How to Get a Private ADHD Diagnosis
If you'd like to be diagnosed with ADHD an assessment of psychiatric disorders will need to take place. This will be conducted by a psychiatrist or a specialist ADHD nurse.
It's a procedure that may involve some red tape for example, the need for old school reports to be submitted. However, you can skip the line and receive a private assessment by booking directly through an online ADHD clinic.
What is an assessment that is private?
A private assessment of ADHD is a session where you meet with an expert to discuss your symptoms, and how they impact your life. It usually requires two sessions and is much more detailed than a NHS psychotherapy evaluation. The procedure involves an organized interview with an expert who will examine your symptoms from childhood until adulthood. They will also look into whether there are any other neurological or mental health issues that may 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 isn't a straight forward one and many people who are told that they are suffering from the condition have a mixed diagnostic picture. Inattention and hyperactivity as well as impulsivity are the three main symptoms. Adult hyperactivity is often different from the boisterous hyperactivity observed in children. It could manifest as restlessness or a constant race. Similarly, inattentiveness can manifest as difficulty staying still and being organized, or difficulty staying focused and forgetting things easily.
If you decide that medication would be beneficial for your symptoms, you'll require a formal diagnosis from a psychiatrist. 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 psychiatric assessment.
You may find that your GP doesn't want to refer you, or doesn't provide you with an appointment right away. You may want to consider changing GPs in this situation. The Psychiatry UK website provides more details on how to make your decision.
You might also be able make an appointment directly with a private psychiatric practitioner, either through the NHS system or independently. A majority of these doctors will require the referral letter of your GP but some don't however, so make sure to make sure to check with the provider you choose before booking.
How do I obtain an evaluation from a private person?
ADHD is a complicated mental condition that affects the function of brain processes such as motivation, working memory, and attention. It can cause problems in a wide range of areas for adults and can be difficult to live with. A private ADHD assessment can aid you in understanding the impact of these symptoms on your life and can be useful in identifying ways to manage them.
There are a number of providers who will conduct an ADHD assessment on behalf of the NHS. You are able to exercise your right to choose (RTC) by asking your GP to refer you to one of these providers. If your GP is unwilling to refer you to a provider then you may need to find another GP willing to assist you.
A psychiatrist or specialist nurse will usually conduct the assessment (or an appropriate healthcare professional according to NICE guidelines). They are the only professionals who can diagnose ADHD. In the majority of cases the ADHD assessment will involve questionnaires and a medical interview, either in person or over video call. It will typically last 45-90 minutes.
You will be asked about your current health issues as well as your previous struggles since childhood if you are an adult. The healthcare professional will consider whether you have any of the traits that are characteristic of ADHD hyperactivity, inattention and an impulsive nature. You will be asked for examples of instances where you have displayed these traits. The healthcare professional can then make use of this information to diagnose and suggest treatment options.
If you are struggling with a chronic illness and aren't willing to wait for a referral from the NHS getting an assessment privately is advisable. It is important to keep in mind that the private diagnosis does not mean that you will automatically be prescribed medication by your GP. You'll need to discuss it with them If you decide to take medication, you should 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 companies offer assessments online and have shorter waiting times.
How do I get a private diagnosis?
There are many ways to get an ADHD assessment. The NHS has a process known as "Right to Choice" where you can ask your doctor to refer you to one of the specialists on their list. This can reduce the waiting time considerably. Private providers can also offer a quick diagnosis.
In general, it's recommended to seek out an expert psychiatrist with had experience with adult ADHD. It may take some time to find one, as they are difficult to find. Some will insist that you have an GP referral letter prior to seeing you for an examination however, this isn't always necessary.
Psychiatrists are able to assess your symptoms, but they are not able to prescribe medications. Other mental health professionals, including Psychologists - can assist you to manage your symptoms, but they are unable to provide you with a legally recognized diagnosis of ADHD that is required to be able to access assistance services like Disabled Students' Allowance or reasonable adjustments to work.
An expert Psychiatrist will be able to recognize and explain your symptoms, determine whether they're consistent with ADHD, and consider any other mental health issues that you may have. Your Psychiatrist is able to provide you with the most effective treatment if you're honest and forthcoming.
You'll have to pay for the examination, but if you are diagnosed with ADHD it could be possible to receive medication through a shared-care agreement with your doctor (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 before you book an appointment to ensure they are aware of what you're doing and can provide their consent in the event of need.
It is also worthwhile to consider joining a support group in order to meet others with ADHD, private adhd assessment and hear their stories and solutions. They can be incredibly supportive, comforting and encouraging. You can find online groups through Facebook and Reddit or local in-person groups.
Are private assessments valid?
The recent BBC Panorama investigation has caused controversy over claims that private clinics provide a faulty diagnosis. 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 suggested that the assessments were rushed and did not take into account all the signs or impact of ADHD on the lives of individuals. It also raised concerns that some patients who aren't eligible for NHS assessments are forced to pay out of their own pockets to be diagnosed and receive medication.
There is no doubt that your doctor will recommend you to one of the largest private companies for an ADHD assessment (such as Priory) However, they will tell you that there is a waiting period. This varies from provider to provider, but is typically around six weeks. Ask family and friends for recommendations and conduct thorough research about the provider. If you select a reputable and experienced company you'll likely have an easier time waiting than if you visit your GP.
In the course of the evaluation an evaluator will, albeit subjectively, assess whether your ADHD symptoms are causing significant disruption to your daily functioning. They will ask you to rule out any other causes, like depression or anxiety. If needed they will request additional evidence from family members (sometimes by filling out forms regarding your childhood). This is a stressful process, especially for those with complex family situations or who can't locate their school records from their childhood.
Once you have been assessed and given a diagnosis of ADHD by a qualified health professional, you are able to apply for disability assistance through your local authority. It is important to be aware that the majority of GPs aren't likely to sign a contract known as a shared-care arrangement in the event that you were diagnosed privately and you haven't been titrated fully to the dosage. This is because GPs are not qualified to diagnose and treat adults with ADHD.