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ADHD Assessment in Wales In England, Wales and Northern Ireland patients have a legal right to use NHS specialist ADHD services. However, this is not always feasible due to under-funding of these services as well as regional variations in specialism. The GPs usually have preconceived notions about what a person with ADHD appears like, and this can hamper the process of being diagnosed. If it is possible, it can be very beneficial for patients to take information about their condition from people who are familiar with their condition. The Assessment To determine if have ADHD If you suspect that you have ADHD, first consult with a doctor. They'll want to know what impact it is having on your life, as well as any other issues that you are struggling with. Once they have this information, they will be able to decide if they want to refer you for an assessment at a commissioned adult ADHD service. Or, you can self-refer and pay for an individual ADHD assessment with a skilled psychologist. If you or a GP recommends you for an NHS ADHD assessment, the process typically begins with an initial clinical interview. This can be done in person, via video conference or via phone. You will be required to bring the list of your current problems and a questionnaire that includes questions regarding your growth and education, as well as your mental health history. The interview typically lasts around an hour. It is possible to make some notes on your challenges prior to the interview to ensure you can remember them. You can also gather feedback from people you are familiar with, such as your teachers or supervisors, to gain more insight into the issues you're facing. During this interview the doctor will evaluate your symptoms against the criteria laid out in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). They will also consider any other issues that could be causing them. This is referred to as differential diagnosis and they will look at other conditions such as depression or anxiety. A private assessment can consist of a thorough clinical interview, as in addition to examinations by observation. They will also ask for input from people who know you well, for example family members or friends. They will also ask you about your medication and any other issues that you may be dealing with. The doctor will utilize the information to develop an individual treatment plan that may include psychotherapy and medication. Private assessments are typically faster than an NHS assessment since you don't need to go through your GP. However, this approach can be costly and may not cover all the things your GP needs to do. Diagnosis The first thing to do if you suspect you have ADHD is to talk to your GP. They should take your concerns seriously and request any supporting evidence like ASRS questionnaires or school reports. Bring these documents with you. The next step is to be referred to an assessment. This could be via the NHS or the private sector. If you decide to go through the NHS the process could be long and it's not uncommon to have a waiting lists. A private ADHD evaluation is typically an easier and shorter experience. You will have a meeting with a senior consultant psychiatrist who will undertake a comprehensive psychiatric assessment. They will go over with you your symptom history along with your medical history, drug history, and family history. They will also examine other health conditions to determine if they are present alongside or in lieu of ADHD. The psychiatrist will formulate an assessment after having examined your symptoms. It will be based on the information you've provided them, including the checklist of symptoms you completed as well as the behaviour rating scales. They may also use other sources, including information from family members, teachers or even acquaintances with you, your doctor, and your health records. The psychiatrist will explain the decision in detail once they have made it. They will provide a care plan which will include the option of medication. It's crucial to determine whether your GP will accept what's called a 'shared care agreement' when you've been given an official diagnosis and are taking medication. This will allow you to avail support services like therapeutic coaching and specialist coaching to help manage your condition. Treatment If your GP agrees you suffer from ADHD they will refer you to a specialist mental health team for a specialized assessment. You will be asked to fill out questionnaires by a psychologist or psychiatrist about your symptoms and the past. You will be asked about your family history as well as your work history. Be aware that medical professionals may have preconceived notions about how people suffering from ADHD behave and it can impact their perception of you. For instance, they may think that you're naughty or irresponsible if you have ADHD. After a complete psychiatric evaluation your doctor will diagnose ADHD. They will assess your symptoms, how long you have been suffering from them and how they affect your life. They will also consider any other health problems you may have. For example, if you have anxiety or depression they could cause your ADHD symptoms worse. Treatment for ADHD involves a combination of therapy and medication. The medications for ADHD boost brain activity areas that regulate behaviour and attention. The most commonly used medication for ADHD is methylphenidate. It belongs to the class of medications called stimulants. These medications can be taken orally and are available through the NHS. They can improve your concentration and reduce hyperactivity. Your doctor will advise you the duration of your medication. Many people are prescribed the medication for the duration of time that is needed. Cognitive behavioural therapy is another kind of treatment that could be used to treat ADHD. CBT is a talking therapy which helps you recognize the effects of your thoughts, beliefs, and attitudes on your behavior. CBT can also aid in overcoming anxiety and depression. It is essential to find a therapist who has experience treating adults with ADHD. If you've been diagnosed of ADHD, you may be eligible for financial support through Access to Work. This program is administered by the Department for Work and Pensions and can provide you with practical and financial assistance to help you get the most out of your job. You can apply for the scheme if you're self-employed or looking for work. You can find more details about the scheme by visiting its website. how to get assessed for adhd uk If you are concerned regarding ADHD or you've been told that you may have it, it's important to get an assessment by an expert doctor. You can then determine if the symptoms are related to ADHD and, should they be what treatment options are available. The assessment process is typically carried out by a psychiatrist consultant, but it may also include questionnaires and rating scales. The psychiatrist will also look over your medical and lifestyle history as well as your social and family background. This will help them understand your difficulties better, and determine if there are other factors contributing to your behaviour. If a psychiatrist believes that you may have ADHD and is able to determine that, he or she will submit an assessment for your GP. You might be asked to fill out a DIVA 5.0 questionnaire (Diagnostic Interview For Adults With ADHD), which will provide more information about the issues you're facing and how they could affect your life. Your doctor may refer you to a mental health clinic for adults or an ADHD clinic. The NHS in England, Wales and Northern Ireland adheres to the NICE guidelines on ADHD, which gives you a “right to provide'. This means that if your physician refuses to refer you for an ADHD assessment, you can ask another GP to refer you, or call AADD-UK for help. The NHS will investigate your case in depth once you've been referred. The NHS will look at any evidence you have provided for example, reports from your GPs, teachers or other health professionals. They will also consider other conditions like depression and anxiety that could be causing you problems. The assessment process can be lengthy and frustrating, but it is important to remember that there are often long waiting lists for appointments. If you are worried about how you'll cope while you wait for an appointment, ask your GP to set up an agreement for Shared-Care with a private service. These agreements let you access a private assessment and follow-up treatment at a reduced rate. But, make sure that your GP will be able to accept these prior to beginning the process.