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ADHD Video Call Diagnosis - A BBC Panorama Investigation Finds

Patients are being diagnosed with ADHD and given powerful drugs after unreliable video call assessments at private clinics, a BBC Panorama investigation has found. The undercover investigation was carried out following tip-offs, and dozens of patients and whistleblowers were spoken to.

Logjammed NHS waiting lists mean many people have no choice but to pay for a private examination. But is it effective?

Why do I require a private diagnosis?

If you suspect that you or someone you know has ADHD It is essential to find a doctor who can evaluate your health and provide the appropriate treatment. Many people prefer to utilize the NHS but a private diagnosis is often more accurate and can save both time and money.

There are concerns that the NHS is struggling to cope with current demands on its services for ADHD assessments. Patients are often waiting for weeks or even months for an appointment, which can be a source of stress for those suffering. Furthermore, a lot of people believe that the quality of NHS assessment services isn't as high as it could be.

It's not a surprise, then that more people choose to have a private assessment. The BBC Panorama investigation raised serious concerns about the quality of care provided by private clinics. The undercover program revealed that some clinics were rushing through assessments over the phone, and were telling patients that they had ADHD when, in reality, they did not.

A private assessment typically begins with a series of questionnaires for screening, which you will be asked to complete and send to the doctor. The screenings are designed and standardised to determine whether you have symptoms of ADHD. These results aid the clinician determine if you are a candidate for an appointment for diagnosis.

The clinician will then evaluate your medical background and family history, as well as the impact of ADHD symptoms on your life. The doctor will also conduct physical examinations and cognitive tests. Based on your situation you will be diagnosed with ADHD and given an outline treatment plan.

After you've been diagnosed with ADHD, the clinician will send a letter to your GP with a form for a 'shared care agreement'. This will enable you to continue to receive NHS medication (only paying the NHS prescription charge) while also seeing your private therapist for ongoing appointments and CBT therapy when needed.

What happens if I do not receive an appointment?

A correct diagnosis and the right treatment can make a massive difference in the case of ADHD. However the NHS method of diagnosing ADHD can be long and frustrating. Many adults can't wait that long and seek out private providers to assess their health. This can help save time and frustration but it's important to realize that this isn't necessarily an assurance of a correct diagnosis.

A professional who can diagnosis adhd has expertise in diagnosing ADHD can provide a more thorough evaluation than a psychiatrist from the NHS. This could include a physical exam and tests like hearing and vision. It may also include questionnaires and checklists. The person conducting the test will also inquire about your family background and medical and social history, in addition to asking about your symptoms. They may also use the standard ADHD scales of rating and ask your teachers or caregivers to give you a score.

When assessing adults with ADHD the healthcare professional will look for five or more symptoms that have been present for at least six months and are severe enough to cause disruption in the home or in the workplace. They will also consider whether the symptoms are related to mental health issues in other ways. Depression and anxiety, for example can trigger signs similar to those seen in ADHD. They will also assess your work and social life history to rule out any issues such as financial hardship or an abuse history, and alcohol or drug misuse.

During the NHS assessment the psychiatrist or other healthcare professional will inform you if they think that you do not meet the criteria for a diagnosis of ADHD. You can ask for another assessment if they disagree with their conclusion.

People who receive a private diagnosis of ADHD may decide to discuss this information with their GP, and the GP can then refer them back for shared management through the NHS. This is how many adults who have been diagnosed with ADHD receive medications. Some GPs are hesitant to prescribe adhd diagnosis in adults medications because they don't have a specialization in the condition or because it's expensive.

What happens when I don't agree with my diagnosis?

It is important to remember that your doctor must be considerate and understanding of your concerns and feelings. They'll be aware that untreated ADHD can cause serious problems for families and individuals. If your physician isn't in agreement with the diagnosis, they may be able suggest alternative treatments or diagnoses that may be more appropriate for you.

If your doctor finds that you don't meet criteria for adhd diagnosis for an ADHD diagnosis and they give the reasons. It could be due to your inability to give enough detail about your issues or they believe that a different condition can explain your traits (symptoms) more effectively than ADHD. If you're not satisfied with this choice then you can seek an additional opinion from a different physician or submit your complaint to the NHS complaints procedure.

If you choose to go private or take advantage of NHS services the wait time for an assessment can be lengthy and it's important to consider that your clinician may find the process difficult. The NHS is stretched too thin and this isn't the fault of the individuals involved.

GPs also struggle to navigate the complicated diagnosis process for ADHD, autism (and neurodivergence generally). They must be sure they provide a quality service that is both safe and fair, and also meet the standards of shared care prescribing that are set by the GMC.

Unfortunately, Panorama's expose exposed that private clinics are using shortcut diagnostic methods and this could put patients at risk. This is a national issue, and a very real reason to think about alternatives.

It is also important to note that the stigma of being diagnosed with ADHD can make it difficult for some people to receive the diagnosis. This is particularly true if they are of minority ethnicity or born female or have other social and health situations that could affect how to get diagnosed add medical professionals interpret the symptoms they present.

If you're suffering from unmanaged ADHD symptoms and feel that your life is negatively affected, we are here to assist. Our doctors have experience diagnosing ADHD and can provide support and treatment for your difficulties. You can call us or request an appointment online to find out what we can do to help.

What is the next step if I don't wish to take medication?

If you are worried about ADHD symptoms but do not want to take medication, it's possible to receive a diagnosis without taking medication. The NHS provides an adult diagnosis adhd ADHD assessment service. You can request an appointment from your doctor to be assessed at one of the specialist centres in England or by the 'Right To Choose' pathway which is more efficient.

Your appointment will include an online questionnaire, a clinical interview, and the completion of some validated assessments. This will help your physician to determine how you are affected by these symptoms and the impact they have on your daily life. The clinician will consider your past experiences and your family history. It is crucial that you provide honest and truthful information.

If the doctor determines that you meet the diagnostic criteria for ADHD, they will be in a position to give you an assessment. You will be asked if you would like to discuss the possibility of taking medication. Before making a decision it is essential to consider the pros and cons of taking the medication. This is because the effects of medication can be long-term and may cause serious adverse side effects if taken in a proper manner.

If you decide to use medication, the psychiatrist will provide you with the prescription and plan. Depending on the severity of your symptoms, as well as the length of time you have been experiencing them, it might be recommended that you take ADHD medication for a longer period of time. However, it's important to keep in mind that there are non-pharmacological options to help manage ADHD symptoms, including exercise, diet and cognitive behaviour therapy.

The BBC Panorama "expose" of private clinics that diagnose ADHD has sparked controversy, in particular because it suggests people are being misdiagnosed as the result of insufficient clinical assessments. We're hesitant to claim that this does not happen because we are inexact, and psychiatry not a science at all. If you're suffering from ADHD symptoms, but are frustrated by the NHS waiting time, it could be a good idea to pay for an assessment.