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How to Get an ADHD Diagnosis in the UKGPs can refer you for an NHS ADHD assessment. If the waiting time is very long, consider asking your GP to refer you to the law that gives patients rights to choose their providers and treatment providers - referred to as Right to Choose.
A psychiatrist will conduct a structured interview to assess your symptoms and your impact on various aspects of your life. They might ask for your school and childhood histories as well as reports.
Find a Psychiatrist
They may prescribe medication for ADHD. Talk therapy is another option. If you are insured the visits of your psychiatrist should be covered. If you are unsure whether a psychiatrist is in your network, contact your insurance company to determine the status. You could also ask your GP to refer you to a psychiatric expert or search the internet for local services. If you don't have insurance, you may opt to use an individual service. Be sure to ensure that the Psychiatrist you select is licensed and has worked working with ADHD patients.
Many medical professionals have preconceived ideas about what a person with ADHD looks like. This can be problematic when trying to obtain an assessment. Medical professionals don't have the required training or experience to diagnose adult ADHD. You will need to do some research to locate an adult ADHD expert who is able to accurately diagnose your symptoms.
Once you find a psychiatrist, it is important to establish a relationship of trust with them. This is particularly important in the event that you plan to begin taking medication to treat your ADHD. If you're uncomfortable with your psychiatrist, consider looking for another one. It is important to be comfortable with your physician however, you should not settle for less.
Your GP may refer you to a specialist in adult ADHD for a medical evaluation. The process usually includes a questionnaire, as well as an interview with the psychologist about your ADHD symptoms in various social settings. The psychologist will analyze your results to determine if you fit the criteria for an adult ADHD diagnosis.
In England, you have the right to choose the place where you receive your NHS assessments. The NHS offers a list providers, and you can utilize your Right to Choose to select the provider that is most convenient for you. Some of these providers provide assessments online to adults, which could significantly reduce the time it takes to wait.
Ask your GP
If you have an GP who is well-aware of ADHD they might be able to refer you to an NHS diagnosis. In the UK, this will involve an interview in a clinic with a psychiatrist or psychologist (not nurse) that will comprise questionnaires about ADHD symptoms and medical history as well as family mental health background. It is also possible that neuropsychological tests will be conducted in conjunction with the clinical interview. This is to help provide an accurate picture of your strengths and weaknesses, including any comorbidities, which could be affecting your adhd diagnosis and social skills symptoms.
Your GP can also help by writing a letter to let them know that you wish to be referred for an assessment under Right to Choose. Print out an example and present it to your GP. If they refuse for any reason, it could be worth changing your GP. This is particularly relevant if you intend to apply for an Shared Care Agreement in the future.
If your GP agrees to refer you to a specialist, then you'll need to wait a few weeks before meeting with the specialist. It is essential to prepare yourself for this, as the medical interview will likely be focused on how your ADHD symptoms are affecting your life now. You will be asked to provide examples and to talk about how you've performed in various areas of your life.
Once you have been formally diagnosed, your physician will provide you with advice on the best treatment options. These may include talk therapies and behavioural interventions and prescription medications. You will receive advice on how to manage ADHD and an assessment that will include recommendations for ongoing treatment. If you are a student it is likely that your doctor will recommend a shared care arrangement with your GP to prescribe medication for you.
Unfortunately, there are a lot of professionals in the UK, from GPs to psychologists and nurses who aren't knowledgeable about ADHD. This can make the process of obtaining a diagnosis and accessing treatment difficult. You might be told you don't need treatment since you don't have hyperactivity. Also, adults don't get treated. Or that children don't grow out of ADHD. It can be challenging to find a specialist who can listen and understand your situation.
Right to Pick
If you reside in England and your GP will send you for an ADHD assessment You have a legal right select the provider you want to refer you to. This is known as the "Right to Choice". The only requirement for a provider to be able to offer the service is that they have an NHS Standard Contract (with your CCG or NHS England). It is also recommended that you learn about the waiting times for the provider you prefer before you contact them. You can learn more by calling the provider directly or contacting your GP.
It is important to know that GPs are general practitioners and are therefore not experts in diagnosing mental disorders like adult ADHD. So, you might have to convince your GP that you need to be referred to a specialist for an ADHD assessment. If you're unable to do this and you are unable to convince your doctor, the charity ADHD UK has a letter that you can print and download to hand to your GP. It includes quotes from the NICE 87 guidelines which state that a GP can't refuse to diagnose ADHD, and that only a doctor can make this diagnosis.
Ask your GP what their current waiting times are for an ADHD evaluation. If the waiting time is too long, you could make use increase of adhd diagnosis your Right to Choice and choose a different provider.
When you go for your ADHD assessment you will be asked to complete a questionnaire and to attend an interview. The interview will typically be conducted by a psychiatrist or specialist nurse. The interview will center on your personal history of ADHD and how it affected your life. The interview will also focus on your current symptoms. It is recommended to prepare for this interview in advance and bring an immediate family member to provide assistance.
You should also seek advice from your GP to think about possible medication options for you. They may not want to prescribe stimulants but they must be reminded that there are medications that are not stimulant that can aid in managing ADHD symptoms. These include methylphenidate, dexamphetamine and atomoxetine. Additionally, you could also try cognitive behavior therapy or psychotherapy for adults with ADHD.
Private Assessment
If you are not happy waiting for the NHS to refer you, or you are concerned that your GP might have preconceived notions about what ADHD looks like (this is a growing problem particularly for women, those of color and those who were deemed to be female at birth) If you are concerned about this, then self-refer for a private assessment. Psychiatry-UK is the primary provider. They have an online guide which includes templates that you can provide to the GP. On their website, they also provide a list of the providers. Most of them offer both online and in-person diagnosis.
A private evaluation will typically be slightly longer than an ordinary psychiatric visit and include a structured interview. The session will cover different aspects of your life, and how your symptoms affect your current performance. They will also look at your symptoms in different settings and situations, it is usually helpful to have family members or a friend to give feedback. The psychiatrist will review their findings and give you a diagnosis.
They will inform you if they believe that you are a candidate for ADHD or if they believe a different condition better explains your traits (symptoms). If they do not think you meet the criteria, they will tell you why and you can ask them to refer you again.
After receiving a diagnosis of adhd in adults, it is up to you if you decide to take medication or not. You will need to discuss this with your GP, you may be able to obtain a shared-care agreement for medications through your GP and this can save you money in the long term.
Do not rely on getting an ADHD diagnosis via the internet or self-diagnosis tool as they can be inaccurate. It is crucial to get a professional, unbiased evaluation to ensure you get the best possible results. Based on your situation and whether or not you are willing to take medication, there could be other support available that can ease your symptoms. If you're a student at a university for instance you could request an assessment. They can advise you on reasonable adjustments and Disabled Students allowance.
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