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Getting a Private Diagnosis For ADHD Communication is a challenge for people who suffer from ADHD, especially with co-workers and supervisors. This can make it hard for them to be successful at work and school. GPs may refer patients to private practitioners for an ADHD assessment. But, it's essential to check that your GP will sign an agreement for shared care before you proceed. The Assessment In the UK there are many adults who suffer from ADHD opt to have their assessment and medication prescribed privately due to long NHS waiting times. Panorama's investigation has revealed that not all private clinics adhere to regulations and may give incorrect diagnoses. Psychiatrists are the only medical professionals who are able to diagnose ADHD and prescribe medications for adults. Counsellors and other mental health professionals cannot diagnose ADHD. The majority of private assessment companies will require you to fill in a series of forms and questionnaires before your appointment, which they will review in advance of your meeting. It is important to take these forms with you and in the event of a need you have any other documents or information that could be useful. If you were referred by your GP to them, you should also bring these documents with you. After your psychiatrist has completed your questionnaire after which they will schedule an appointment with your to discuss the results and findings. Bring a list with your symptoms (and any evidence), as this will aid them in making an assessment. They will also talk to you about your current life and how ADHD has affected it to date. They might suggest you talk to your closest friend or family member about your problems and the impact they have on your daily routine. During this time your psychiatrist will talk with you about whether they believe that you might have ADHD and what the best treatment options are for you. If they feel you do have ADHD, you will receive an official report that outlines their findings. They will talk about this with you and determine whether you should report your diagnosis to your GP so that they are on the same page about your condition, treatment and management. You should discuss this report with your GP should you wish them to prescribe medication as part of a Shared care agreement with your psychiatrist. It is also an excellent idea to inform the DVLA when you've been diagnosed with ADHD since it could affect your driving ability. Diagnosis If you're thinking about receiving a diagnosis privately, it's important to understand what the procedure involves. You'll likely see a psychiatrist or psychologist for the assessment, since they are the only healthcare professionals certified to diagnose ADHD in the UK. The assessment will include a thorough examination of your symptoms and how they impact your life. Your mental health professional might also ask you about your family background and any other issues that you are dealing with. Your doctor will examine your present symptoms and compare them with the criteria for ADHD in adults set by the American Psychiatric Association. For example, he or will determine if you are having trouble paying attention or following directions and the extent to which your hyperactivity is causing difficulties in keeping up with tasks. Your specialist will also need to know whether you have had trouble with these symptoms since childhood. This could mean asking your parents or teachers for information about the time when these issues first started to manifest. The doctor will conduct a series of tests to help identify whether you exhibit symptoms of ADHD like the QbCheck. They will also conduct a medical interview and ask you to complete several other tests. It could take up to two sessions. During your interview, you will be asked to provide examples of how your symptoms impact your daily life. The psychiatrist or psychologist may ask about your family history and other issues that you face, like depression. It's important to choose the right therapist for your assessment. A reputable facility, such as Harley Psychiatrists in London, will use a comprehensive assessment to determine if you have ADHD. They will also offer an array of treatment options. There is a possibility that private clinics are diagnosing patients with ADHD too quickly, without conducting a thorough assessment. The BBC's Panorama programme recently exposed an office that diagnosed a patient as having ADHD following a video conference and provided him with powerful medication. A private diagnosis won't be accepted by the NHS. Your GP won't sign a contract to transfer your medication treatment from NHS to your physician. This is because a lot of GPs lack the knowledge, skills, and experience to diagnose ADHD. Medication The process of obtaining an adult diagnosis of ADHD is complicated and requires gatekeepers. These people's knowledge and attitudes can make or break the person's ability to receive treatment. You may want to consider the possibility of a private diagnosis if you're GP is unable to refer you to an NHS ADHD assessment or if you're unhappy with the time it takes to wait. Private assessments can cost up to PS800. They consist of an interview, a questionnaire with a psychiatrist and the report. Some people find the expense prohibitive, however you can sign an agreement to share care with your doctor that permits you to pay NHS prescription charges and see a private doctor for medication. There is a concern however, that certain private practitioners over-diagnose ADHD, particularly through online clinics. A recent BBC Panorama 'expose' highlighted several instances in which online assessments were not properly conducted. People who are dependent on alcohol or drugs often show symptoms that are similar to ADHD. These are called comorbid symptoms and may be characterized as anxiety, depression, or substance use disorder. It is essential to undergo an evaluation and diagnosis of psychiatric disorders prior to taking stimulants (methylphenidate and amphetamines) to treat the condition. These are class B drugs and could cause serious health issues if not used as directed. They also carry a significant risk of addiction. Many people who have an antecedent of drug or alcohol use can reduce their symptoms by altering their environment, delegating tasks and taking assistants. It is vital to remember that these methods cannot replace an evaluation of psychiatric condition and a formalised diagnosis for workplace protections under the Equality Act. Psychologists and counsellors can provide 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 have a valid medical registration. Some individuals are not diagnosed with ADHD because the GP feels that they don't meet the criteria or is thought that another diagnosis is more suitable to explain the person's difficulties. It's not necessarily a negative thing, but can be a source of frustration when symptoms are troubling or impact your daily routine. Therapy A private diagnosis of ADHD doesn't mean that therapists can be less strict or abide by the rules than if they worked within NHS guidelines. Patients who receive treatment privately must still undergo a comprehensive assessment which must be conducted in accordance with the highest standards of practice and National Institute of Clinical Excellence guidelines. If diagnosing adhd adults working for a private clinic is found to be exaggerating the diagnosis of ADHD It is likely that they will be reprimanded by the appropriate authorities. Many adults suffering from ADHD benefit from cognitive behavioral therapy (CBT) as well as mindfulness techniques. Therapists collaborate closely with their clients to overcome challenges and develop strategies which can improve life and reduce the effects ADHD symptoms. This can be accomplished in person or via video conference, depending on where the client is located. CBT aims to identify the bad habits and teach healthy coping techniques. These can include procrastination and poor time management, and difficulty staying focused, all of which are symptoms of adult ADHD. Therapists work with clients on strategies that help reduce symptoms and help them create a supportive environment. Many adults who are diagnosed with adult ADHD are happy to know the reason for their issues. However, they might find that their diagnosis brings up lots of emotions that are difficult to handle. There are many support groups for those who require them. If you're interested in receiving treatment for their ADHD symptoms A mental health professional can provide them with a treatment plan that includes medication and psychotherapy. The medication can aid in improving a patient's concentration, prevent them from losing things and allow them to stay still for longer periods of time so that they can learn new skills and pay attention to their surroundings. In some instances psychiatrists may prescribe stimulants like methylphenidate for people who are suffering from ADHD symptoms.