ADHD Assessment in the UK
A thorough diagnostic assessment is essential for accurate diagnosis. This will include screening questionnaires sent out beforehand, an interview with you and ideally someone who has a good understanding of you since childhood, analysis of historic school reports (if available) and a full psychotherapy consultation.
The NHS has specific guidelines for ADHD evaluations. Many people opt to go to an individual healthcare provider in order to expedite the process and avoid long wait lists.
What is an ADHD assessment?
An ADHD assessment is an opportunity for an expert in healthcare to listen to you and help you understand your issues. You will be working with a qualified psychiatrist to discover what's going on and how it may be impacting your daily life. They will evaluate you with a variety of tools including symptom checklists and behaviour rating scales. They will also look at the family history of your parents and any previous experiences of mental health problems. The psychiatrist will then be able determine the existence of any of the three major subtypes you might have.
The doctor will also rule out any other mental or medical conditions that could mimic the symptoms of ADHD. This is important because If you're misdiagnosed with ADHD the symptoms might not improve. The specialist will also evaluate the severity of the symptoms and how these affect your daily activities by using the same criteria as an NHS specialist.
Make a note in advance of any concerns or questions you may have. This will ensure that your needs are met and that no need is left unanswered. It is also important to make a note about any difficulties you're having. You can remember these things better by writing them down. It can help in receiving an ADHD diagnosis more effective.
Bring any relevant paperwork to your appointment. This can include any performance evaluations from your job or old reports from school. You can also aid the specialist by bringing in any records you may have that prove how ADHD has affected your life.
You might be required to fill out questionnaires for pre-screening prior to your appointment. They can be accessed through your portal dashboard, and will typically be available to fill in before you meet with your psychiatrist. It is recommended to fill in the form as soon as you can, as it will reduce your waiting time.
How can I obtain an ADHD assessment?
A diagnosis of ADHD may be the first step in getting the help and support you require. In the UK, doctors cannot diagnose ADHD. However, they can refer a patient for assessment to a psychiatrist.
The NHS will pay for an ADHD assessment by a psychologist or psychiatrist. It will take between 45 to 90 minutes. You will be asked questions about your general mental health as well as the history of mental health of your family, and your symptoms. The doctor will also take into consideration any other psychological or medical issues that could contribute to your symptoms.
In addition to examining your current symptoms, your doctor will ask if you have suffered from similar problems in the past. Current guidelines for diagnosing ADHD indicate that ADHD is only diagnosed as an adult when symptoms have been present since childhood.
If you've experienced these symptoms since adulthood your doctor will inquire whether your symptoms have improved over time. They will also examine any other factors that could influence your symptoms, including stress and anxiety. They may also suggest that you try a group-based ADHD education and support program or offer referrals for other treatments like cognitive behaviour therapy.
If you live in England and are having difficulty getting an NHS-funded ADHD assessment, you can avail your Right to Choose. You can choose to have your assessment privately if the NHS wait time is too long or you don't want to wait at all. adhd assessment in uk are more expensive however, they offer direct treatment. Your specialist will provide you with a thorough report that you can take to your GP. They will also discuss any other treatment options they recommend to you. They will also provide recommendation letters to your workplace or school when requested. The cost will vary based on the time it takes to write the letter.
What happens during an ADHD assessment?
A psychiatric assessment is the first step in an ADHD assessment. Your doctor will ask questions regarding your lifestyle, health as well as your family and development. They will also send you standardised questionnaires. They may also ask for opinions from friends, teachers, coaches, or spouses. The interviews aren't meant to criticise, but rather to identify other factors which could be causing symptoms such as anxiety or depressive disorders.
During the appointment the doctor will examine any records you bring along, such as evaluations of your performance at work or copies of previous psychological tests or even old school reports. The evaluator may also be able to spend time with someone who is familiar with your life such as your spouse, sibling, or your parent. This is to gather information on your childhood experiences, since you might have forgotten certain specifics or your behaviours may have changed as you got older.
The psychiatrist will also go over the information you gave on the standardised questions prior to your appointment to ensure that they can gain an accurate understanding of your symptoms. They will also look at any other historical data, such as old school reports, or a medical or neurodevelopmental exam. This is to determine if you meet the standard criteria for ADHD. For children, this is at least six established ADHD behaviors in one of the two categories of inattention or hyperactivity/impulsivity over a period of six months. Adults must have at least five symptoms established during the same time frame.
Once they have gathered all relevant information Your doctor will conduct a personal clinical interview with you. The psychiatrist will review all the information gathered to determine if you are suffering from ADHD symptoms. This involves assessing your symptoms using the Diagnostic and Statistical Manual of Mental Disorders Fifth Edition (DSM-5).
If your psychiatrist determines that you do suffer from ADHD The doctor will write a report for your GP. The GP will decide on a treatment plan that may include the use of pharmacological therapy (medication) and psychological therapy (Cognitive Behavioural Therapy). In England, Wales and Northern Ireland you have the legal right to choose your preferred healthcare provider, which means you can consult your own private doctor to get an ADHD assessment in the event that you don't want to wait for the NHS.
What happens following an ADHD assessment?
A professional ADHD diagnosis can transform your life. It can assist you in obtaining treatment, and it can reduce the feeling of anxiety and self-doubt regarding your symptoms.
The first thing you should do if you suspect that you or your child may have ADHD is to consult with a GP. They may refer you to a specialist psychologist or psychiatrist, who are the only healthcare professionals qualified in the UK to diagnose ADHD. NHS patients may be waiting for months to receive a referral. Many prefer to go private.

After you have been directed to an assessment the child or you will be interviewed in person by your clinician. The interview will cover topics such as health, development family history, lifestyle. The clinician may ask to speak to other people like teachers or daycare providers. This is not an attempt to check your answers, but rather to discover what your symptoms can do to your child or you in different situations.
The doctor may also utilize rating scales to determine if you experience certain symptoms, like restlessness and difficulty staying focused. This will help determine if you meet standardized criteria for ADHD. They will also determine if you have any other issues, such as anxiety and depression. If you have a family history of ADHD, it is worth telling your clinician this, also, since there are genetic influences that affect whether or not you develop the disorder.
Your doctor will prepare an extensive report you can take to your GP after the psychiatric evaluation. This report will include an extensive diagnosis and recommended treatment.
If you are an adult who has been diagnosed with ADHD, your GP may suggest a trial of medication. If the medication is effective, you need to tell your insurance company and DVLA in order to need to update your driving licence. Your therapist might suggest that you and your child attend an educational class for parents to learn together how to manage ADHD. This will help you improve your relationship with your child and make you a more confident parent.