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ADHD Video Call Diagnosis - A BBC Panorama Investigation Finds

BBC Panorama found that patients are diagnosed with ADHD in private clinics and prescribed powerful medications following unreliable video conversations. The undercover investigation was carried out after tip-offs and dozens of patients and whistleblowers have been spoken to.

Many people are forced to pay for private assessments due to the NHS waiting list. But is it really effective?

What is the reason I need an individual diagnosis?

If you think you or someone you know has ADHD It is essential to find a professional who can evaluate your condition and provide you with the proper treatment. Many people opt to use the NHS but an individual diagnosis is often more precise and can save time and money.

There are concerns that the NHS is struggling to deal with the current demand for its services for ADHD assessments. Patients are waiting for weeks or even months for an appointment, which could cause a lot of distress for those affected. In addition, many people feel that the quality of NHS assessment services isn't quite as high as it should be.

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

A private examination will typically begin with a set of screening questionnaires you are asked to fill out and submit to your doctor. The screenings are standardised and designed to determine if you exhibit symptoms of ADHD. These results are used to assist the doctor to decide whether or not you need to attend an appointment for a full diagnosis.

The doctor will then review your medical background and family history, as well as the impact of ADHD symptoms on your daily life. The clinician will also conduct physical examinations and cognitive tests. Based on your specific circumstances, you will then be diagnosed with ADHD and given a detailed treatment plan.

If you are diagnosed with ADHD, your clinician will send documents to your GP for a shared care agreement. This permits you to continue to receive NHS medications while paying only the NHS prescription fee. You can also see your private doctor to keep up with appointments and receive CBT therapy should it be needed.

What happens if I don't get a diagnosis?

A correct diagnosis and the proper treatment can make a big difference in the case of ADHD. The NHS can be slow and frustrating when it comes to diagnosing ADHD. Some adults can't wait that long and instead turn to private professionals for an assessment. This can save time and frustration but it's important to realize that this isn't a guarantee of an accurate diagnosis.

A specialist with experience diagnosing ADHD will be able to offer a more thorough diagnosis than an NHS psychiatrist. This could include a physical examination and tests, such as hearing and vision. It may also include checklists and questionnaires. The person conducting the evaluation will also inquire about your family, medical and social histories and your symptoms. They might also employ the standard ADHD rating scales and might want to ask your teachers or caregivers for their ratings, too.

When evaluating adult ADHD, the healthcare professional will be looking for five or more signs within a period of six months that are serious enough to disrupt your work or family life. They will also check whether these symptoms are caused by other mental disorders. For example, depression and anxiety can cause ADHD-like symptoms. They will also evaluate your social and professional history to rule out potential issues such as financial hardships, abuse histories, and drug and alcohol misuse.

During the NHS assessment, a psychiatrist or other healthcare professional will inform you if they think that you don't meet the criteria needed to qualify for a diagnosis of ADHD. You can request a second assessment if they disagree with their decision.

Anyone who is diagnosed of ADHD privately can decide to share it with their GP. The GP can then refer the person 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 medications because they don't specialize in the condition or because it's expensive.

What do I do if I don't agree with my diagnosis?

It is important to remember that your doctor should be empathetic and respectful of your feelings and concerns. They'll be aware that untreated ADHD can create serious issues for families and individuals. If your clinician doesn't agree with the diagnosis, they might be able suggest alternative treatment options or diagnoses that might be more suitable for you.

If your clinician decides you do not meet the criteria to be considered a case of ADHD They will then explain why. It could be that you haven't provided enough details about your struggles or they may think that another disorder is more responsible for your symptoms (traits). If you're not satisfied with the outcome you may seek an additional opinion from a different physician or submit your complaint to the NHS complaints procedure.

It is important to remember that your physician may find the process of assessment challenging, whether you opt for private care or NHS care. This is not because of the people affected, but rather because NHS service delivery is stretched to the limit.

GPs are trying to navigate the complicated process of diagnosing ADHD and autism (and neurodivergence in general). They must ensure that they are offering a robust service that is safe and fair, as well as meet the prescriptions for shared care that are set by the GMC.

Panorama's exposé more info has exposed that private clinics utilize shortcut diagnostic methods, which can put patients in danger. This is a national catastrophe and a real reason to look at alternative options.

It is also worth noting that the stigma of being diagnosed with ADHD can make it difficult for certain people to receive a diagnosis. This is particularly true if the person is of a different ethnicity or was a female at birth or has other health or social issues which can affect how medical professionals view their symptoms.

We can help you if feel your life is negatively affected by untreated ADHD symptoms. Our clinicians are experienced in identifying ADHD and can offer support and treatment to help you overcome your difficulties. You can schedule an appointment via our website or give us an email to find out what we can do to help.

What happens if you don't want me take my medication?

If you are concerned about ADHD symptoms but do not wish to take medication, it's possible to get a diagnosis without a prescription. You can get an adult ADHD assessment through the NHS. You could ask your GP to recommend you to one of the centers that specialize in England or go through the "Right to Choose" pathway which is faster.

Your appointment will include an online questionnaire, a clinical interview and the completion of some validated assessments. This will enable your doctor to assess how you are affected by these symptoms and what impact they affect your daily routine. The clinician will consider your previous experiences as well as your family history. It is crucial to provide accurate and truthful answers.

If the physician determines that you meet the diagnostic criteria for ADHD the doctor will be able to provide you with an diagnosis. You will be asked whether you are interested in discussing the possibility of taking a medication. Before you make a decision it is essential to weigh the advantages and disadvantages of taking the medication. This is because the effects of medications can be long-term and may be harmful if taken in a proper manner.

The psychiatrist will provide you with a prescription and a plan should you choose to take medication. Based on the severity of your symptoms and the duration of time you've been suffering from them, it may be recommended that you take ADHD medication for a long period of time. It is essential to keep in mind that there are other non-pharmacological ways to manage ADHD symptoms. These include exercise, diet and cognitive behavior therapy.

The BBC Panorama 'expose' of private clinics diagnosing ADHD has caused a lot of controversy especially because it suggests that patients are being misdiagnosed as a result of inadequate assessment of their clinical needs. We're not sure that this does not happen since humans are incredibly inexact creatures and psychiatry is not a science at all. If you're suffering from ADHD symptoms and are being let down by the NHS wait times, then it can make sense to pay for an assessment with a private practitioner.