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ADHD Diagnosis – Getting the Right One From the NHS To give people an accurate diagnosis of ADHD the NHS requires a thorough evaluation. The BBC investigation found that certain private clinics might provide incorrect diagnoses and medications. A valid ADHD diagnosis is based on the symptoms, their severity, duration and impact. The doctor will interview and analyze the patient's medical, mental health and family medical history. Diagnosis For those who believe they are suffering from symptoms that could be related to ADHD and are seeking a diagnosis, it is the first step in finding treatment and gaining control over their lives. If they believe they suffer from ADHD or they have a family member or a friend who has suggested it, a diagnosis can aid in managing their symptoms. Patients must first discuss their issues with a GP. They should tell them about their symptoms and how they impact their daily lives. The doctor will refer them to a specialist mental health professional who is experienced in diagnosing ADHD. The specialist should be psychiatrist who has undergone specialist training in this field. This is important as it means that the psychiatrist can be certain that they are applying the correct criteria for diagnosing ADHD. The psychiatrist will interview the patient and frequently request their spouse, or close relatives and friends who are familiar with them. They'll also need to examine the patient's medical and mental background from childhood to now. They will also take into consideration the severity of the symptoms and the impact on the patient's life. A brain scan or blood test can't confirm an ADHD diagnosis. The psychiatrist will need to consider all the available information available. If the psychiatrist is of the opinion that the patient doesn't meet the requirements for an ADHD diagnoses and will then be able to explain why. It could be that the patient hasn't provided sufficient details about their problems, or it might be that another condition explains their behaviour better than ADHD. It could also be that the doctor believes that the patient's problems stem from something else, rather than ADHD. Some people find it harder to obtain a diagnosis due to the prejudices of certain healthcare professionals. This is especially the case if they are a person of colour or assigned a female birth or not a native English speaker. The NHS is doing its best to address this problem. Assessment If you think you may have ADHD and are concerned, you should be evaluated by a healthcare professional who is familiar with such assessments. You could ask your doctor for a referral or check with the local medical schools or hospitals to find out who is qualified to conduct 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 specific areas of life. This includes relationships, school and work. There are many reasons to be concerned about not performing well in school or at work, or having trouble making and maintaining relationships, or being forgetful or unorganised. It is crucial to talk about these problems openly and not hold back from fear of being criticized. There are many different healthcare professionals who can carry out an ADHD assessment from GP's to consultants psychiatrists. However, in order to provide a formally recognised diagnosis of ADHD the assessment must be done by a qualified Psychiatrist, or Prescriber Qualified Specialist Nurse. Only a Psychiatrist can prescribe medication for ADHD. You are usually questioned during an ADHD assessment, and it is important to bring someone from your family to offer support or evidence. It is also helpful to write down your symptoms and how they have affected your life. The doctor will ask questions to collect information about your background and your current functioning. They will also conduct an examination to determine if there are any medical conditions that could be responsible for your ADHD symptoms. You can also access an adult adhd private diagnosis through the NHS however, it could take an extended time due to the clogged NHS waiting lists. Some people prefer paying out of pocket for a private treatment or assessment via the “Right to Choose” pathway is easier. But, it is important to remember that the quality of treatment offered by private providers is a lot different and it is vital to choose your provider carefully. Medication It is a good thing to get a comprehensive and thorough assessment if are experiencing ADHD symptoms as you age. This will allow you to get the right medication and assistance you require to manage your symptoms. There are many private providers that offer this service. If private adhd assessment choose to go with one of them, it is essential that you research the reputation of the psychiatrist, their training, and their experience in dealing neurodevelopmental disorders. In recent months, a number of public figures have opened up about their struggles with ADHD. Sue Perkins, the host of Great British Bake Off, was diagnosed with ADHD in her 50s. She stated that this diagnosis “made everything seem to make sense”. However, despite the an increase in awareness, NHS waiting lists remain overflowing with people who want a proper diagnosis and treatment. To avoid this, doctors often are reluctant to refer patients to specialist services to obtain an individual ADHD diagnosis. This is due to the fact that they lack the time and in certain instances they may not be able to locate a doctor who is skilled in neurodevelopmental disorders. In certain areas, this is exacerbated by the fact that NHS staff may be tasked with other care needs such as mental health assessments. There are those who believe that private companies offering ADHD assessments are unable to accurately diagnose people suffering from the condition. This could result in devastating effects for certain. This issue was highlighted by the BBC Panorama program and there is an urgent need to improve accessibility for ADHD assessments. If you've been diagnosed as having ADHD, you can treat it using a combination behavioural therapy and medication. Stimulant medications like amphetamine and methylphenidate can be utilized to boost focus and productivity, while non-stimulants that are slower-acting like atomoxetine can be useful for improving the ability to concentrate and control impulses. Some patients prefer to employ behavioural therapy and do not require medication. Priory can put together an after-diagnostic care plan for patients who require medication. This includes a detailed medical report, as well as a titration for the final dosage, which can be shared with your GP. Post-diagnostic care A diagnosis of ADHD can have significant financial and human costs. It is important to provide a psychiatric evaluation and treatment program for all adults suffering from ADHD. This should include medication, psychological and practical assistance and family therapy if needed. This should include both workplace and family information on how to best support and manage an adult suffering from ADHD. The first step is to interview with a mental health professional who is certified to evaluate ADHD and other related disorders. Patients must bring a list of their symptoms as well as any other mental health concerns they may have to their first appointment. The interview will cover the patient's medical, psychiatric and family history. It will also discuss the impact of ADHD on the individual's daily life and relationships. During this process the doctor will ensure that the symptoms are consistent with the criteria for ADHD as defined in the Diagnostic and Statistical Manual of Mental Disorders. The symptom has to be present in two different settings of the individual's life (either at home or at work). It should affect the person's normal functioning, and cause a lot of distress. This can be in the form of a problem finding a job or coping with finances or marriage or school issues, or their general quality of life. There are a range of professionals who perform an assessment for ADHD that includes Psychologists and Psychiatrists. Psychologists are trained in the function of the brain, but they are unable to prescribe medications. They are able to provide counseling. Psychiatrists can diagnose and treat ADHD and prescribe medication when necessary. If the Psychiatrist determines that the patient with ADHD is in need of medication they will prescribe the medication and send it to the local pharmacy. This is done under the supervision of the Psychiatrist and should be completed within three months of the private assessment to ensure that the person is able to be adjusted to their final dosage of medication. If the GP is willing to continue NHS prescribing after the private ADHD assessment the Psychiatrist will provide them with a complete report and treatment recommendations and will create an Shared Care Agreement with the GP.