How to Get a Private ADHD Diagnosis
If you want to be diagnosed with ADHD, a psychiatric assessment will need to take place. This will be conducted by a psychiatrist or an expert ADHD nurse.
This can be a lengthy procedure, since the old school records might need to be supplied. However, you can skip the wait and get an assessment in private by making an appointment directly through an online ADHD clinic.
What is an assessment that is private?
A private assessment for ADHD is a meeting with a specialist to discuss your symptoms and how they affect your life. It usually takes two sessions and is more thorough than an NHS psychiatric evaluation. The process involves an in-depth clinical interview with an expert, and they will look at your symptoms from your early years to your adulthood. They will also look into whether there are other neurological or mental health issues that could cause your symptoms. They will examine different areas of functioning, such as work or relationships and will ask you to provide examples of your symptoms and how they affect your life.
It is important to keep in mind that a diagnosis of ADHD is not a straight straightforward one. Many people who are told they have the condition have a mixed diagnostic picture. Inattention and hyperactivity as well as impulsivity are the three primary symptoms. In adults, hyperactivity often appears different from the raunchy hyperactivity that is seen in children. It could be present as restlessness or constantly rushing around. Inattention can also manifest as a difficulty in concentrating on tasks, organising or sitting down.
If you decide that medication would be beneficial to your symptoms, you will require a formal diagnosis from a psychiatrist. This will allow you to receive reasonable adjustments as well as Disabled Student Allowance. This can be accomplished by asking your GP to refer you to a psychiatrist for assessment.
You may find that your GP does not want to refer you to a specialist or provide you with an appointment right away. You may want to think about changing GPs if this is the situation. The Psychiatry UK website provides more information on how to make your decision.
You may also be able book an appointment with a private psychiatrist on your own through the NHS or independently. Most of these providers will require a referral letter from your GP but some don't and you should be sure to inquire with the chosen provider prior to booking.
How do I obtain a private evaluation?
ADHD is a complex mental disorder that affects brain functions like motivation as well as working memory and attention. Adults may struggle to cope with the condition, which can create problems in many areas. A private ADHD assessment can aid you in understanding the impact of these symptoms on your daily life and be useful in identifying how they could be managed.
There are a variety of providers who will conduct an ADHD assessment for the NHS. You can exercise your right to choice (RTC) if you ask your GP to refer you to one of these providers. If your GP refuses to make this request, you may want to find another GP willing to do it.
The majority of assessments are carried out by a psychiatrist, or specialist nurse (or any other healthcare professional who is appropriate in accordance with NICE guidelines). This is because they are the only professionals who are able to diagnose ADHD. In most cases, the ADHD evaluation will involve questionnaires and a meeting with a clinician, either in person or over video calls. iampsychiatry.uk is 45-90 minutes.
If you are an adult you will be asked about your current difficulties as well as your past struggles since childhood. The healthcare professional will then examine whether you exhibit any of the characteristics associated with ADHD hyperactivity, inattention and an impulsive nature. You will be asked to give examples of instances where you have demonstrated these traits. The healthcare professional can then make use of this information to diagnose and recommend treatments.
If you're struggling with a chronic illness and aren't willing to wait for an appointment from the NHS seeking a private assessment may be advisable. It is important to remember that a private assessment does not necessarily mean that your GP will prescribe medication. It is still necessary to discuss this with them, and if you decide to test medications it is recommended that you seek a shared care agreement with your GP.
You can see a list of providers if your GP in England is willing to recommend you for an ADHD assessment to an NHS provider. Some of these providers provide online assessments and have much shorter waiting times.
How do I get a private diagnosis?
There are a number of ways to obtain an ADHD assessment. The NHS offers a procedure called "Right to Choose" where you can request your GP for a referral to any of the specialist providers on their list. This could cut down the wait time considerably. Private providers can also provide a quick diagnosis.
In general, it's recommended to seek out a specialist psychiatrist with experience of adult ADHD. It might take a while to locate one, since they are difficult to find. Some will require an GP referral letter before they can see you for an assessment however this is not always required.
Psychiatrists are able to provide an assessment of your symptoms, but will not be able to prescribe medication for you. Other mental health professionals, including Psychologists, can help manage your symptoms. However, they are not able to give a formal diagnosis of ADHD that is required to be eligible for support services such as Disabled Students' Allowance or reasonable adjustments in the workplace.
An expert Psychiatrist can identify and explain your symptoms, determine whether they are consistent with ADHD and look into any other mental health issues that you may have. It is crucial to be open and honest with your Psychiatrist so they can provide you with the best possible treatment.
You will need to pay for your evaluation. If you are diagnosed with ADHD it might be possible to get medication through a shared-care agreement with your GP. (You'll still have to pay the NHS prescription fee). If you're thinking about paying for a private diagnosis, we would advise you to talk with your GP before you book an appointment so they know what you're doing and give their consent, should they be required.
Joining a support group can be another way to connect with others who have ADHD and gain knowledge from their experiences. They can be very supportive, comforting and motivating. You can find online groups via Facebook and Reddit or local in-person groups.
Are private assessments valid?
A recent BBC Panorama investigation has sparked controversy over the assertion that private clinics are giving out inaccurate diagnoses. A reporter undercover visited three private ADHD assessment providers, and was diagnosed by all of them with ADHD even though they did not have ADHD. The report claimed that the assessments were not thorough and did not take into consideration the full spectrum of symptoms or the impact ADHD can have on people's daily lives. It also raised concerns that patients who are not qualified for NHS assessments have no choice but to pay out of their own pockets to receive a diagnosis and medication.
It is true that GPs may suggest you to have an ADHD assessment through one of the most prominent private companies (such as Priory) however they will typically advise you that there will likely be a waiting period. The waiting time is different from one company to the next and is usually six weeks. It is recommended to investigate the provider thoroughly and ask friends and family members for suggestions. If you select a reputable and experienced company, you'll probably have an easier time waiting than if you visit your GP.
During the assessment your psychiatrist will evaluate, subjectively, whether your ADHD symptoms are causing a significant impact on your daily functioning. They will want you to rule out other causes, like depression or anxiety. If necessary, they will ask for additional evidence from family members (sometimes by filling out forms regarding your childhood). This can be a stressful procedure, especially for those with more complex family circumstances or those who haven't been successful in finding their school records from childhood.
After you have been diagnosed with ADHD by an accredited healthcare professional you may request disability benefits from your local authority. But, be aware that a majority of GPs are not willing to sign a document known as a shared care agreement if you have been diagnosed privately and have not had a complete titration into your final dose of medication. This is because doctors are not trained to diagnose and treat adults suffering from ADHD.