How to Get a Private ADHD Diagnosis
If you want to be diagnosed with ADHD, a psychiatric assessment is required. The test will be conducted by a psychiatrist or a specialist ADHD nurse.
It's a process that could involve some red tape for example, the need for old school reports to be submitted. However, you can skip the line and receive private assessments by registering directly with an online ADHD clinic.
What is a private appraisal?
A private assessment of ADHD is a consultation where you meet with an expert to discuss your symptoms, and how they affect your life. It usually requires two sessions, and is more detailed than a NHS assessment of psychiatric disorders. The process will involve an in-depth clinical interview with an expert, and they will examine your symptoms from your early years to your adulthood. They will also look at other neurological or mental health issues that could be contributing to your symptoms. They will examine different areas of functioning, like relationships or work. They will ask you to give examples of your symptoms and how they affect you.
It is worth bearing in mind that the diagnosis of ADHD is not a straight straightforward one. Many people who are told they suffer from the disorder have a mixed diagnosis. Inattention, hyperactivity, and impulsivity are three of the main symptoms. Adult hyperactivity is often different from boisterous hyperactivity seen in children. It may be characterized by restlessness or a constant race. Inattention may also manifest as a difficulty in concentrating on tasks, organising or sitting for long periods of time.
If you think medication will alleviate your symptoms, a psychiatrist's formal diagnosis is required. This will allow you to access reasonable adjustments and Disabled Student Allowance (DSA). This can be done by asking your GP to refer you to a psychiatrist for assessment.
If your GP refuses to refer you to a specialist, or if they are unable to provide you with an appointment in a hurry you might want to change GPs. You might want to think about changing GPs in this situation. The Psychiatry UK website has more details on how to make a decision.
You might also be able to book an appointment with a private psychiatrist via the NHS or privately. Some providers might not require a letter of recommendation from your GP however, the majority will. Check with your chosen provider prior to booking.
How can I get a private evaluation?
ADHD is a complex mental condition that affects the function of brain processes like motivation, working memory and attention. Adults may struggle to cope with the condition, which can create difficulties in a variety of areas. A private ADHD assessment will assist you in understanding the impact of the symptoms on your life and could help you determine how they could be managed.
There are several companies that can conduct an ADHD assessment for the NHS. You have the option of exercising your right to choice (RTC) by asking your GP to refer you to one of these providers. If your GP refuses to refer you to one, it may be worth finding another GP who will.
The majority of assessments are conducted by a psychiatrist or specialist nurse (or another healthcare professional of the appropriate level according to NICE guidelines). These are the only professionals who are able to diagnose ADHD. In most cases an ADHD assessment will consist of questionnaires as well as a clinic interview either in person or via video chat. This will usually last for 45 to 90 minutes.
You will be asked about your current problems and any previous issues you have had since childhood if you are an adult. The healthcare professional will then consider whether you have any of the traits that are associated with ADHD hyperactivity, inattention and impulsivity. You will be asked to provide examples of times when you displayed these characteristics. The healthcare professional will then utilize these to establish a diagnosis and recommend treatment options.
A private assessment can be helpful if you've been struggling for a long period of time and do not wish to wait for an NHS referral. It is important to note that the results of a private assessment do not necessarily mean that your GP will prescribe medication. You will still need to discuss this with them and if you do decide to try medications it is recommended that you sign a shared care agreement with your GP.
If you have a doctor in England who is willing to refer you to an NHS provider for an ADHD assessment, you can find a list of providers here. Some of these providers provide assessments online and have shorter waiting times.
How do I get a private diagnosis?
There are many methods to receive an ADHD assessment. The NHS offers a procedure called 'Right to Choose' where you can request your GP to refer you to one of the specialists that are on their list. This can reduce the waiting time substantially. Private providers can also provide a quick diagnosis.
In general, it's recommended to seek out an expert psychiatrist with expertise in adult ADHD. It might take a while to find one, as they can be difficult to find. Some clinics will insist on an GP referral before they will schedule an appointment. However this isn't always the case.
Psychiatrists can offer an evaluation of your symptoms, but they are not able to prescribe medication for you. Other mental health professionals - including Psychologists - can assist you to manage your symptoms, but they will not give you a formally recognised diagnosis of ADHD which is required to access assistance services such as Disabled Student's Allowance and reasonable adjustments to work.
A Psychiatrist with expertise will be able determine and explain your symptoms. They will also evaluate whether your symptoms are consistent ADHD and will take into consideration any other mental health issues you may have. It is important to be honest and open with your Psychiatrist, so they can give you the most effective treatment.
You'll need to pay for your assessment. If you are diagnosed with ADHD it could be possible to obtain medication through a shared-care agreement with your doctor. (You'll still need to pay the NHS prescription fee). We recommend that you speak with your GP regarding a private diagnosis before booking an appointment. This will ensure that they are aware of what you're doing and to give their approval when needed.
Joining a support group is another option to meet other adults with ADHD and gain knowledge from their experiences. They can be very supportive, comforting and motivating. You can find online spaces on Facebook and Reddit and also look for local groups that meet in person.
Are private assessments valid?
A recent BBC Panorama investigation has sparked controversy over claims that private clinics are giving out inaccurate diagnoses. An undercover reporter visited three private ADHD assessment centers and was diagnosed with the condition by all of them even though he did not have ADHD. The report suggested that these assessments were rushed and did not consider all the symptoms or the consequences of ADHD on the lives of individuals. It also raised concerns about the fact that patients who are not eligible for NHS assessments are forced to pay out of their own pockets to be diagnosed and receive medication.
It is true that GPs may suggest you to have an ADHD assessment with one of the main private companies (such as Priory) however they usually inform you that there will likely be a waiting period. This differs from provider to provider and typically is about six weeks. It is advisable to research the provider carefully and ask friends and family members for word of mouth referrals. If you choose a well-established and reputable company, you'll probably have an easier time waiting than if you visit your GP.
During the examination an evaluator will, somewhat subjectively determine if your ADHD symptoms cause significant impairment to your daily functioning. They will try to rule out any other causes such as anxiety, depression, or thyroid issues and will usually require evidence from a family member (sometimes by filling out forms regarding your childhood) and school reports, if required. This is a stressful process particularly for those with complex family situations or who can't locate their school records from their childhood.
Once private adhd assessment you have been assessed and given a diagnosis of ADHD by a qualified healthcare professional, you'll be eligible to apply for disability support with your local authority. It is important to be aware, however, that the majority of GPs won't sign a document known as a shared-care arrangement when you were diagnosed by a private doctor and haven't been fully titrated to your dosage. This is because doctors do not have the knowledge to evaluate adults for ADHD and prescribe medication.