How to Get a Private ADHD Diagnosis
A psychiatric examination is required to determine ADHD. This will be performed by a psychiatrist or an expert ADHD nurse.
This can be a lengthy procedure, since documents from school may have to be provided. You can cut down on the waiting time by booking an appointment for a private ADHD assessment directly through an online ADHD center.
What is an assessment that is private?
A private assessment of ADHD is a session where you meet with an expert and discuss your symptoms, as well as how they impact your life. It typically lasts two sessions and is more comprehensive than an NHS psychotherapy assessment. The process involves an organized clinical interview with an expert who will evaluate your symptoms from your early years to your adulthood. They will also look at other neurological or mental health issues which could be causing 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 is not an easy up and down one. A lot of people who are told that they suffer from the disorder have a multi-faceted diagnosis. It is important to remember that the three primary symptoms are hyperactivity, inattention and impulsivity. Adult hyperactivity is usually different from boisterous hyperactivity seen in children. It can manifest as a lack of sleep or a constant flurry of activity. In addition, inattention can be a sign of difficulty sitting still and being organised or having difficulty focusing on tasks and forgetting things easily.
If you decide that medication could be beneficial to your symptoms, you will need to get a formal diagnosis from a psychiatrist. This will enable you to get reasonable adjustments and Disabled Student Allowance (DSA). This can be done by asking your GP to refer you to a psychiatric assessment.
You might find your GP isn't keen to refer you, or doesn't offer you an appointment immediately. If this is the case, it could be worth switching GPs and you can find more information about how to make use of your right to choose on the Psychiatry-UK website.
You might also be able to book an appointment directly with a private psychiatric provider, either through the NHS system or privately. Some providers may not require a letter of recommendation from your GP but the majority of them do. Check with your chosen provider prior to booking.
How can I get a private assessment?
ADHD is a complicated mental illness that affects brain processes like motivation, working memory and attention. It can cause issues in a wide range of areas for adults and can be challenging to live with. A private ADHD assessment will help you to understand the impact of these symptoms on your life and could be useful in identifying ways to manage them.
There are a number of providers who can conduct an ADHD assessment on behalf of the NHS. You can exercise your right to select (RTC) by asking your GP to refer you to one of these providers. If your GP is unable to refer you to a provider you might want to find a different GP willing to do it.
Typically an assessment will be conducted by a psychiatrist or specialist nurse (or any other healthcare professional who is appropriate, as per NICE guidelines). This is due to them being the only people who can diagnose ADHD. In the majority of cases, an ADHD assessment will consist of questionnaires as well as a clinic interview either in person or via video chat. The typical time for this assessment is 45 to 90 minutes.
If you are an adult and are a patient, you will be asked questions regarding your current problems and also your history since childhood. The healthcare professional will consider whether you have any of the characteristics that are associated with ADHD - inattention, hyperactivity and an impulsive nature. You will be asked to provide instances where you showed these characteristics. The healthcare professional will then employ these to determine an assessment and suggest treatment options.
If adhd private assessment struggling with a chronic condition and don't want to wait for an appointment from the NHS getting a private assessment may be recommended. It is important to remember that a private assessment does not necessarily mean that your GP will prescribe medication. You'll need to discuss it with them and, if you choose to take medication, you should negotiate a shared-care agreement with your GP.
You can see a list of providers if your doctor in England is willing to refer you for an ADHD assessment to an NHS provider. Some of these providers offer assessments online and have shorter waiting times.
How do I get a private diagnosis?
There are several methods to receive an ADHD evaluation. The NHS provides a "Right to choose" process where you can request a referral from one of the specialists on their list. This can drastically reduce the time it takes to wait. There are private practitioners who can diagnose quickly.
It is advisable to find a psychiatrist with experience in adult ADHD. It may take some time to find one, as they can be difficult to come by. Some will insist that you have a GP referral letter before they can see you for an examination however this is not always required.
Psychiatrists are able to provide an evaluation of your symptoms, but will not be able to prescribe medication for you. Other mental health professionals, including Psychologists can help you manage your symptoms, but they will not provide you with a legally recognized diagnosis of ADHD that is required to be able to access assistance services such as Disabled Students' Allowance or reasonable adjustments to work.
A Psychiatrist who is experienced can diagnose and explain your symptoms. They will also evaluate whether they are a result of ADHD and take into account any other mental health issues you might have. It is essential to be honest and open with your Psychiatrist so they can give you the most effective treatment.
You will need to pay for your evaluation. If you're diagnosed with ADHD it may be possible to receive medication through a shared-care agreement with your doctor. (You'll still need to pay the NHS prescription fee). We suggest speaking to your GP about the possibility of a private diagnosis prior to making an appointment. This will allow them to be aware of what you're doing and will give their consent should it be required.
Participating in a support group is another way to connect with other adults with ADHD and gain insight from their experiences. They can be incredibly helpful, encouraging and reassuring. You can find online spaces on Facebook and Reddit, or check out local groups that meet in person.
Are private assessments valid?
A recent BBC Panorama investigation has sparked controversy over claims that private clinics are giving out unreliable diagnoses. An undercover reporter went to three private ADHD assessment providers and was diagnosed with the condition by all of them, even though the patient did not have ADHD. The report stated that these assessments were made in a hurry, and did not take into consideration the entire spectrum of symptoms or the impact ADHD affects people's everyday lives. It also raised concerns that some patients who aren't eligible for NHS assessments are forced to pay out of their own pocket to receive a diagnosis and medication.
There is no doubt that your doctor will recommend one of the largest private companies to conduct an ADHD assessment (such as Priory) However, they will inform you that there is a waiting period. The waiting time is different from one company to the next and is usually six weeks. Ask your family and friends for recommendations and conduct extensive research on the company. Selecting a reputable and experienced firm will likely mean that you'll have a shorter wait than if you choose to go through your GP.
In the course of the evaluation the psychiatrist will, albeit subjectively determine if your ADHD symptoms are causing significant impairment to your daily functioning. They will ask you to rule out any other reasons, such as anxiety or depression. If necessary they will seek additional evidence from family members (sometimes by filling out forms regarding your childhood). This can be a stressful experience particularly for those with complex family situations or who cannot find their school records from childhood.
Once you've been assessed and diagnosed with ADHD by a qualified health professional you will be eligible to apply for disability support with 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 haven't also been fully titrated into your final dose of medication. This is because GPs are not qualified to diagnose and treat adults suffering from ADHD.