How to Get a Private ADHD Diagnosis
If you want to be diagnosed with ADHD, a psychiatric assessment will need to take place. The test will be conducted by a psychiatrist or specialist ADHD nurse.
It's a process that can require some red tape for example, the need for old school reports to be supplied. However, you can bypass the wait and get private assessments by registering directly through an online ADHD clinic.
What is a private evaluation?
A private assessment for ADHD is a consult with an expert who will discuss your symptoms and how they impact your life. It typically lasts two sessions and is more comprehensive than an NHS psychotherapy assessment. The procedure involves an organized interview with an expert who will look at your symptoms from childhood to adulthood. They will also look at other issues with your mental health or neurological issues that could be contributing to your symptoms. They will ask you about your symptoms in different areas, like at work or in relationships.
It is important to keep in mind that a diagnosis of ADHD isn't a straight forward one and many people who are told they are suffering from the condition have a mixed diagnosis. Inattention and hyperactivity as well as impulsivity are the three primary symptoms. Adult hyperactivity is usually different from the raucous hyperactivity that is seen in children. It can manifest as restlessness or a constant race. In the same way, inattention may be a sign of difficulty staying still and being organized or having difficulty focusing on tasks and forgetting things easily.
If you think that medication could alleviate your symptoms, a psychiatrist's official diagnosis is required. This will allow you to receive reasonable adjustments and Disabled Student Allowance. This can be done by asking your GP to refer you to a psychiatrist for assessment.
If your GP refuses to refer you or cannot offer you an appointment within a short time You may wish to change GPs. You may want to think about changing GPs if this is the situation. The Psychiatry UK website provides more information on how to exercise your choice.
You might also be able book an appointment directly with a private psychiatric practitioner via the NHS system or privately. Some providers do not require a referral letter from your GP, but most will. Check with your chosen provider prior to making an appointment.
How can I get an individual evaluation?
ADHD is a nexus of mental condition that affects brain processes like motivation, working memory and attention. Adults can have difficulty coping with the condition, which can lead to issues in many areas. A private ADHD assessment can aid you in understanding the impact of the symptoms on your life and could be useful in identifying the best ways to treat them.
There are a variety of providers who can conduct an ADHD assessment on behalf of the NHS. You are able to exercise your right to choice (RTC) when you ask your GP to refer to one of these providers. If your GP refuses to refer you to one it might be worth finding another GP who is willing.
Typically, an assessment will be carried out by a psychiatrist, or specialist nurse (or any other healthcare professional who is appropriate in accordance with NICE guidelines). These are the only professionals who can diagnose ADHD. In most cases the ADHD evaluation will involve questionnaires and a medical interview, either in person or via video calls. It will typically last 45 to 90 minutes.
If you are an adult you will be asked questions about your current difficulties and also your history since childhood. The healthcare professional will examine whether you exhibit any of the symptoms associated with ADHD - inattention, hyperactivity and the tendency to be impulsive. You will be asked to provide examples of times when you showed these characteristics. The healthcare professional will use this information to diagnose and recommend treatments.
If you're struggling with a chronic illness and do not want to wait for an appointment from the NHS seeking an assessment privately is advisable. It is important to know that an assessment conducted privately does not automatically mean your GP will prescribe medication. You'll have to discuss the issue with them and, if you choose to take medication, you must seek a shared-care agreement with private adhd assessment your GP.
You can find a list here of providers if your GP in England is willing to refer you for an ADHD assessment to an NHS provider. Some of these companies offer online assessments and have shorter waiting times.
How do I get a private diagnosis?
There are many ways to get an ADHD assessment. The NHS has a process called 'Right to Choose' where you can ask your GP for a referral to one of the specialists that are on their list. This will reduce the time to wait substantially. Private providers can also offer an immediate diagnosis.
It is best to find a psychiatrist with experience in adult ADHD. However, it could take some time to locate one as they are not easily accessible. Some will require an GP referral letter before they can see you for an examination however, this isn't always necessary.
Psychiatrists are able to assess your symptoms, but they are not able to prescribe medication. Other mental health professionals - including Psychologists - can help you manage your symptoms, but they cannot provide you with a formal diagnosis of ADHD which is required to be able to access assistance services such as Disabled Students' Allowance or reasonable adjustments to work.
A Psychiatrist with expertise is able to diagnose and explain your symptoms. They will also assess whether your symptoms are consistent ADHD and consider any other mental health issues you might have. It is essential to be open and honest with your Psychiatrist so they can offer you the best possible treatment.
You'll need to pay for your evaluation. If you're diagnosed with ADHD it might be possible to obtain medication through a shared-care agreement with your physician. (You'll still have to pay the NHS prescription fee). If you're thinking about paying for a private diagnosis, we would suggest you talk to your GP before you book an appointment so they know what you're doing and provide their consent if needed.
Joining a support group is another option to meet other adults with ADHD and learn from their experiences. They can be extremely supportive, comforting and encouraging. You can find online spaces via Facebook and Reddit or local groups in person.
Are private assessments valid?
Recent BBC Panorama investigation has caused controversy over claims that private clinics provide a faulty diagnosis. A reporter undercover went to three private ADHD assessment providers, and was identified by all of them with ADHD despite not having ADHD. The report stated that these assessments were made in a hurry, and didn't take into account the entire spectrum of symptoms or the impact ADHD has on people's daily lives. The report also raised concerns regarding patients who aren't qualified for NHS assessments and are required to pay out-of-pocket to get a diagnosis or medication.
There is no doubt that your physician will recommend you to one of the major private companies to conduct an ADHD assessment (such as Priory) However, they will inform you that there will be a possible waiting time. The time frame for waiting varies from one provider to another and is usually six weeks. It is advisable to study the provider thoroughly and ask your family and friends members for word of mouth suggestions. Selecting a reputable and experienced firm will likely mean that you'll have a shorter wait than if you go through your GP.
During the examination your psychiatrist will evaluate in a subjective manner whether your ADHD symptoms are causing a significant disruption in your daily activities. They will try to rule out any other causes, such as depression, anxiety or thyroid issues. They will usually request evidence from a family member (sometimes by filling in forms regarding your childhood) and school reports, if required. This can be a stressful process particularly for those with more complicated family circumstances or those who have not been in a position to locate their school records from childhood.
Once you've been assessed and given a diagnosis of ADHD by a qualified healthcare professional, you are able to apply for disability assistance at your local authority. Be aware that the majority of GPs aren't likely to sign a contract known as a shared-care arrangement when you were diagnosed privately and you haven't been titrated fully to the dosage. This is because doctors do not have the experience to evaluate adults for ADHD and prescribe medication.