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ADHD Diagnosis – Getting the Right One From the NHS In order for people to receive an accurate diagnosis of ADHD, the NHS requires a thorough assessment. The BBC investigation revealed that a few private clinics could be handing out inaccurate diagnoses and prescriptions. A valid ADHD diagnosis is based on the symptoms, their severity, duration, and impact. The doctor will interview and review the patient's medical, psychiatric and family history. Diagnosis Adults who have symptoms they believe may be ADHD should seek out a diagnosis to determine the best treatment and control their lives. If they feel that they might be suffering from the condition, or have had a family or friend member suggest they might have it, getting the right diagnosis can help them discover the treatment and support needed to manage their ADHD symptoms effectively. Patients must first discuss their issues with an GP. Discuss your symptoms with them and how they impact your daily life. The doctor will direct them to a specialist mental health professional who is skilled in diagnosing ADHD. The specialist must be psychiatrist who has undergone specialist training in this field. This is crucial because it means that the psychiatrist can be confident that they are using the right criteria to diagnose ADHD. The psychiatrist will talk to the patient and often request their partner, or close family members and friends who know them well. They must also take into account the patient's medical history and psychiatric past, starting from childhood. They will also take into consideration the severity of the symptoms and their effects on the patient's life. There isn't a blood test or brain scan that can be used to confirm the ADHD diagnosis, so the psychiatrist will need to assess all of the information available. If the psychiatrist believes that the patient doesn't meet all the criteria for an ADHD diagnosis, they will explain their reasoning. It could be because the patient didn't give enough details about their difficulties or that another condition could be more responsible for their behavior than ADHD. Alternatively, it might be that the psychiatrist feels that the patient's problems may be due to a different cause and not the ADHD condition. Some people have a harder in obtaining a diagnosis because of the prejudices of certain healthcare experts. This is especially true if you are someone of color or a woman who was born or do not speak English natively. The NHS is trying its best to solve this problem. Assessment If you are concerned you might have ADHD you should get an assessment from a medical care professional who is experienced in conducting such assessments. You may ask your physician to recommend a specialist or check with local hospitals affiliated with universities or medical schools to see which professionals are qualified to conduct an ADHD evaluation for adults. You may also ask for a referral from an ADHD support group in your region. The diagnosis of ADHD is determined by the number, severity, and duration of symptoms in certain areas of your life. These could include school, work and relationships. There are many reasons to be concerned about being unable to perform at school or at work, or having trouble forming and maintaining relationships, or being unorganized or forgetful. It is important to discuss these issues and not be afraid to confront criticism. There are a myriad of healthcare professionals that are able to conduct an ADHD assessment from GP's to consultant psychiatrists. To give a definitive diagnosis of ADHD it must be performed either by a Psychiatrist who is qualified or a Special Nurse who is a Prescriber Qualified. This is because only a Psychiatrist can prescribe medication to treat symptoms of ADHD. You will usually be interviewed during an ADHD assessment and it is essential to bring a family member for support or evidence. It is also helpful to write down your symptoms and how they have impacted your life. The doctor will ask questions to find out more about your life experiences and how you are functioning. They will also examine you to determine if you have any medical conditions that could be responsible for your ADHD symptoms. The NHS can also offer an adult adhd diagnosis that is private however this could take a considerable amount of time due to the long NHS waiting lists. Some people find it easier to pay out of their own pockets for private assessments and treatments through the 'Right to Choose route. However it is crucial to be aware that the quality of care from private providers is a lot different and it is crucial that you choose carefully. Medication It is recommended to undergo a thorough and full assessment if you are experiencing ADHD symptoms as you age. This will enable you to receive the correct medication and the support that you require to manage the symptoms. There are many private companies who provide this service. If you decide to choose one of them, it is important that you research the reputation of the psychiatrist, their training and experience managing neurodevelopmental disorders. In recent months, a variety of prominent people have come out about their struggles with ADHD. For instance, Great British Bake Off host Sue Perkins was diagnosed in her 50s and said that her diagnosis “made everything make sense”. However, despite increased awareness, NHS waiting lists remain jam-packed with people wanting to receive the right diagnosis and treatment. In the end, GPs are often reluctant to refer patients to specialist services for a private diagnosis of ADHD. This is largely because they lack the time or resources, and in some cases they may not be able find a clinician who has expertise in neurodevelopmental disorders. In certain areas, this is made worse by the fact that NHS staff may be being tasked with other health needs such as mental health assessments. Many people believe that private companies offering ADHD assessments are unable to accurately diagnose those suffering from the condition. This could result in devastating effects for certain. The BBC Panorama programme raised this issue, and there is a real need to improve access to specialized ADHD assessments. If you've been given a personal diagnosis of ADHD, it is possible to treat the disorder using the combination of behavioural therapy and medication. Stimulant drugs such as amphetamine or methylphenidate can be used to improve productivity and focus, while slower-acting non-stimulants like atomoxetine are useful for improving your attention and impulse control. Some patients opt for behavioural therapy and do not require medication. For those who need to take medication, a post-diagnostic program of care can be put together at Priory. This will include a comprehensive medical report and titration of the final dose, which can be shared with your GP. Post-diagnostic treatment A diagnosis of ADHD could have significant financial and human costs. This is why it's so important that a psychiatric evaluation and treatment program be accessible to all adults with ADHD. This should include medication, psychological and practical support and family therapy if needed. This should include family and workplace training on how to better assist and manage an adult with ADHD. The first step is an interview with an expert in mental health care who is trained to assess ADHD and related conditions. Patients must bring a list of their symptoms and any other mental health concerns they may have to their first appointment. The interview will look into the patient's medical and mental health history and their family history. It will also examine how the ADHD symptoms affect the individual's daily functioning and their relationships. During this process the doctor will make sure whether the symptoms match with the criteria for ADHD as defined in the Diagnostic and Statistical Manual of Mental Disorders. The symptoms must be present in two different environments (home or work) of the individual's daily life. It should interfere with the person's normal functioning, and cause significant distress. This could take the form of difficulty finding a job, issues with marriage, or dealing with financial issues, difficulties at school or in their overall level of living. There are private adhd assessment of professionals that can carry out an assessment for ADHD such as Psychologists and Psychiatrists. Psychologists are educated in the functioning of the brain, but they are not able to prescribe medication. They are able to provide counselling. Psychologists are qualified to diagnose and treat ADHD, and can offer medications if necessary. If the Psychiatrist determines that the patient with ADHD requires medication, he or she will prescribe a prescription to an area pharmacist. This is done under the supervision of a doctor and must be completed within three months of the private assessment to ensure that the individual is able to fully titrated into their final dose of medication. If the GP accepts to continue NHS prescribing following the private ADHD assessment, the Psychiatrist will present them with a complete report and treatment suggestions and will draw up an Shared Care Agreement with the GP.