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ADHD Assessment in Wales In England, Wales and Northern Ireland patients are legally entitled to access NHS specialist ADHD services. However, this is not always feasible due to under-funding of these services and regional differences in specialisation. GPs have preconceived notions about what a person with ADHD might look like, and this makes it difficult to identify. It is helpful for patients to receive information from someone who understands them well. The Assessment If you believe you may have ADHD The first step is to make an appointment with your GP. They will be looking to find out how it affects your life and whether there are any other issues. Once they have the information, they can decide if they would like to send you to an assessment at a contracted adult ADHD service. You can self-refer to a psychologist and pay for an ADHD assessment. If a GP recommends you for an NHS ADHD assessment The process usually begins with a first clinical interview. This can be done in person, by video call or on the phone. You will be asked to bring a list of your current challenges, a questionnaire with questions about your background in education and mental health and a list of current issues. The interview usually lasts approximately one hour. It is possible to make some notes on your challenges prior to the interview so that you can remember the issues. You can also bring along any feedback from people who know you well – such as teachers or supervisors – to provide more insight into the challenges you face. During the interview, the specialist will evaluate your symptoms based on the criteria set out in the Diagnostic and Statistical Manual of Mental Disorders. They will also consider any other issues that might be causing them. This is called a differential diagnosis. they will consider whether other conditions like depression or anxiety could be to blame. A private assessment can consist of a thorough clinical interview as in addition to tests that are observational. They might also ask you to talk about your experiences with those who are close to you, such as your family or friends. They will also ask about your medications as well as any other issues you may be facing. The doctor will use this information to create an individualized treatment plan that may include medication and psychotherapy. Private assessments are usually quicker than NHS assessments since there is no need to see your GP. However, this approach can be costly and might not cover everything your GP needs to do. Diagnosis If you think you might have ADHD The first step is to speak to your GP. They will be attentive to your concerns and inquire if you have evidence to back it up, such as ASRS questionnaires, school reports or work assessments. It is recommended to carry these documents with you. Then, you will be directed to a medical professional for an evaluation. This can be done through the NHS or the private sector. If you decide to go through the NHS the process could be long and there is usually a waiting list. A private ADHD evaluation is typically an easier and shorter experience. You will be able to talk to a senior psychiatrist who will perform a comprehensive psychiatric evaluation. They will discuss your symptom history, developmental history, medical and drug history, and family history with you. They will also consider other health conditions and consider whether they exist alongside or in addition to ADHD. Once the psychiatrist has had a chance to assess your symptoms, they'll then come to the diagnosis. The psychiatrist will base their decision on the data you've provided, including the symptom checklists and behaviour rating scales. They could also draw information from other sources, such as family members, teachers or friends who know you well, your doctor and your health records. Once they have reached an agreement the psychiatrist will explain the decision to you in detail. They will provide a care plan, which includes the option of medication. Once you have an individual diagnosis and you're taking medication, it is important to ask your GP whether they'll accept an agreement for shared-care. You'll be able to access support services such as therapeutic interventions and specialized coaching to manage your illness. Treatment If your GP believes that you have ADHD, they will refer you to a specialist mental health team for an expert assessment. You will be asked to complete questionnaires with a psychiatrist or psychologist about your symptoms and previous experiences. They will also ask you about your family and your work history. It's important to be aware that medical professionals could have preconceived notions about what is expected for people with ADHD and these could influence how they evaluate your condition. They might think you're naughty or irresponsible if you have ADHD. After a complete psychiatric evaluation Your doctor will be able to diagnose ADHD. They will examine your symptoms, how long you have been suffering from them and how they affect your life. They will also consider any other health issues that you may have. If you have anxiety or depression, this could make your ADHD symptoms worse. Treatment for ADHD is the use of therapy in conjunction with medication. The medications for ADHD work by increasing activity in the brain's regions which control attention and behavior. The most frequently used medication for ADHD is methylphenidate, which belongs to the class of medications known as stimulants. These drugs can be taken orally and are available on the NHS. They can aid in improving your concentration, as well as reduce the impulsive and hyperactive behavior. Your doctor will advise you how long to take your medication. Many patients are prescribed the medication as long as is necessary. Another form of treatment for ADHD is cognitive treatment known as behavioural therapy (CBT) which is a type of talking therapy that helps you understand how your beliefs, thoughts and attitudes affect your behaviour. CBT can also be used to help you deal with anxiety and depression. It's crucial to find a therapist with experience treating adults with ADHD. If you have a diagnosis of ADHD and are diagnosed with ADHD, you could be eligible for financial support through Access to Work. This is a program run by the Department for Work and Pensions that can provide practical and financial assistance to help you succeed in your work. If you are self-employed or seeking employment, you can apply for this scheme. You can find more details about the scheme by visiting its website. Support It's important to consult a specialist if you are worried about ADHD or have been told you might be suffering from it. This will help you find out whether your symptoms are related to this condition and, if they are the case, what treatment options may be available. The assessment process typically involves conversations with a psychiatrist consultant, but it may also involve questionnaires or rating scales. The psychiatrist will also take note of your lifestyle and medical history, as well as your family and social history. This will help them know your concerns and determine if other factors are causing your behavior. If the psychiatrist concludes that you might have ADHD, they will then make a report to your GP. They might ask you to complete a DIVA 5.0 (Diagnostic Interview for Adults with ADHD) questionnaire which will provide them with more details about your issues and how they could be affecting your daily life. The GP may recommend a mental health clinic for adults or an ADHD clinic. The NHS in England and Wales as well as Northern Ireland, follows the NICE guidelines for ADHD, which gives you the right to treatment'. If your GP refuses the request for an ADHD assessment, you can ask another GP to do it or contact AADD UK for advice. After you've been referred to by the NHS will consider your case in depth. They will review the evidence you have provided for example, such as reports from your teacher, your GP or other health professionals. They will also look at other conditions, such as depression and anxiety that could be causing you problems. The assessment process may be a bit gruelling and time-consuming However, it's important to keep in mind that there are usually long waiting lists for appointments. If you're worried about how you'll endure the wait for an appointment, request your GP to sign an Shared Care Agreement, which is a private service. These agreements let you access private assessments and treatments at a discounted cost. cost of adhd assessment uk should first ask your GP to see if they are willing to take them into consideration.