ADHD is a complex disorder and can cause difficulties in relationships, work and health. However, it also has positive aspects that can help you achieve success when it is managed.
With NHS waiting times for ADHD assessments at record levels, many patients opt for a private diagnosis. Some providers require a GP letter of referral, while others do not.
What to expect
If you suspect that you or someone you love may have ADHD, you should consult a specialist. This is a medical problem that requires a thorough assessment by a clinical psychologist or psychiatrist. They will take into consideration your symptoms, family history, work and social lives, and any mental health issues that you may have. There are three different types of ADHD: predominately inattentive, predominantly hyperactive-impulsive, and combined. Each has its own set of symptoms. The test consists of a thorough questionnaire as well as an online test, and a detailed interview. The assessment will also analyze your current and past problems and how they affect your daily functioning.
If your doctor or psychologist confirms that you suffer from ADHD and he confirms it, they will do this in writing. If they don't agree, they will explain the reasons and suggest a different diagnosis that is more suitable for your specific needs. You have the right to appeal against their decision, but this is usually a long procedure.
The process of assessing yourself is much faster if you follow the 'Right to Choose" process for NHS-funded Mental Health Care in England. This means that you are able to select the mental health provider you want to use, rather than waiting for an appointment with your GP. This will let you get the help you require more quickly.
Once diagnosed with ADHD Many people are able to avail support services that can aid them in dealing with the challenges that come along with the condition. For example, some people may be able to find an expert who can help them manage their time and organisational abilities more efficiently. A diagnosis could also allow you to connect with others who have the same experience and understand what you are experiencing.
Some private assessment providers require an GP referral letter before making an appointment, whereas other do not. It will depend on the policy of the service you select. They must still follow evidence-based practice guidelines that are published by NICE, so it is worthwhile to consult them prior to scheduling an appointment.
Fees
ADHD assessment costs could be a problem for those who want to have their disorder diagnosed. This is especially important as waiting times for NHS assessments in the UK have become so long that a lot of people find themselves not getting any diagnosis at any time (see this article for more information).
In some cases private healthcare providers could offer affordable services. This may include sliding scale or pro bono assessments that are provided by some hospitals as well as university testing centers which cater to students and those on a budget.
These services are generally slightly longer than a typical doctor's visit, yet they focus on the different aspects of a person's life and how they affect their performance. The interview process may include questionnaires that are completed by the patient, as well as a family member or close friend. This allows for the gathering of information about a patient's symptoms and how they affect their relationships, as well as their daily activities.
The questionnaires can be made standard to reduce the risk of error in diagnosis. The healthcare provider will then examine the results of the questionnaires to see whether they are in line with the criteria for ADHD. The healthcare professional will conduct a thorough interview in the event that the results are positive. This will include a discussion of the onset and impact of the symptoms on a person's life.
A definitive diagnosis will be made, which is usually confirmed by another clinical interview. If there is any doubt as to whether a person meets criteria for ADHD The psychiatrist could suggest additional tests, such as an EEG which analyzes brain activity and an assessment of cognitive function.
While it is rare for healthcare professionals to misdiagnose patients with ADHD, it does happen. People who decide to pay for an assessment should search for a provider who adheres to the guidelines laid out by the National Institute of Clinical Excellence (NICE) to ensure the most effective outcome.
Timescales
Finding a doctor who can diagnose you privately for ADHD will allow you to receive treatment more quickly. You can also benefit from the expertise of other mental health professionals, such as therapists or psychologists. This can enhance your life quality. It can also be beneficial for your children.
Your psychiatrist will review your medical history and perform several tests. These tests include blood and urinary tests. These will be used to determine if there are other conditions that can cause similar symptoms as those of ADHD, including thyroid disorders, lead poisoning, hearing and vision problems, and certain medications and abuse of drugs.
Before the appointment you will be required to fill out a few forms. This can take between 2 and 3 hours. Your psychiatrist will review these forms prior to meeting you and making a decision on the best diagnosis. They'll need to be aware of the nature of your symptoms and whether or not they impact different areas of life. They will also have to determine if the symptoms you are experiencing are a result of co-existing conditions such as anxiety, depression or bipolar disorder.
ADHD symptoms can persist well into adulthood. However, hyperactivity tends to diminish and symptoms like inattention, disorganisation and impulsivity become more prominent. This can have an impact on the ability of an individual to function at home and work. It may lead to the need for a medical referral to assess.
After a diagnosis has been established, your psychiatrist will be able to write to your GP with an official report and will suggest possible treatment options. You should discuss with your GP the consequences of this diagnosis as well as with anyone you know who might be affected. Your consultant psychiatrist can recommend psychologists who can assist with issues with behavior and suggest modifications to your routine and habits.
If you are registered with a GP in England and you are a patient of the NHS, then you have the right to select which psychiatrist you visit through the NHS's Right to Choose scheme. This should not impact your waiting time for a NHS ADHD assessment.
Insurance
In the US many people with health insurance are able to benefit from having ADHD treated and managed by their health insurance plans. The Affordable Care Act made it easier for those with mental health issues to receive treatment. Individuals should look into their coverage to see whether it could help them.
It is important to remember that even when you have private insurance the GP must still refer you to an ADHD assessment. But this doesn't mean that healthcare providers are free to bend the rules and do what they want, as they must follow the guidelines laid out by the National Institute for Clinical Excellence.
Your doctor should be able to refer you to a private specialist like an Psychiatrist, or a Specialist ADHD Nurse, depending on what is available within your locality. You can also contact the specialist and set up an appointment for yourself. The specialist will determine if you suffer from ADHD and what steps are needed to effectively manage it by prescribing medications.
You can also speak to an online therapist via services like Talkspace. You can talk to licensed and vetted professionals about your situation. They can also offer you advice on how to manage your symptoms. They can assist you in finding new ways to manage your symptoms, and ensure that they don't adversely impact your life.
In some instances, your therapist may be able to send you a note informing you that the cost of your ADHD assessment will be covered by your insurance. It's worth checking your policy details to see what you're covered for since many insurance companies have limitations on the amount they will pay out per year or on the number of visits they will cover.
Your health insurance plan may cover the cost of your initial evaluation as well as therapy sessions to help you better manage your symptoms. Therapy sessions are able to teach you strategies for managing your behavior and techniques to improve your sleep patterns, and how to handle your emotions.
