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Celebrities like Simone Biles and Adam Levine have shared their experiences with ADHD, helping to remove the stigma that surrounds the condition. For many, getting diagnosed with ADHD is a life-changing experience.
A diagnosis on the NHS starts with a specialist assessment by either a psychiatric or psychological professional (as per Nice guidelines). It will be a 45-90 minute appointment.
Making an accurate diagnosis
The first step to control symptoms of ADHD is to identify it. This will help you get control of your home life and at work. It is crucial to get the right diagnosis when you're constantly losing keys, struggling at work to complete tasks or arguing with your family about your impulse purchases. Accurate diagnosis can be achieved by conducting a thorough clinical assessment with an experienced Consultant Psychiatrist.
You can either self-refer or get referred by your GP to visit a psychiatrist who specializes in adult ADHD, but the process will differ depending on which route you take. You may need to pay for your own assessment in the event that you self-refer. This is known as going private. If you are referred by your doctor, it will be for free.
In a thorough discussion with you, the psychiatrist will discuss your history of symptoms. They will also ask you for feedback from those who are familiar with you, like parents, teachers and colleagues. During the interview, you will be asked to assess your symptoms in relation to your daily functioning. They will also look into any recent issues, such as relationships or work-related issues. They will also ask you about any co-existing mental health issues you may have.
![i-want-great-care-logo.png](https://www.iampsychiatry.uk/wp-content/uploads/2023/09/i-want-great-care-logo.png)
If your GP determines that you are ADHD, he will refer you to a specialist for further evaluation. He could prescribe medication if needed. You can also request an appointment with a private clinic such as Priory, who have consultants with extensive experience of diagnosing adult ADHD and providing effective treatment for the condition.
However, NHS services are stretched and it can be challenging to obtain a referral for an assessment, especially if your GP is unfamiliar with ADHD. Some doctors may not diagnose adult ADHD because they do not have the necessary knowledge. By raising awareness and selecting the right GP, you can improve your chances of a thorough evaluation.
Medication
Medications can help people with ADHD focus better, become less impulsive and more peaceful. They work by increasing certain brain chemicals. Stimulants, such the methylphenidate and the lisdexamfetamine are usually prescribed. Other medications, like the non-stimulant atomoxetine as well as antidepressants (such as bupropion), may also be employed if stimulants aren't appropriate or cause serious adverse effects.
Certain people suffering from ADHD may find that dietary adjustments or supplements may aid in improving their symptoms. These methods should be used only under medical supervision and with the guidance of an experienced dietitian. These methods aren't proven to work and should not be used in place of a medical treatment.
The most commonly used medication is treatment for ADHD for both adults and children. People with ADHD should not stop taking their medication unless advised to take it off by a medical professional. Medication can have dangerous, sometimes life-threatening consequences if stopped too early or not taken properly.
In addition to medication, therapy can also be a helpful way to manage ADHD symptoms. Psychotherapy, or psychological counselling can help adults, teenagers and children accept their diagnosis and learn to live with it. Cognitive therapy is a kind of psychotherapy which helps people change their negative thoughts and behaviours into more positive ones. Marital and family counselling can be useful for adults with ADHD because it can assist them in dealing with the challenges that arise in their relationships.
Despite the difficulties, many people suffering from ADHD are successful at work and in their relationships. The disorder can create problems in education and careers but can also enable people to gain a different perspective on the world. For example, the hyperactivity and impulsiveness of ADHD can enable people to notice details that others miss which can allow them to become more successful in creative fields.
To receive a diagnosis, you should first visit your GP to have a candid discussion about your symptoms. Bring any notes you've made about your symptoms and examples of how they have affected your daily life. The doctor will decide if he or she should send you for an NHS evaluation or to a different mental health specialist, such as psychologist or psychiatrist. If you are based in England you are entitled to select your NHS mental health provider.
Therapy
ADHD symptoms can be different in adults, which can make it difficult to get a diagnosis. You can locate an ADHD specialist online, or in some cases a general practitioner will be able to recommend one to you. However it's not always the case, and waiting times are usually lengthy, especially if you live in England or Wales where NHS guidelines require them to provide an ADHD service. You can also pay for an individual diagnosis and treatment. It's not without risk however, since many GPs do not prescribe medication if they've already diagnosed you privately.
![coe-2022.png](https://www.iampsychiatry.uk/wp-content/uploads/2023/09/coe-2022.png)
There are a few important gatekeepers that can help patients get access to diagnosis and treatment. Teachers, social workers, youth workers and police officers are all examples of these people. They have regular contact with a lot of young people and are more able to recognize signs than their parents. They are often impeded by their own prejudices. For instance, they may overemphasize the role of poor diet and home environments in causing ADHD symptoms.
It can be difficult to receive an ADHD diagnosis in adulthood, especially if you're multi-neurodivergent (such as having both ADHD and autism) or if your mental health was previously diagnosed. These conditions can overlap, making it hard to know which one you're suffering from.
Fortunately, the NHS has introduced a new way to conduct ADHD assessments which is designed to reduce waiting times. The "right to choice" pathway allows you to choose your own therapist to conduct an NHS-funded assessment. If you're in England the process of getting diagnosed with add as an adult an ADHD assessment will be much simpler than ever before.
Support
ADHD Aware conducted an investigation recently and found that adults with the condition often find it difficult to cope. Many say it makes them feel like a failure or that they don't merit treatment. Some people are unsure of how to manage their symptoms and may be struggling with their job or family. They could also be misinterpreted and lose their job due to this.
Adults may have trouble comprehending and recognizing the signs of ADHD and, as a result, they are often misdiagnosed as having other mental disorders. This can cause people to receive inappropriate treatment such as antidepressants, which can have serious side effects. It is crucial to talk to your doctor if you think that you or someone you know might suffer from ADHD. They may refer you to a specialist and arrange an assessment to be carried out. The results of the test will aid in determining if medication or treatment is needed.
Adults with ADHD require access to high-quality support services. The condition can cause serious issues in all aspects of their life, from academic performance to relationships and career advancement. It can also trigger depression and anxiety. Despite this, NHS trusts struggle to provide adequate services. Some are unable to meet the demand and are facing long waiting times.
Adults suffering from ADHD can be referred to their local NHS mental health services by their doctor, but this can be long and time-consuming. You can request your GP to exercise your right to choose and refer you to a specialist in the private sector if you wish to speed up the process. This can be an easier and more cost-effective solution.
Check the waiting lists for ADHD assessments in your area. The longer the wait, the more difficult it is for you to receive a diagnosis and get treatment. You may also ask your GP to refer you to an expert psychologist. They may be able to examine you more quickly than psychiatrists.
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