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ADHD Diagnosis – Getting the Right One From the NHS The NHS requires that people undergo a thorough examination for the correct ADHD diagnosis. The BBC investigation found that some private clinics might be handing out unreliable diagnosis and inappropriate treatment. A valid ADHD diagnosis is based on the symptoms and their severity, duration and impact. The physician will interview the individual and examine the medical, psychiatric, family, and personal history. Diagnosis Adults with symptoms they believe might be ADHD should seek a diagnosis to find the right treatment and gain control of their lives. If they feel they have ADHD or someone in their family or a friend has suggested it, getting a diagnosis can help them manage their symptoms. Patients should first discuss their concerns with the GP. They should tell them about their symptoms and how they affect their daily lives. The GP will refer them to an experienced mental health professional who has experience in diagnosing ADHD. This specialist should be a skilled psychiatrist who has undergone special training in this area. This is important because it lets the psychiatrist be confident that they're applying the correct criteria to determine ADHD. The psychiatrist will talk to the patient and often ask them to bring in their spouse or close friends and relatives 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 consider the severity of the symptoms and how they affect the patient's lifestyle. A brain scan or blood test can't confirm the ADHD diagnosis. The psychiatrist will need to consider all the available information. If the psychiatrist does not believe that the patient meets all the criteria required for an ADHD diagnosis, they will explain the reason. It could be because 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 psychiatrist feels that the patient's problems are caused by something else and not the ADHD condition. Some people have a difficult time getting a proper diagnosis due to the prejudices of some healthcare medical professionals. This is especially the case if they're someone of color or assigned a female birth, or are not an English speaker. The NHS is working hard to tackle this problem. Assessment If you are concerned that you might have ADHD you should get an assessment from a health healthcare professional who is skilled in conducting these assessments. You can ask your doctor for a referral or check with the local medical schools or hospitals to find out which professionals are qualified for an ADHD assessment for adults. You could also seek a referral from an ADHD support group in your local area. The diagnosis of ADHD is determined by the amount, severity, and duration of symptoms in particular areas of life. This includes relationships, school and work. You may experience problems with regards to not performing in your education or at work or in difficulty in maintaining and forming relationships, and being unorganized or disorganised. It is crucial to address these issues and not be afraid to take criticism. From GPs to consultant psychiatrists, there are many healthcare professionals who can perform an ADHD assessment. However, to be able to give a legally recognized diagnosis of ADHD, it must be performed by a qualified Psychiatrist or Prescriber Qualified Specialist Nurse. Only a Psychiatrist is able to prescribe medication for ADHD. In an ADHD assessment, you will be questioned. It is important to bring a loved one with you to provide support or evidence. It is also helpful to note down your symptoms and how they've affected your life. The doctor will ask questions to collect information about your history and how you are doing. They will also examine you to determine if you have any medical conditions that could be causing your ADHD symptoms. The NHS can also offer an adult adhd diagnosis privately however, this could take a considerable amount of time due to the backed up NHS waiting lists. Some people prefer paying out of pocket for private treatment and evaluation through the “Right to Choose” pathway is easier. It is important to keep in mind that the cost and quality of private care can vary dramatically. Medication It is a good thing to get a comprehensive and complete assessment if you are experiencing ADHD symptoms in adulthood. This will enable you to receive the correct medication and assistance you require to manage your symptoms. There are a variety of private providers who provide this service. If you decide to use one of them, it is essential to research the reputation of the psychiatrist, their training and experience in treating neurodevelopmental disorders. In recent months, a lot of prominent people have spoken out about their struggles with ADHD. Sue Perkins, the host of Great British Bake Off, was diagnosed with ADHD in her 50s. She said that this diagnosis “made everything seem to make sense”. NHS waiting lists are still full despite an increase in awareness. Therefore, doctors are usually reluctant to refer patients to specialist services in the event of a private diagnosis of ADHD. private adhd assessment is largely because they lack the time, and in some cases, they may not be able find an expert clinician in neurodevelopmental disorders. In some areas, the NHS staff might have to address other needs such as mental health assessments. There is also a perception among some private companies that offer ADHD assessments are prone to misdiagnosing people with the condition, which can cause severe harm to some people. The BBC Panorama programme raised this concern and there is a real need to increase access to specialist ADHD tests. Once you've been diagnosed with ADHD and you've been diagnosed, you can treat it by combining therapy for behavioural issues and medication. Stimulant drugs such as amphetamine or methylphenidate can be utilized to boost concentration and productivity, whereas non-stimulants with a slower onset like atomoxetine are effective in improving attention and impulse control. Some patients prefer to use behavioural therapy and do not require medication. However, for those who need to take medication, a post-diagnostic package of care can be created at Priory. This will include a thorough report as well as a titration for the final dose that can be shared with your GP. Post-diagnostic treatment A diagnosis of ADHD could be accompanied by significant human and financial costs. It is essential to provide a psychiatric examination and treatment program for all adults with ADHD. This should include medication and psychological and practical assistance as well as family therapy, if needed. This should also extend to the workplace and family members on how to better manage and support an adult with ADHD in their daily lives. The first step is an interview with a mental health professional who is qualified to assess ADHD or other disorders. Patients should bring a list of their symptoms and any other mental health issues they may have to their first appointment. This interview will review the patient's medical, psychiatric, and family history. It will also discuss the effects of ADHD on the person's daily life and relationships. During this procedure the doctor will ensure that the symptoms match the criteria for ADHD as defined in the Diagnostic and Statistical Manual of Mental Disorders. The symptom must appear in two different places (home or at work) of the person's daily life. It should affect the person's normal functioning, and cause distress. This could take the form of having difficulty keeping a job, trouble with marriage or coping with financial issues, difficulties at school or in their overall quality of life. There are a variety of professionals that can carry out an assessment for ADHD that includes Psychologists and psychiatrists. Psychologists are educated in the functioning of the brain, however they cannot prescribe medication. They can only provide counselling. Psychologists are qualified to diagnose and treat ADHD and may prescribe medication if needed. If the Psychiatrist is of the opinion that the patient with ADHD requires medication, he or she will prescribe a prescription to a local pharmacist. This is done under the supervision and guidance by the Psychiatrist. The procedure is expected to be completed within three months following the private assessment. This allows the patient to fully titrate into their final dosage of medication. If the GP agrees that they will continue to prescribe ADHD medication on the NHS following the private ADHD evaluation The Psychiatrist can provide a comprehensive report with treatment recommendations. They will also prepare an agreement known as a Shared Care Agreement.