How to Get a Private ADHD Diagnosis
If you'd like to be diagnosed with ADHD an assessment of psychiatric disorders is required. The test will be conducted by a psychiatrist or specialist ADHD nurse.
It's a procedure that may involve some red tape, such as the need for old school reports to be provided. You can get rid of the wait by booking an appointment for a private ADHD assessment directly through an online ADHD center.
What is a private assessment?
A private assessment of ADHD is a consultation where you sit down with an expert to discuss your symptoms and how they impact your life. It typically requires two sessions and is much more comprehensive than an NHS psychotherapy evaluation. The process consists of a structured interview with an expert who will look at your symptoms from childhood through adulthood. They will also consider if there are any other neurological or mental health issues that could cause your symptoms. They will ask you about your symptoms in various areas, such as at work or in relationships.
It is important to keep in mind that the diagnosis of ADHD is not an easy up and down one. A lot of people who are told that they are suffering from the condition have a mixed diagnosis. It is essential to keep in mind that the three main symptoms are hyperactivity, inattention and an impulsive nature. Adult hyperactivity is usually different from the raucous hyperactivity that is seen in children. It can manifest as restlessness or a constant flurry of activity. Inattention can also manifest as difficulties in focusing on tasks, organising or sitting down.
If you think that medication could aid in your symptoms, a psychiatrist's official diagnosis is required. This will help you access reasonable adjustments and Disabled Student Allowance (DSA). This can be done 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 in this situation. The Psychiatry UK website has 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 privately. The majority of these providers require a referral letter from your GP but some don't and you should make sure to check with the provider you choose prior to making an appointment.
How can I get an individual evaluation?
ADHD is a complex mental condition that affects the function of brain processes such as motivation, working memory and attention. Adults may have difficulties coping with the condition, which can create problems in many areas. A personal ADHD assessment will help you understand the impact that these symptoms can have on your life, and determine how you can manage these symptoms.
There are a variety of providers who will carry out an ADHD assessment on behalf of the NHS. You can assert your right to select (RTC) by asking your GP to refer you to one of these providers. If your GP refuses to do so it might be worthwhile to find another GP who is willing to.
A specialist nurse or psychiatrist typically conducts the assessment (or an appropriate healthcare professional, as per NICE guidelines). This is because they are the only professionals who can diagnose ADHD. In most cases the ADHD evaluation will involve questionnaires and a meeting with a clinician, either in person or via video calls. This usually takes 45-90 minutes.
You will be asked about your current health issues and your past difficulties since childhood if you are an adult. The healthcare professional will examine whether you exhibit any of the symptoms that are characteristic of ADHD - inattention, hyperactivity and impulsivity. You will be asked for instances where you showed these characteristics. The healthcare professional will then utilize this information to determine the cause and recommend treatment options.
If you're struggling with an ongoing condition and do not want to wait for an appointment with the NHS seeking an assessment privately is recommended. It is important to know that the results of a private assessment do not necessarily mean that your GP will prescribe medication. You'll have to discuss the issue with them and, if you choose to take medication, you should negotiate a shared-care agreement with your GP.
If you have a doctor in England who is happy to refer you to an NHS provider for an ADHD assessment, you can find a list of providers here. Some of these providers provide online assessments and have shorter waiting times.
How do I get a private diagnosis?
There are many methods to receive an ADHD evaluation. The NHS offers a procedure called 'Right to Choose' where you can ask your GP for a referral to one of the specialist doctors that are on their list. This can reduce the waiting time significantly. There are private practitioners who can diagnose quickly.
In general, it's recommended to seek out an expert psychiatrist with expertise in adult ADHD. However, it may take a while to find one as they are not easily accessible. Some will insist that you have an GP referral letter before they will see you for an assessment however, this isn't always required.
Psychiatrists can offer an assessment of your symptoms, but they are not able to prescribe medication for you. Other mental health professionals, such as Psychologists, can help you manage symptoms. However, they are not able to provide a formalised diagnosis of ADHD that is required to be eligible for support services such as Disabled Students' Allowance or reasonable adjustments in the workplace.
A Psychiatrist who is experienced is able to diagnose and explain your symptoms. They will also determine whether your symptoms are consistent ADHD and take into account any other mental health issues you may have. Your Psychiatrist is able to provide you with the best treatment if your open and honest.
You'll have to pay for the exam, but if you are diagnosed with ADHD it could be possible to obtain medication through a shared-care agreement with your GP (you'll have to have to pay the NHS prescription fee). If you're considering paying for a private diagnosis, we would recommend you speak with your GP prior to scheduling an appointment, so that they know what you're doing, and give private adhd assessment their approval should they be required.
It is also worthwhile to consider joining a support group to meet others with ADHD and share their stories and solutions. They can be extremely helpful, encouraging and reassuring. You can find online spaces on Facebook and Reddit and also look for local groups in person.
Are private assessments valid?
A recent BBC Panorama investigation has sparked controversy over claims that some private clinics are distributing inaccurate diagnoses. An undercover reporter visited three private ADHD assessment centers and was diagnosed with the condition by all of them, despite the fact that he didn't have ADHD. The report suggested that these assessments were rushed and did not take into consideration all the signs or impact of ADHD on people's lives. It also raised concerns that some patients who are not 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 GP will refer you to one of the leading private companies for an ADHD assessment (such as Priory) however, they will tell you that there is a waiting time. This varies from provider to provider, but is typically about six weeks. Ask your family and friends for recommendations and conduct thorough research about the provider. Picking a reputable, experienced company will probably mean you'll have an easier time waiting than if you go through your GP.
During the assessment the psychiatrist will, in a way determine if your ADHD symptoms cause significant impairment to your daily functioning. They will try to rule out other reasons, like depression, anxiety or thyroid problems and will typically ask you to supply supporting evidence from a family member (sometimes by filling in forms about your childhood) and school reports if required. This can be a difficult process, particularly for those who have more complicated family situations or those who haven't been successful in finding their school records from childhood.
Once you have been assessed and given a diagnosis of ADHD by a qualified health professional you will be able to apply for disability support through your local authority. However, you should be aware that a majority of GPs are not willing to sign a document called an agreement for shared care if you have been diagnosed privately and haven't had a complete titration into your final dose of medication. This is because doctors lack the knowledge to evaluate adults for ADHD and prescribe medication.