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ADHD Assessment in Wales In England, Wales and Northern Ireland patients have a legal right to avail NHS specialist ADHD services. This is not always feasible due to the inadequate funding of these services and regional variations in the level of specialization. The GPs usually have preconceived notions about what an individual with ADHD is like, and this can hamper the process of identifying. It is helpful for patients to have information from someone who knows them well. The Assessment If you believe you might have ADHD the first step is to set an appointment with your GP. They'll be looking to find out how it impacts your life and if you are suffering from any other issues. Once they have all the information they require, they can decide if they would like to refer you to an adult ADHD service. You can also self-refer and pay for an individual ADHD assessment with a skilled professional. If you or a GP recommends you for an NHS ADHD assessment The process usually begins with a first interview with a clinical psychologist. This could be in person, by video calls or over the phone. You will be required to bring an inventory of your current issues and a questionnaire with questions regarding your growth as well as your education and mental health background. Interviews usually last around an hour. You might want to write some notes on your challenges prior to the interview to ensure you're able to remember the issues. It is also possible to bring any feedback from people who know you well, such as supervisors or teachers – to provide more insight into your difficulties. During the appointment, the therapist will examine your symptoms in relation to the criteria set out in the Diagnostic and Statistical Manual of Mental Disorders. They will also examine any other issues that could be causing the symptoms. This is known as a differential diagnosis, and they will determine if other issues like depression or anxiety might be to blame. A private examination usually includes a thorough medical interview and observational tests. They may also request feedback from those who know you well, for example friends or family members. They will also ask about your medications and any other issues you might be dealing with. The specialist will then make use of this information to design a personalised treatment plan, which could include medication and psychotherapy. Private assessments are usually faster than an NHS assessment due to the fact that you don't need to consult your GP. This is costly and may not cover all that your GP should be doing. Diagnosis If you suspect you may have ADHD, the first step is speaking to your GP. They should take your concerns seriously and ask if you have any evidence to back it up, such as ASRS questionnaires, school reports or work evaluations. Bring these documents with you. The next step is to refer you for an assessment. This can be done through the NHS or the private sector. If you choose to take advantage of the NHS, the process can be long and it's not unusual to have a waiting list. A private ADHD assessment is usually simpler and less time-consuming experience. You will meet with a psychiatrist who is a senior consultant who will undertake a comprehensive mental health assessment. They will go over your symptom history development history, medical and drug history, and family history with you. They will also look at other health conditions and consider whether these are present alongside or instead of ADHD. Once the psychiatrist has had the opportunity to assess your symptoms, they'll be able to make a diagnosis. It will be based on the information you've provided, including the symptom checklists you completed and the behaviour rating scales. They may also use other sources, like information from family members, teachers or even acquaintances with you, your doctor, and your health records. Once they have reached an appropriate decision the psychiatrist will explain the decision to you in detail. They will provide a care plan that will include the option of medication. It is important to determine whether your GP will sign what's known as a “shared care agreement” after you've received an individual diagnosis and are taking medication. This way, you can avail support services like therapeutic coaching and specialist coaching to manage your condition. Treatment If your GP believes that you have ADHD They will refer you to an expert mental health team for a specialist assessment. You will be asked to complete questionnaires by a psychologist or psychiatrist regarding your symptoms and previous experiences. They will also ask you about your family history and work history. Be aware that medical professionals may have preconceived beliefs regarding how people with 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 thorough psychiatric examination Your doctor will be able to diagnose ADHD. They will look at your symptoms, the length of time you've experienced them, and how they impact your life. They will also take into consideration any other health issues you may have. For example, if you suffer from depression or anxiety, these could cause your ADHD symptoms worse. The treatment for ADHD is an amalgamation of medication and therapy. Medications for ADHD are effective by boosting activity in the brain's regions which control attention and behavior. The most common medication used for ADHD is methylphenidate. It is part of a group of medicines called stimulants. These drugs can be taken orally and are available through the NHS. They can help to improve your concentration, as well as reduce hyperactivity and impulsive behaviour. Your doctor will determine how long you should take your medication, and many people are prescribed it the duration they require it. Another form of treatment for ADHD is cognitive treatment known as behavioural therapy (CBT) that is a form of talking therapy that helps you understand how your beliefs, thoughts and attitudes impact your behavior. CBT can be used to treat anxiety and depression. It is essential to choose a therapist that is skilled in treating adults suffering from ADHD. If adhd assessment in uk have a diagnosis of ADHD You may be eligible for financial assistance through Access to Work. This scheme is run by the Department for Work and Pensions and can provide you with financial and practical assistance to help you succeed in your job. If you are self-employed or looking for employment, you may apply for this scheme. Find out more about the scheme through its website. Support If you have concerns regarding ADHD or have been told you might have it, it's crucial to seek out an assessment from a specialist doctor. This will allow you to determine if your symptoms are related to this condition, and if they are possible treatment options could be available. The assessment process usually involves conversations with a psychiatrist consultant however, it could also involve questionnaires or rating scales. The psychiatrist will also keep track of your life and medical history as well as your family and social history. This can help them understand your problems better and determine if there are any other factors contributing to your behaviour. If a psychiatrist determines that you may have ADHD the doctor will write a report for your GP. You could be asked to complete the DIVA 5.0 questionnaire (Diagnostic Interview For Adults With ADHD) that will provide more information about the issues you are experiencing and how these difficulties might impact your life. Your doctor could refer you to a mental health clinic for adults or an ADHD clinic. The NHS in England, Wales and Northern Ireland follows the NICE guidelines on ADHD which grants you a “right to provide'. This means that if your GP does not want to refer you to an ADHD assessment, you can request another doctor to refer you or contact AADD-UK for help. The NHS will review your case in detail after you've been referred to them. They will examine any evidence you provide such as reports from your teacher or your doctor, as well as other health experts. They will also examine other conditions like anxiety and depression that might be causing problems for you. The assessment process can be a bit gruelling and time-consuming It's important to remember that there are typically long waiting lists for appointments. If you're concerned about how you'll manage while waiting for an appointment make an appointment with your GP to establish an agreement for Shared-Care with a private provider. These agreements allow you to access private assessments and treatments at a discounted cost. But, make sure whether your GP will be able to accept these agreements prior to beginning the process.