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How to Find a Private ADHD Assessment in Leicester Insufficient investment in NHS mental healthcare services has resulted in a demand that is outpacing the supply, leading to long wait lists for ADHD assessment. This has led to patients opting for private clinics that charge for poor assessments and poor aftercare. Some private clinics adhere to the National Institute for Health and Care Excellence's guidelines, but others don't. It's important to do your research prior to making an appointment. What is an ADHD Assessment? ADHD is a neurodevelopmental condition characterised by persistent and impairing inattention, hyperactivity and an impulsiveness. It can be diagnosed from early childhood and can last throughout adulthood, with some people continuing to suffer from symptoms for the rest of their lives. ADHD can impact the home, work relationships, as well as social life. A specialist psychiatrist can evaluate your symptoms and determine if you suffer from ADHD. The specialist psychiatrist will take into consideration any other medical conditions that might be causing your symptoms, for example mental health problems or physical illnesses. Your GP can refer you to an expert psychiatrist who will examine your ADHD. Patients must be aware that “right-to-choose” legislation allows them to self refer for an assessment at a private psychiatric facility when they have a registered physician in England. A thorough assessment of ADHD takes place over one to two appointments. The psychiatrist will take an extensive medical history and undertake a structured psychiatric examination of the patient's mental state. The doctor will have the patient tell them about their personal and family history, including any past or current mental health issues. They will also interview other members of the patient's household, and friends and colleagues who can give information about how the patient behaves in different settings (e.g. School, church and scout group. In some instances the doctor may utilize pre-screening questionnaires which can be completed in advance of the appointment. The clinician will also perform objective tests to assess your impulsivity, attention and motor activity. This is an essential part of the diagnostic process and can be performed in clinic or via post. The doctor will write a report which will be sent to the patient's GP. The clinician will then discuss the report with the patient and decide on a treatment plan, which may include medication or behavioural therapy. If the patient wishes to be prescribed medication, he or she may return to his or her GP to receive prescriptions on a regular basis. The GP is accountable for monitoring and managing the medication and should be aware of any possible side effects. Who should be considering an ADHD Assessment? ADHD is a mental health condition which can affect your behavior as well as how you interact with other people. It can cause problems in many areas of your life, including relationships, work and your home. It is possible to manage ADHD symptoms with medications and other treatments. If you suspect you may have ADHD it is important to seek the assistance of an expert nurse or doctor. Your doctor can suggest an ADHD assessment however psychiatrists are a medically trained doctor who specializes in mental health and will be able to provide you with the highest quality of care. The psychiatrist will review your psychiatric history and examine any other issues that may be present in addition to or instead of ADHD. The psychiatrist will then make a clear diagnosis of your disorder and suggest an appropriate treatment plan. During the evaluation, the psychiatrist will ask you a number of questions regarding your behavior and how it has impacted your life. The psychiatrist will also ask you about your family history, and any medical issues that you have had in the past. It is important to give as much detail as you can. If the psychiatrist believes you suffer from ADHD, he or she will suggest a program of treatment that may include medication and other therapies. The psychiatrist will then send an in-depth report to your GP with their recommendations. Based on the policy of your GP they might recommend continued medication through the NHS under a Shared-Care agreement. Anecdotal evidence from the NHS illustrates the tension between the desire for longer patient waiting times to be cut down and the additional cost of treating ADHD. This translates into young people suffering from severe comorbidities due to untreated ADHD receiving care that is not available, or not receiving any care in the first place (88). It isn't easy to obtain an accurate diagnosis of ADHD because there are a lot of preconceived ideas about what someone with ADHD appears like. This can make it harder for some people to be diagnosed, especially when they are of colour, an assigned gender other than female or an native English native English. How is an ADHD Assessment carried out? During the assessment you will meet with a specialist who has expertise in diagnosing ADHD. The specialist will inquire about your symptoms as well as your background. They will also search for other explanations for your symptoms. This is important because it could keep unnecessary treatments and illnesses from being diagnosed. It could take several hours to conduct an exhaustive examination, but it will allow your specialist make a precise diagnosis. The evaluator can also use tests to evaluate your mental health. This may include questionnaires, a clinical interview as well as brain scans. In some instances your evaluator might suggest more extensive testing. These tests will confirm the diagnosis and help you choose the best treatment. You will be asked if you would like to discuss medication with your psychiatrist as part of the treatment. If you decide to do this, your doctor will request an appointment with your GP. Your doctor is accountable for monitoring your treatment and making any needed adjustments. It is important to remember that some patients require private examinations to circumvent gaps or blocks in NHS services (see figure 1). Consensus participants reported issues with some private healthcare services profiting from the plight of patients who are waiting for a prompt response from their NHS service. Some private ADHD diagnostic reports fail to show that clinical guidelines were adhered to, which could be a problem for patients who wish to return to NHS treatment. In certain cases a diagnosis of ADHD will reveal other health concerns, such as depression or anxiety. Your psychiatrist will discuss with you any other health concerns and suggest appropriate treatment. Adults suffering from ADHD can be treated by taking medication, making lifestyle changes and therapy. These medications are usually prescribed by psychologists, psychiatrists or social workers. Check your insurance policy to determine whether these treatments are covered by your policy. Support groups, such as the National Alliance on Mental Illness and CHADD can provide names of professionals who specialize in treating ADHD. You can also request an appointment from your GP. What is the cost for an ADHD Assessment? The cost of an ADHD assessment varies based on the person performing the test, if neuropsychological testing is required and if any other tests are required. Insurance coverage is the most common method of covering the cost of an ADHD assessment. You can find out whether your insurance will cover the cost of an ADHD assessment in different ways. It is crucial to get in touch with the company prior to when you make any appointments for tests or scheduled appointments. The insurance company can also provide you with a list of providers who will accept the insurance coverage you have. Private healthcare providers are often the only option available to those who cannot access NHS services. They can provide an ADHD diagnosis and assessment. Private healthcare organisations offer assessments faster than the NHS. Prices vary but they are generally more affordable. They can also offer comprehensive ADHD diagnostic reports. A significant number of people seeking help in the UK for ADHD are not able to receive the diagnosis or treatment they need through the NHS due to long wait times. FOI requests made by BBC News reveal that NHS Trusts across the country have waiting lists for adult ADHD services that can last up to five years. This is largely due a lack of adequate funding and the reluctance of some services to increase their budgets to meet the demand. Self-referral websites on the internet are a hit for those who can't wait to get an answer from the NHS. They can pay a small fee and get a precise diagnosis within minutes. However, private adhd assessment should be approached with caution. These websites are not always regulated and may not be in compliance with good clinical practice guidelines. In addition, the caliber of online services may be questioned and they might not be able to offer appropriate medical or counseling services for those diagnosed. There is a growing concern that people are being “overdiagnosed” with ADHD. However, it is evident that a large proportion of those who suffer from the disorder do not receive the help and support they require from the NHS. There is a dire need for greater investment in mental healthcare services and better coordination of state-funded services, to ensure that adults who have ADHD are referred appropriately.