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Getting a Private Diagnosis For ADHD Communication can be a challenge for those who suffer from ADHD, especially with co-workers and supervisors. This can make it hard for them to succeed at work and school. GPs may refer patients to private practitioners who are able to conduct an ADHD assessment. But, it's essential to check that your GP will sign an agreement for shared care before you start. Assessment In the UK because of the lengthy NHS waiting times, many people suffering from ADHD prefer to have their assessment conducted and prescriptions made privately. However as this Panorama investigation shows that not all private clinics are licensed and may be delivering incorrect diagnoses. Only psychiatrists can diagnose ADHD in adults and prescribe medication. Other mental health practitioners, such as counsellors, aren't able to perform this. The majority of private assessment providers will ask you to complete several forms and questionnaires before your appointment, which they will review prior to the time of your appointment. It is recommended to bring these forms and questionnaires with you, as well as any other documents or information that could be useful. For instance, if have been referred to them by your GP, it's worth bringing these with you as well. After your psychiatrist has reviewed your questionnaires, he or she will set up an appointment with your to discuss the results and findings. You must bring a list of your symptoms (and any documents) since this information will assist them in making an informed diagnosis. They will also ask you about your life now and how ADHD has affected you in the past. They may also suggest talking to an immediate family member or friend about your symptoms and how they impact on your daily life. During this period your psychiatrist will discuss whether or not you might have ADHD and the best treatment options for you. If they feel you do have ADHD, you will receive an written report describing their findings. They will talk with you if they feel you are suffering from ADHD and will decide if it is best to discuss this diagnosis with your GP. This way, both parties can be on the same page about your condition, treatment, and management. It is recommended to discuss this report with your GP if you want them to prescribe medication as part of a Shared care agreement with your psychiatrist. It is also recommended to inform the DVLA when you've been diagnosed with ADHD since it could affect your driving abilities. Diagnosis If you're thinking about receiving a diagnosis privately it's crucial to know what the process involves. During the assessment you'll most likely see a psychiatrist or a psychologist because they are the only healthcare providers in the UK qualified to diagnose ADHD. The assessment will include an extensive review of your symptoms and how they affect your daily life. Your mental health specialist will also ask questions regarding your family history and any other issues you're struggling with. Your specialist will compare your symptoms with the criteria established by the American Psychiatric Association for ADHD in adults. The doctor will, for example determine if you experience difficulties paying attention or following instructions and when your hyperactivity causes you to struggle with tasks. Your specialist will need to know if you have been experiencing these symptoms since the age of a child. You may need to ask your parents or teachers when the symptoms first started. The specialist will employ several tests to determine whether you are suffering from ADHD, such as the QbCheck. The specialist may also conduct a medical exam and request a variety of other assessments. It could take as long as two sessions. During the interview, your therapist will ask you to give examples of how your symptoms affect your daily life. The psychologist or psychiatrist will also look into your family background and any other issues you're dealing with such as depression. It is essential to select the right therapist for your assessment. A reputable facility, such as Harley Psychiatrists in London, will use a comprehensive assessment to find out whether you suffer from ADHD. They will also offer a range tailored treatment options. Some private providers may be diagnosing ADHD patients too quickly, without thorough examination. BBC's Panorama program recently exposed a clinic that diagnosed a patient with ADHD following a video-call, and gave him powerful medication. It's important to know that an individual diagnosis isn't valid in the NHS, as your GP will not sign a shared care agreement to transfer your medication treatment to the NHS. This is because the majority of GPs don't have the skills or knowledge to determine ADHD. Medication The process of getting an adult diagnosis of ADHD is complicated and requires gatekeepers. Their knowledge and attitude can determine the ability of a person to receive treatment. You might want to consider the possibility of a private diagnosis if you're GP does not want to refer you for a NHS ADHD assessment, or if you are unhappy with the waiting time. Private assessments can cost up to PS800. They consist of an interview, a questionnaire with a psychiatrist and a report. Some people find the expense prohibitive, but you can get a shared-care agreement with your GP that allows you to pay NHS prescription fees and see a private doctor for medication. There is concern however that some private providers over-diagnose ADHD especially through online clinics. In the recent BBC Panorama “expose”, several cases were highlighted in which online assessments were not carried out correctly. In diagnosing adhd , people who are dependent on alcohol or drugs frequently exhibit symptoms that could be confused with ADHD. These are known as comorbid signs and may include anxiety, depression or a substance use disorder. It is crucial to undergo a psychiatric evaluation and diagnosis prior to taking stimulants (methylphenidate and amphetamines) to treat the condition. These are class B drugs that could cause serious health issues when not taken in the manner prescribed. They also carry a high chance of becoming addicted. Many people who have an addiction history to drugs and alcohol abuse can reduce their symptoms by changing their environment, delegating their tasks and hiring assistants. It is important to remember that these strategies are not a substitute for an official diagnosis and mental health assessment for the purposes of the Equality Act. Counsellors and psychologists can offer an ADHD assessment but they are not able to prescribe medication. In certain instances a psychiatric nurse, or psychiatrist can do this but only if they are trained in the diagnostic process and possess a valid medical license. Some individuals are not diagnosed with ADHD because the GP feels that they do not meet the criteria or is thought that another diagnosis is more appropriate to explain the individual's difficulties. This is not necessarily a bad thing but it can be frustrating when the symptoms are causing distress and impact on your daily life. Therapy Having a private diagnosis of ADHD does not mean that therapists can be allowed to deviate from the norm or be less strict than if they worked within NHS guidelines. Patients who are treated in a private setting still must undergo an assessment that conforms to the National Institute of Clinical Excellence guidelines and best practices. If a private healthcare provider is found to have an overdiagnosed ADHD They are likely to be disciplined by appropriate authorities. In addition to a thorough psychological examination, many adults who are diagnosed with ADHD also benefit from cognitive treatment for behavioural problems (CBT) and mindfulness techniques. Therapists collaborate closely with their clients to overcome difficulties and develop strategies that can improve their lives and reduce the effects ADHD symptoms. This can be done in person or online via video conference, based on the location of the client. CBT aims to identify the negative behaviors and teach healthy coping methods. These habits can include procrastination, poor management, and difficulty staying focused and are all symptoms of adult ADHD. Therapists collaborate with clients on strategies that help reduce symptoms and create a supportive environment. Many adults who receive a diagnosis of adult ADHD are happy to understand the cause of their struggles. However, they might discover that their diagnosis triggers lots of emotions that are difficult to handle. There are plenty of support groups for those who require it. A mental health professional can provide a treatment plan to treat ADHD symptoms that includes both psychotherapy and medication. Medication can help to improve the patient's concentration, keep them from losing items and allow them to stay still for longer periods of time to learn new skills and be attentive to what they are hearing. In certain instances psychiatrists may prescribe stimulants like methylphenidate to adults experiencing ADHD symptoms.