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Getting an ADD Diagnosis As an Adult
It can be difficult to receive an adhd diagnosis when you are older. NHS services are underfunded, and referrals for assessments can take quite a while.
If referred to a psychiatrist, they will be looking to confirm that the symptoms are present since the time of childhood (old school reports may aid) and will also inquire about co-morbidities, such as depression and anxiety. A private route could be a faster and more thorough service.
How to get a diagnosis
If you're struggling to keep up with tasks at home or at work, losing your keys frequently or have difficulty staying in contact with family members, it might be a good idea to talk to your GP about possible ADHD. While many adults with ADHD do not have a diagnosis, it is the most prevalent mental health condition in the UK. The good news is that getting a proper diagnosis and starting treatment can help you get back on track.
If your GP agrees that you may have ADHD, they will refer you to a mental health clinic. Often, this is an adult neurodevelopmental or community mental health service. There could be a long waiting time for an evaluation, but you can speed up the process by doing certain things.
Before your ADHD assessment, it's likely that you'll be asked to fill out questionnaires to determine the frequency with which you experience certain symptoms and how stressful they are. The psychiatrist who conducts your assessment may also require old school records or other evidence of symptoms you've experienced since childhood.
The psychiatrist will also want you to be sure that your symptoms cause significant impairment in at least two areas of your life. This could include losing your job because of poor time management, having major conflicts and discontent in your relationship, or slipping into financial difficulties due to excessive spending.
Before the assessment an examination for medical conditions will be performed to rule out any medical conditions that could be causing symptoms such as thyroid disorders or seizures disorder. They will also want to ensure that you do not have other physical disabilities, such as a learning disability or hearing loss.
If you opt to undergo a private assessment, it's an excellent idea to ensure that your doctor is willing to sign the 'Shared Care Agreement' with the clinic you've selected. This means that the clinic will contact your GP with the required paperwork to allow you to return to your NHS provider for treatment, which will include medication and CBT therapy.
Medication
A diagnosis of ADHD can be a life-changing event for those who have struggled with the disorder throughout their lives. It can help explain why they've been struggling and provide hope for the future. However, a diagnosis could cause a lot of emotions that are difficult to manage.
A private ADHD assessment with an expert psychiatrist is the best method to obtain a diagnosis, and ensure that you receive the appropriate treatment to alleviate your symptoms. They will employ a variety of methods to determine your symptoms including symptom checklists, behaviour rating scales, and more. You will be asked to explain your symptoms and how they impact your daily functioning. They may request information from friends or family members.
The doctor will then use the evidence to make a diagnosis. They will examine how your ADHD symptoms are impacting your life and whether they are causing you significant impairment. They will also look into whether you have any other mental health issues that might cause similar symptoms. If they decide that you suffer from ADHD they will usually prescribe medication. They will also discuss with you whether you want to consider alternatives, like CBT or other non-pharmacological interventions.
The medication can be very beneficial for people with ADHD. However, it is not an answer to the problem. The management of the side effects of ADHD medications can be a challenge and it's crucial to follow the doctor's recommendations.
In England, this year, adults were prescribed more ADHD medication than children. This is an increase on previous years, and has become more prominent due to the Covid-19 pandemic. The increase in prescriptions is primarily due to the availability of medications that were previously only available to children. The most frequently prescribed drugs are methylphenidate as well as lisdexamfetamine.
We suggest speaking to your GP to find out what the NHS has to offer before you seek a private ADHD assessment. They'll be more than happy to refer you to an ADHD assessment, however there could be long waiting lists. If this is the case, you can print a letter of support from ADHD UK to take to your appointment. The letter explains that only a specialist can diagnose ADHD and they can't refuse.
CBT
A diagnosis of ADHD can alter the life of an adult. Many people report that it helps them comprehend their differences and gives an explanation for the difficulties they've had to face throughout their lives. It is a difficult condition to manage. People suffering from ADHD have difficulty in their interactions, jobs, and studies. They may feel unappreciated and unhappy with themselves. It's beneficial to talk to other people who suffer from ADHD and to remember that you're not alone.
The best way to diagnose ADHD is by consulting a psychiatrist or psychologist who is an expert. In the UK, they are the only healthcare professionals competent to diagnose adult ADHD. It is possible that you will have trouble getting an accurate diagnosis. Sometimes doctors, psychologists, and nurses are not aware of the disorder, and they may be prone to react with prejudices against those who suffer from ADHD. It may be necessary to try many times before you finally find an expert with the required experience and knowledge in diagnosing ADHD among adults.
During your consultation your psychiatrist will assess whether your symptoms are causing serious impairment. They will inquire about your symptoms, how they have affected your life, and if you have any family history of ADHD. They will also ask you to rule out any conditions like depression, thyroid issues, anxiety and thyroid problems, which can have similar symptoms to ADHD. They will likely use questionnaires and ratings scales to determine ADHD symptoms. However, they will not use them solely to determine a diagnosis.
Following the clinical examination your psychiatrist will then discuss the outcome and decide on a treatment plan. You will probably be offered medication, but your psychiatrist may also suggest cognitive behavioral therapy (CBT) as well as other psychotherapy. Cognitive behavioral therapy is extremely effective in treating ADHD symptoms. It is usually delivered in person, however it can also be provided via the internet or by phone.
CBT teaches you to modify your thinking and behavior to reduce the negative impacts of your ADHD symptoms. diagnosis for adhd in adults can help you learn to deal with difficult emotions like shame or embarrassment. Additionally, CBT can teach you strategies to manage your symptoms, such as self-care and time management.
Support
Help is available for those who have not been diagnosed with ADHD. Talking therapies are available along with medication and other treatments. There are many services to help you at work, at the classroom or at home. If you're unable to work due to your ADHD The Access to Work scheme can provide financial and practical help. The scheme can pay for things such as job coaching and training and is targeted at adults with ADHD who are employed in work. There are charities which can assist you in finding a job or get back to work. The ADD UK website has a list of charities. You can also receive assistance with the cost of medication through the Pharmacy Direct service.
You could ask your GP to refer you to a specialist if they do not have the time or expertise to assess ADHD. This could involve a more thorough assessment, a physical exam, and interviews with people who know you. You'll need to provide detailed information about your symptoms as well as the length of time they've been present. They must ensure that your symptoms aren't caused by a different condition such as mental illness.
Healthcare professionals and doctors should be aware of the differences between ADHD symptoms for adults and children, and how they can change as time passes. It's a good idea to prepare for the test by writing down examples of your symptoms and how they have affected you, particularly during your childhood. You can also write down any issues you have in your personal life. Bring details if you, for instance, have difficulty organising your home or interacting with others.
You can try to get an NHS diagnosis for ADHD but this is often an extended process. NHS specialists, GPs and other healthcare professionals are usually inadequately staffed and lack the knowledge of ADHD. The best solution is to see a private psychiatrist. They will likely be more knowledgeable about ADHD in adults and screen you for mental health problems like depression. They can also offer letters of recommendation to your workplace or school when needed. Costs vary, but typically range from PS500 to PS1,200 in London.