as per NICE guidelines). This is because they are the only professionals who are able to diagnose ADHD. In the majority of cases the ADHD assessment will consist of questionnaires as well as a clinic interview in person or via video conference. The typical time for this assessment is 45-90 minutes.
You will be asked about your current problems as well as your previous struggles since childhood if you are an adult. A healthcare professional will determine if you have any of the symptoms associated with ADHD such as hyperactivity, inattention, or the tendency to be impulsive. You will be asked for instances of when you displayed these traits. The healthcare professional will then employ these to determine a diagnosis and recommend treatment options.
A private assessment can be helpful if you have been having a difficult time and do not wish to wait for an NHS referral. It is important to remember that the results of a private assessment do not automatically mean your GP will prescribe medication. You'll need to discuss it with them, and if you decide to use medication, you should consider a shared-care arrangement with your GP.
You can find a list here of providers in case your GP in England will send you for an ADHD assessment to an NHS provider. Some of these providers provide online assessments and have much shorter waiting times.
How do I get a private diagnosis?
There are several ways to get an ADHD evaluation. The NHS offers a 'Right to choose" process that allows you to request a referral from one of the specialists on their list. This can drastically reduce the time it takes to wait. There are private practitioners who can diagnose quickly.
In general, it's recommended to seek private adhd assessment out a specialist psychiatrist with experience of adult ADHD. It might take a while to find one, as they are difficult to come by. Some clinics require the GP recommendation before they make an appointment. However this isn't always necessary.
Psychiatrists can provide an assessment of your symptoms, but they are not able to prescribe medication for you. Other mental health professionals, including Psychologists, can assist you to manage your symptoms. However, they are unable to provide a formalised diagnosis of ADHD that is required to receive support services like Disabled Student's Allowance or reasonable adjustments in the workplace.
A Psychiatrist who is an expert will be able to identify and explain your symptoms, determine whether they're consistent with ADHD and also consider any other mental health issues that you may have. It is essential to be honest and open with your Psychiatrist so they can give you the best treatment possible.
You'll need to pay for your assessment. If you are diagnosed with ADHD it could be possible to get medication under a shared-care agreement with your physician. (You'll still have to pay the NHS prescription fee). If you're thinking of paying for an private diagnosis, we'd suggest you talk to your GP prior to booking an appointment to ensure they are aware of what you're doing and can give their approval if needed.
Participating in a support group is another option to meet other adults with ADHD and gain knowledge from their experiences. They can be extremely supportive, comforting, and inspiring. You can find online spaces on Facebook and Reddit or local in-person groups.
Are private assessments valid?
A recent BBC Panorama investigation has sparked controversy over the claims that private clinics are giving out unreliable diagnoses. An undercover reporter went to three private ADHD assessment centers and was diagnosed with the condition by all of them, even though he didn't have ADHD. The report suggested that these assessments were not thorough and did not take into consideration all the signs or consequences of ADHD on the lives of individuals. The report also raised concerns about patients who aren't eligible for NHS assessments and have to pay out of pocket to receive a diagnosis or medication.
There is a fact that GPs will often refer you for an ADHD assessment through one of the main private companies (such as Priory) but they will typically advise you that there is likely to be a waiting period. The waiting period varies from one provider to another provider and typically is approximately six weeks. It is recommended to investigate the provider thoroughly and ask your family and friends members for word of mouth recommendations. If you choose a well-established and reputable company, you'll probably have less wait time than if you visit your GP.
During the examination, a psychiatrist will, in a way determine if your ADHD symptoms cause significant impairment to your daily functioning. They will try to rule out other causes, such as thyroid, anxiety, depression or issues. They will usually require evidence from a family member (sometimes by filling out forms regarding your childhood) and school reports, if required. This is a stressful process especially for those who have complex family situations or who are unable to locate their school records from their childhood.
Once you've been assessed and given a diagnosis of ADHD by a qualified healthcare professional, you are eligible to apply for disability support through your local authority. Be aware that the majority of GPs won't sign a document known as a shared-care arrangement in the event that you were diagnosed privately and you aren't fully titrated to your final dose of medication. This is because GPs aren't qualified to diagnose and treat adults suffering from ADHD.