ADHD Assessment in Wales
In England, Wales and Northern Ireland patients have a legal right to access NHS specialist ADHD services. However, this isn't always feasible due to under-funding of these services and regional variations in specialism.
The GPs usually have preconceived notions about what an individual with ADHD appears like, and this can hinder the process of getting diagnosed. It can be helpful for patients to receive information from someone who is familiar with them well.
Assessment
To find out if you are suffering from ADHD, you should first schedule an appointment with a doctor. They'll be interested in knowing how it affects your life and if there are any other issues. Once they have all the information they require, they can decide if they would like to refer you to an adult ADHD service. Alternatively, you can self-refer and pay for an in-person ADHD assessment with an experienced psychologist.
The process begins with a consultation if you are referred by your GP for an NHS ADHD assessment. It can be conducted in person, by video call or on the phone. You will be asked to bring a list of your current issues, a questionnaire that includes questions regarding your education and mental health background and a list of current challenges. The interview typically lasts approximately one hour. It is possible to make some notes on your challenges before the interview so you're able to recall them. You can also bring in feedback from people you trust, such as your supervisors or teachers, to gain a better understanding of the challenges you're facing.
During this visit, the specialist will assess your symptoms against the criteria laid out in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). They will also look at any other issues that could be causing the symptoms. This is referred to as differential diagnosis. They look at other conditions such as depression or anxiety.
A private assessment typically involves a lengthy clinical interview and observational tests. They may also request that you talk about your experiences with those who are close to you, like family or friends. They will also inquire about your medication and any other issues that you may have to deal with. The doctor will use the information to develop an individualized treatment plan that could comprise psychotherapy and medication.
Private assessments are usually quicker than an NHS assessment since you don't have to go through your GP. This method is expensive and may not cover all that your GP should do.
Diagnosis
The first thing to do if you suspect that you are suffering from ADHD is to speak with your GP. They will be attentive to your concerns and ask if you have any evidence to back it up, such as ASRS questionnaires and school reports or work-related assessments. Bring these documents with you.
The next step is to be referred for an assessment. This could be through the NHS or private sector. If you decide to go through the NHS the process can be lengthy and there is often a waiting list. A private ADHD assessment is typically a quicker and easier experience.
You will be able to talk to an experienced psychiatrist who will conduct an extensive psychiatric assessment. They will discuss with you the history of your symptoms along with your developmental history, medical background, drug history and family history. They will also look at other health conditions and consider whether they exist alongside or in addition to ADHD.
After the psychiatrist has had a chance to examine your symptoms, they'll then come to an assessment. This will be based upon the information you've provided, including the checklist of symptoms you completed and the behaviour rating scales. They could also draw on other sources, including information from family members, teachers, or friends who know you, your GP, and your health records.
The psychiatrist will explain the decision in detail after they have made their decision. They will outline a care plan, which should include the option for medication. Once you have an individual diagnosis and are taking medication, it's crucial to inquire with your GP whether they'll sign an agreement for shared-care. This will allow you to avail support services like therapeutic coaching and specialist coaching to manage your condition.
Treatment
If your doctor believes you have ADHD They will refer you to an expert mental health team for a specialized assessment. You will be asked to fill out questionnaires by a psychiatrist or psychologist about your symptoms and past. You will be asked about your family history and your work history. Be aware that medical professionals may have preconceived notions about how people suffering from ADHD behave and this could affect their assessment of you. link might consider you to be a naughty person, or irresponsible, if you have ADHD.
After a thorough psychiatric examination your doctor will diagnose ADHD. They will assess your symptoms, the length of time you've had them, and how they impact your life. They will also consider any other health issues you may have. If you suffer from depression or anxiety it could cause your ADHD symptoms worse.
The treatment for ADHD is a combination of medications and therapy. The medications for ADHD are effective by boosting activity in brain regions which control attention and behavior. The most commonly used medication for ADHD is methylphenidate, which belongs to the group of medicines called stimulants. These medications can be consumed orally and are available on the NHS. They can help improve your concentration, as well as reduce impulse-driven and hyperactive behaviour. Your doctor will determine the duration of your medication, and many people are prescribed it the duration they require it.
Cognitive behavioural therapy is a different type of treatment that can be used to treat ADHD. CBT is a talking therapy which helps you recognize the effects of your thoughts, beliefs and attitudes on your behaviour. CBT can also assist you in dealing with anxiety and depression. It is crucial to find a therapist with experience treating adults with ADHD.
If you're diagnosed with ADHD, you could be eligible for financial assistance through Access to Work. This is a program run by the Department for Work and Pensions which can provide financial and practical support to assist you in your job. If you are self-employed or looking for employment, you can apply for this scheme. You can find more details about the scheme on its website.
Support
It's important to consult a specialist if you are concerned about ADHD or have been told you may have it. This will help you find out whether your symptoms are connected to this condition and, if so, what treatment options might be available.
The assessment process is usually conducted by a psychiatrist consultant but it may also include questionnaires and rating scales. The psychiatrist will also be aware of your life and medical history, as well as your family and social background. This will allow them to better understand your problems and determine if other factors are causing your behavior.
If a psychiatrist believes that you might have ADHD, he or she will send an account to your GP. They may ask you to complete the DIVA 5.0 (Diagnostic Interview for Adults with ADHD) questionnaire that will provide them with more details about your issues and how they might affect your life. The GP will then direct you to an ADHD clinic or an adult mental health service.
The NHS in England and Wales and Northern Ireland, follows the NICE guidelines for ADHD that grant you a 'right to seek treatment'. If your doctor is unable to provide the referral for an ADHD assessment, you can ask another doctor to make the referral or contact AADD UK for advice.
The NHS will review your case in detail after you have been referred to them. They will examine any evidence you can provide, including reports from your teacher, your GP or other health professionals. They will also consider other conditions such as anxiety and depression that might cause you issues.
The process of assessment can be lengthy and stressful It's important to keep in mind that the NHS is under pressure and there are many waiting lists for appointments. If you are worried about how you will manage while waiting for an appointment, ask your GP to establish an agreement for Shared-Care with a private service. These agreements permit you to access private assessment and treatment at a discounted cost. It is best to first inquire with your GP to see if they are willing to accept these agreements.