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Some may feel sadness or anger over having lived their lives without being diagnosed and a desire for earlier diagnosis that could have saved them suffering.The attitudes and knowledge of gatekeepers, at various stages of the diagnosis process can influence the decision to seek assistance.Making an answer to a questionMany adults who experience ADHD symptoms find that getting diagnosed is a major step. The diagnosis can tell many of the reasons why they have trouble at school or at work, and may be a relief. It can also trigger uncomfortable feelings. Many people find it beneficial to join an ADHD support group and seek help. It can be an ideal place to learn about the experiences of others and share their personal experiences.You should first consult your GP to discuss the reasons you think you may have ADHD. They will be very serious and will ask you to complete an assessment form to help determine whether you are suffering from the disorder. You will be asked to rate your symptoms and discuss them in detail, including the problems they caused at home at school, or in relationships. You will probably be referred to a psychiatrist for an assessment.There is a chance that you will experience lengthy waiting times as many of these NHS referral routes aren't adequately staffed and have been criticised for their treatment of vulnerable youth. You may not be accepted for treatment if you do not have severe symptoms or you suffer from a mental health issue which has been linked to ADHD (such as depression). Anecdotal reports have been reported of young people with a history of self-harm or eating disorders who were denied treatment for their ADHD due to the belief that they are impulsive rather than in danger of harming themselves.Finding a PsychiatristThere isn't a single test or screening tool that can be used to identify ADHD. Instead, the diagnosis is made based on an in-depth clinical interview with a psychiatrist. The psychiatrist will ask about your past and your family's history, your current problems, and the impact that the symptoms can have on your life. It is usually beneficial to ask a friend family member to provide support. The psychiatrist will use a questionnaire to assess your symptoms through various stages of your life, namely the age of school and adulthood. They'll also ask about any other mental health issues you have experienced.If your GP is concerned about your health concerns, they should refer you to an assessment. The NHS doesn't invest a lot in ADHD services for adult patients and it can be several years before you are able to get an appointment. If you're having issues with this you can download and print a support letter from ADHD UK to give to your GP to request the referral.If you're not receiving the help that you need from the NHS there are private practitioners who can provide faster and more professional service. This includes the Priory hospitals and wellbeing centers in London, who specialise in assessing people suffering from ADHD. They can also provide medication when required. A Psychiatrist is only a healthcare professional who can prescribe medication. Psychologists and other Mental Health professionals can also be able to evaluate ADHD but they are not able to provide a formal diagnosis.MedicationHyperactivity, inattention and impulsivity are the most common signs of ADHD. They can cause difficulties at school, at work and in relationships. The good news is that there are effective treatment options available. Medication is the most commonly used treatment but there are talking treatments, educational assistance and diet changes which can help.The treatment for adults with ADHD differs from the one prescribed for children since the medications are adapted to the adult's brain. They increase neurotransmitters within the brain, like dopamine and norepinephrine. The majority of stimulants are prescribed however they can trigger adverse effects, including weight loss, trouble sleeping and depression, which is why it is crucial to be aware of these. There are also nonstimulants, like atomoxetine (Strattera) and Guanfacine (Intuniv or Tenex) which can be prescribed if the stimulant medications don't work well.A recent discussion group brought together specialists from primary secondary, tertiary and primary healthcare services in the UK to pinpoint barriers to ADHD diagnosis and management, as well as monitoring. The discussion aimed to find ways to integrate ADHD services with those for mental health conditions. This included the transfer of simple and routine treatment monitoring to primary healthcare.The prevalence of ADHD and its long-term course are in contradiction to the treatment and diagnosis provided by specialists secondary and tertiary services in mental health. It also restricts healthcare access of people with this condition.SupportThe help-seeking procedures in the UK are a bit nebulous. Adults who suspect they might be suffering from the condition are screened by a variety of gatekeepers prior to being allowed to access treatment. The attitude and understanding of these individuals can aid or hinder a person's path to a diagnosis.Doctors, nurses, psychologists and psychiatrists are among the gatekeepers. They should be aware that ADHD can cause serious, long-term effects in adulthood. They must also be willing to request an NHS assessment to a specialist doctor with the expertise to make a diagnosis of ADHD in adults. The NHS is struggling to meet the demand. Waiting times for an NHS ADHD assessment are extremely long.This is because the NHS does not have enough specialists with the appropriate expertise and training to handle the growing number of referrals. This has led to a number of NHS trusts closing waiting lists.You should first see your GP to have a honest and open conversation about the reasons you believe that you may be suffering from ADHD. GPs can then refer you for an NHS ADHD assessment or alternatively you may self-refer. If you're an individual living in England, Wales, or Northern Ireland but the NHS does not offer an ADHD service You can apply for an Individual Funding Request to allow you to be referred for an ADHD evaluation with another provider like Priory hospitals or wellbeing centers.