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The Cost of an ADHD Assessment in the UK If you choose to go the NHS method your evaluation and treatment will be covered by the national health care system The NHS is wellknown for its long waiting times In England there is also the option to obtain your ADHD assessment privately funded through the Right to Choose pathway The services you select must be relevant to the clinical setting and not cost more than NHS services 1 Inperson assessment During the examination you will be paired with a seasoned psychiatrist to understand your thoughts presentations and experiences You will be asked about your family history and any mental issues you have had in the past The psychiatrist will gather information from a number of sources including symptom checklists and behaviour rating scales as well as speaking to you and your relatives or close friends about how ADHD symptoms affect you in different environments Based on your healthcare professionals opinion it could be necessary to determine if your symptoms could be better explained by psychiatric or medical disorders that mimic or coexist alongside ADHD Anxiety disorders for example can present with symptoms that are similar to ADHD and can have an impact similar to ADHD on relationships and work Before considering any medication or other treatments it is crucial to rule out any other disorders that could cause symptoms of ADHD The NHS Route If you decide to use the NHS your first step is to visit your GP to discuss the reasons you believe you have ADHD symptoms Your GP should consider this to be a serious matter and recommend you to an assessment The NHS assessment waiting times can be very long If you cannot wait you can choose the private route which is more expensive but has shorter waiting times During your appointment you will be asked some questions and will be administered the QbTest a computerised test which measures the core ADHD symptoms of impulsivity activity and attention It is important to be familiar with the signs of ADHD so that you can articulate how you experience these traits in your everyday life The psychiatrist will then assess your answers and discuss the next steps to take including if you would like to explore treatment options 2 Online assessment An online assessment is a possibility that can be much quicker than waiting for an NHS appointment It is also more costly The cost of an online assessment for ADHD patients can vary from PS240 to PS2500 This includes the assessment a comprehensive diagnostic report and medications In the UK adults and children can access ADHD assessments on the NHS through an appointment with a doctor The BBCs investigation has revealed that there are lengthy waiting times to see an expert One woman in Sheffield for example has waited for two years for a specialist Suicidal thoughts are among her symptoms which could be a sign that she may not be diagnosed with ADHD According to NHS guidelines a patient with ADHD should be assessed by a psychiatrist or specialist nurse NICE guidelines During the examination the psychiatrist will examine and interview the patient using questionnaires and observation of behaviour The psychiatrist will then evaluate the severity of ADHD symptoms and their impact on daily life People suffering from ADHD frequently employ strategies such as calendars diaries and postit notes to manage their symptoms These methods are not always effective They could cause more stress and confusion especially for those already suffering from mental health issues The examination will also consist of an examination of the body and a review of medical history The NHS has a scheme known as Right to Choose which lets you choose where youre referred for an assessment Anyone who is registered with an GP office in England Wales or Northern Ireland can take advantage of this scheme You can request an individual service that is partnered with NHS provide an ADHD assessment If the service is accredited by NHS and does not charge more than NHS you can request to be advised 3 Diagnosis A specialist nurse or psychiatrist will usually conduct an ADHD assessment based on the criteria outlined in the Diagnostic and Statistical Manual of Mental Disorders 5th edition Adults can also be evaluated for comorbid conditions such as anxiety or depression During the appointment youll talk about your current symptoms and your family background with the physician Theyll also ask you to complete questionnaires or rating scales In this process the expert will observe your behavior and how it affects others such as your spouse or your children The psychiatrist will take all the information into account to help determine if you meet the criteria for ADHD including its subtypes Your specialist will then explain their findings and suggest the best method of treatment If the psychiatrist recommends a medication you will receive a prescription to take to any pharmacy of your choice Prescription fees cover the administrative procedure but do not cover the cost of the medication themselves which you will be required to pay for separately If you require a medication titration additional appointments could be needed until youre comfortable with the medication Its important that you share your diagnosis with your GP as well as anyone else who may need to know about it such your employer or school Our experts can also provide recommendations for educational accommodations for students such as additional time in exams or reduced deadlines Some people might find it difficult to get an ADHD diagnosis especially if their GP isnt convinced that they exhibit the symptoms If youre one of them you may want to read our page on Getting an ADHD Assessment for tips and guidance on how to have your GP recommend you for an assessment 4 Medication In the UK There are many medications that are approved to treat ADHD These are typically stimulants and include the wellknown methylphenidate drug Ritalin and the more recent amphetaminebased medicine lisdexamfetamine Elvanse It is common to recommend that patients start with a small amount of medication and then gradually increased over a period of appointments until the patient is at a stable dosage This is usually accompanied by regular meetings with psychiatrists to discuss side effects and monitor progress The medications can lessen symptoms of ADHD and ease the burden they impose on families individuals and employers They help by increasing neurotransmitters that enable brain cells to communicate However the right drug can be very individual and determining it may take time Once someone is prescribed the appropriate medication its crucial to stick to their treatment plan Continuing to miss appointments or stop taking their medication can result in symptoms recurring and the medication not working as efficiently A qualified psychiatrist will not prescribe medication during the assessment however they will be able to refer you to an expert nurse who will discuss medication options and prescribe if necessary This may require further titration appointments to get the right dose and regular reviews to check the effectiveness of your medication The NHS generally does not cover prescriptions so you will have to pay an additional fee at the pharmacy Private clinics also charge for followup consultations If necessary this includes sending letters of recommendation to schools or employers It could include advice and direction about medication or any medical concerns that arise between appointments through email or brief phone calls limited to 20 minutes However the costs associated with titration and followup are not covered in the initial ADHD assessment appointment 5 Followup The NHS has struggled for a long time to meet the demands for adult ADHD assessment As a result many areas face waiting times that can be as long as eight years according to BBC research conducted using Freedom of Information requests sent to NHS trusts The assessment process is lengthy however it is essential for a thorough diagnostic The psychiatrist who will conduct the assessment will talk to you about your lifestyle and medical history and also your symptoms and their impact on your life You may be asked to fill out questionnaires or rating systems to help the doctor evaluate how youre feeling After the interview your doctor will put together the report which will provide you with an assessment and recommendations for ongoing treatment and support if you have ADHD They will also inform you about if and how ADHD might be a contributing factor to any health problems or concerns that you may have There are many kinds of ADHD and they appear differently in every individual This is why its important to know the specific symptoms you are experiencing so that your doctor can identify the right kind of ADHD A thorough ADHD assessment will assist you in finding the right treatment Private healthcare providers offer an alternative route to an ADHD assessment for those who are in a position to speed up the process and wish to avoid waiting for an NHS appointment adhd uk assessment can make a selfreferral directly to an independent mental health practitioner and this can provide faster access to specialists who have expertise in adult ADHD The process typically starts with a meeting with a clinical psychologist or psychiatrist who is experienced in adult ADHD assessment