How to Get a Private ADHD Diagnosis
A psychiatric evaluation is required to diagnose ADHD. This will be conducted by a psychiatrist, or an expert ADHD nurse.
It can be a long process, as the old school records might need to be supplied. However, you can bypass the wait and get private assessments by registering directly with an online ADHD clinic.
What is a private appraisal?
A private assessment of ADHD is a session where you meet with an expert to discuss your symptoms, as well as how they impact your life. It usually lasts two sessions and is more comprehensive than an NHS assessment of psychiatric disorders. The process will involve an in-depth clinical interview with an expert who will examine your symptoms from childhood through adulthood. They will also determine if there are other neurological or mental health issues that could cause your symptoms. They will examine different areas of functioning, like relationships or work. They will ask you to give examples of your symptoms and how they affect your life.
It is worth bearing in mind that the diagnosis of ADHD isn't a straight forward one and many people who are told that they have the condition have a mixed diagnosis. Inattention and hyperactivity as well as impulsivity are the three primary symptoms. In adults, hyperactivity usually looks different from the boisterous hyperactivity that is common in children. It can be characterized by the feeling of being constantly distracted or in constant motion. Inattention may also manifest as a difficulty in concentrating on tasks, staying organized or sitting for long periods of time.
If you decide that medication might be beneficial to your symptoms, you will need to get an official 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 psychiatrist for assessment.
If your GP refuses to refer you to a specialist, or cannot offer you an immediate appointment you might want to change your GP. If this is the case, it might be worthwhile changing 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 make an appointment directly with a private psychiatric provider using the NHS system or independently. Some providers might not require a referral letter from your GP however, the majority do. Check with your chosen provider prior to booking.
How can I get an assessment in private?
ADHD is a complicated mental disorder that affects the function of brain processes such as motivation, working memory and attention. Adults may have difficulties coping with the condition, which can cause issues in many areas. A personal ADHD assessment can help you understand the impact the symptoms have on your life, and identify how to manage these symptoms.
There are several providers who will conduct an ADHD assessment for the NHS. You have the option of exercising your right to choice (RTC) when you ask your GP to refer to one of these providers. If your GP refuses to do so, it may be worth finding another GP who is willing.
Typically an assessment will be performed by a psychiatrist or specialist nurse (or other appropriate healthcare professional according to NICE guidelines). These are the only professionals who can diagnose ADHD. In the majority of cases the ADHD assessment will include questionnaires and a consultation with a doctor in person or via video call. The typical time is 45-90 minutes.
You will be asked about your current issues as well as your previous struggles in your early years if you are an adult. A healthcare expert will determine if exhibit any of the traits that are associated with ADHD such as inattention, hyperactivity, and the tendency to be impulsive. You will be asked for instances of when you've shown these characteristics. The healthcare private adhd assessment professional will then use these to make a diagnosis and recommend treatments.
If you are struggling with a chronic illness and don't want to wait for a referral from the NHS getting a private assessment may be recommended. It is important to remember that a private diagnosis does not mean you can automatically be prescribed medication by your GP. You'll have to discuss the issue with them If you decide to take medication, you must consider a shared-care arrangement with your GP.
You can find a list here of providers if your GP in England will recommend 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 ways to get an ADHD assessment. The NHS has a process known as 'Right to Choose' where you can request your GP for a referral to one of the specialist doctors that are on their list. This could cut down the wait time considerably. Private providers can also offer rapid diagnosis.
It is recommended to find a psychiatrist with experience in adult ADHD. It may take some time to locate one, since they are difficult to come by. Some will insist on an GP referral letter before they will see you for an examination however, this isn't always necessary.
Psychiatrists can provide an evaluation of your symptoms, but will not be able to prescribe medication for you. Other mental health professionals, such as Psychologists, can help you manage your symptoms. However they cannot provide a formalised diagnosis of ADHD that is required to qualify for support services such as Disabled Students' allowance or reasonable adjustments at the workplace.
A specialist Psychiatrist will be able determine and explain your symptoms. They will also evaluate whether they are a result of ADHD and will take into consideration any other mental health issues you might have. It is crucial to be honest and open with your Psychiatrist to ensure they can give you the best treatment possible.
You'll need to pay for your evaluation. If you're diagnosed with ADHD it could be possible to obtain medication through a shared-care agreement with your GP. (You'll still need to pay the NHS prescription fee). We suggest speaking with your GP regarding a private diagnosis before booking an appointment. This will allow them to be aware of what you're doing and will give their consent should it be required.
Joining a support group can be another way to connect with other adults who suffer from ADHD and gain insight from their experiences. They can be very helpful, comforting and encouraging. You can find online groups via Facebook and Reddit or local groups in person.
Are private assessments valid?
Recent BBC Panorama investigation has caused controversy regarding claims that private clinics provide a faulty diagnosis. A reporter undercover visited three private ADHD assessment centers and was diagnosed with the condition by all of them, despite the fact that he did not have ADHD. The report claimed that the assessments were made in a hurry, and didn't take into account the full spectrum of symptoms or the impact ADHD affects people's everyday lives. The report also raised concerns regarding patients who aren't eligible for NHS assessments and have to pay out of pocket to receive a diagnosis or a medication.
It is true that doctors will often refer you for an ADHD evaluation with one of the major private companies (such as Priory) but they usually inform you that there is likely to be a waiting time. The waiting period differs from one provider to the next and is usually six weeks. It is advisable to investigate the provider thoroughly and ask family and friends members for word of mouth recommendations. If you select a reputable and experienced company you'll likely experience an easier time waiting than if you go to your GP.
In the course of the evaluation an evaluator will, albeit subjectively examine whether your ADHD symptoms are causing significant impairment to your daily functioning. They will want to rule out other reasons, like anxiety, depression, or thyroid issues. They will usually require evidence from a family member (sometimes by filling out forms regarding your childhood) and school reports if required. This is a stressful process, especially for those with complicated family circumstances or who cannot find their school records from their childhood.
After you have been evaluated and diagnosed with ADHD by a qualified healthcare professional you will be eligible to apply for disability support through your local authority. However, you must be aware that the majority of GPs will refuse to sign a document called an agreement for shared care in the event that you were diagnosed privately and haven't also been fully titrated into your final dose of medication. This is due to the fact that GPs aren't qualified to diagnose and treat adults with ADHD.