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ADHD Diagnosis - Holding Private Clinics to Account

BBC Panorama's investigation into private clinics that diagnose ADHD is calling them to account. It is claimed that private clinics are knowingly over-diagnosing ADHD.

Many people are seeking a private ADHD diagnosis because they don't want wait for a referral from the NHS. It can take months to be an appointment with your GP.

Signs and symptoms

There are many treatment options if you suffer from ADHD symptoms that affect your personal and professional life. They include medication or psychotherapy. Understanding your symptoms and their impact on your life will help you select the appropriate treatment.

Hyperactivity, impulsivity, and inattention are the main symptoms of adult ADHD. While we all display some of these behaviors in a few instances, those who suffer from ADHD do so more often and in greater amounts. These issues can cause major problems in their lives and can affect relationships as well as work performance and overall wellbeing.

ADHD can make it hard to concentrate, listen and follow instructions. It can cause issues in school and at home and may cause people to feel overwhelmed and angry. It can also cause people to feel anxious and fidgety, and can cause difficulty with organising and planning tasks. It can cause difficulties with appointments and obligations. It can also lead to forgetting important things like money, keys or mobile phones.

ADHD symptoms can also cause problems with eating and sleep which can adversely impact overall well-being and health. In some instances, untreated ADHD may be associated with anxiety and depression.

ADHD is not curable, however treatment can help ease symptoms and their impact on your life. You'll require a psychiatrist or other qualified healthcare provider to discuss your issues. You will be asked to describe the symptoms and how they affect your daily routine, including your family, work, and social life. The doctor will then suggest the best treatment plan for you.

You may be recommended to an adult ADHD specialist by your GP or you can contact Priory yourself and arrange an assessment. If you are diagnosed with adult ADHD, it is possible to get a shared care agreement for medication with your GP to ensure that you only pay NHS prescription costs (as that your GP agrees to this and you have been stabilised). This can be done at a cost.

Diagnosis

Being diagnosed with ADHD is a crucial first step towards determining the best treatment for your symptoms. Treatment options vary based on your symptoms and the impact they have on your daily life. It could be medication, cognitive therapy or coaching. The best option is a thorough evaluation and diagnoses from an adult ADHD specialist. If your doctor is not willing to refer you to a specialist, you may request a referral to a private healthcare clinic such as Priory or another well-known hospital or wellness centre that is specialized in adult ADHD assessments. These experts are skilled in diagnosing ADHD and can give a clear diagnosis in just only a few weeks.

Finding out if you have ADHD in adults is more difficult than diagnosing children because the symptom guidelines used by psychologists are really focused on identifying issues in children. Apart from taking a medical history, the specialist will likely conduct a clinical interview and might also use questionnaires. Some doctors may even do a brain scan to see whether your brain is functioning the way it should.

A complete assessment of ADHD will also include a mental health screening as about 80% of adults with ADHD have a different condition like autism or post-traumatic stress disorder (PTSD). In order to be properly assessed, you should always consult a specialist psychiatrist or a therapist who is specialized in mental health.

If you're unsure of who to contact for an evaluation or diagnosis, ask your GP or call your insurance company. They can tell you which professionals are experienced in diagnosing adults with ADHD and are part of the network. You can also contact your local chapter of National Alliance on Mental Illness (NAMI) or CHADD for recommendations of professionals in your region. If there's an ADHD support group in your area you can ask for recommendations from people who are part of the group.

A thorough ADHD assessment typically takes 1.5 hours to perform and includes an online test, a medical interview and various validated assessments. The outcome of the test will be a thorough report that your specialist will send directly to your GP or in a letter.

Medication

If you're experiencing symptoms of ADHD and they're affecting your relationships or daily life, you should seek help from an expert. Your first step should be to visit your GP (family doctor) and request that they refer you for an assessment. The GP can assess your symptoms and look over documents such as school reports. They will usually only refer you to a specialist when they believe you meet the criteria for diagnosis.

If you are recommended to a specialist, you should make an appointment with them. The doctor will review your symptoms, history and family history. They will also assess your current health and life style. They may suggest medication to treat your symptoms. They will explain the advantages and risks of the medication and work out which is best for you.

Stimulants are medicines that are used to treat ADHD. The most popular medication is methylphenidate. It increases brain activity and is prescribed as tablets that are immediate-release and that are taken three or two times each day or modified release tablets that are taken once each week and released over the day. Methylphenidate is available for adolescents, adults, and children. Your specialist will discuss with you the length of time you should take the medication.

Unfortunately, some media coverage of private ADHD assessments and treatment can give the impression that these clinics are'shady'. BBC Panorama's documentary, initially called The ADHD Scandal but later changed to private assessments for adhd ADHD Clinics Expose, is a great example.

There is no doubt that the NHS struggles to meet demand for ADHD assessments and treatment. However, this should not detract from the fact that those who wish to be diagnosed and treated for ADHD should be able to access high-quality healthcare. The fact that a professional charges for their services, does not mean that they can ignore evidence-based practices or bend the rules. They must nevertheless adhere to guidelines set out by the National Institute of Clinical Excellence. This is true for psychiatrists, GPs, and private ADHD experts.

Treatment

The right diagnosis for ADHD is an essential step to manage your symptoms. Your GP may recommend you to an exclusive speciality clinic like a Priory hospital or a wellbeing center for an assessment. The clinic will provide you with an extensive report of the results. They will also help you manage your symptoms to improve your overall health and live a more fulfilling lifestyle.

The first step in the process is to complete a questionnaire. It will typically ask you to rate how you behave in various situations. For example, at work, school or with your friends. You might also be asked to bring a family member along with to provide assistance. Your therapist will utilize the information you provide to formulate an individual treatment plan specific to your needs. They will examine your symptoms and how they impact you in various contexts, and also your current challenges in life. They will also recommend other treatments, like cognitive behavioral therapy (CBT).

Once you've had an assessment, your doctor will prescribe medication if necessary. They'll consider your symptoms, age, and other factors. They'll also consider whether other conditions like bipolar, anxiety, depression disorder may be contributing to your ADHD symptoms.

A thorough exam is essential for an accurate ADHD diagnosis, and this includes taking medical history, performing psychological and physical tests and analyzing your responses to questions. The doctor will talk with you about any other health issues you've experienced, and will also check for other possible causes of your symptoms such as a thyroid problem or assessments depression.

In some instances, a psychiatrist or doctor may determine that you do not meet the criteria for an ADHD diagnosis. This could be due to the fact that the symptom list is too broad, or it might be that a different condition is more likely to explain your symptoms. If you are not satisfied with the decision you've made, you can ask for an alternative opinion. This could be from the GP or a psychiatrist.

Your psychologist will prescribe medication and help you devise strategies to deal with the challenges of living with ADHD. They will offer you advice on how to deal with your issues at school, at work and at home. They'll also offer you guidance and support in developing an ideal self-image to help you overcome the effects of your symptoms.