ADHD Video Call Diagnosis – A BBC Panorama Investigation Finds
Patients are being diagnosed with ADHD and prescribed powerful drugs following unreliable video assessments in private clinics, an BBC Panorama investigation has found. The undercover investigation took place after tips were reported. Dozens of patients and whistleblowers spoke to.
Logjammed NHS waiting lists mean that many people are forced to pay for a private examination. But does it work?
Why do I require an individual diagnostic?
If you or someone you know suffers from ADHD It is important to seek out a professional who can accurately diagnose your condition and prescribe the appropriate treatment. Many people choose to use the NHS but a private diagnosis is often more accurate and can save both time and money.
There are some concerns about the NHS’s ability to meet the current demands for ADHD assessments. Patients are waiting for weeks or months for an appointment. This can be extremely difficult for those affected. Furthermore, a lot of people believe that the quality of NHS assessment services is not as high as it could be.
It’s not surprising, then that more people choose to get a private evaluation. The BBC Panorama investigation raised serious concerns about the quality of care offered by some private clinics. The undercover program reported that some clinics ran assessments over the telephone and claimed that patients were ADHD even though they were not.
A private assessment will typically begin with a set of screening questionnaires that you must complete and return to your doctor. The screenings are standardised and designed to determine whether you have symptoms of ADHD. These results aid the clinician determine if you are a candidate for an appointment to diagnose.
The doctor will then review your medical background and family history, as and the impact of ADHD symptoms on your life. The doctor will also conduct an examination of your body and cognitive tests. Depending on your circumstances you will then be diagnosed with ADHD and given an outline treatment plan.
After you are diagnosed with ADHD Your doctor will submit documents to your GP for a shared care agreement. This will enable you to continue to receive NHS medication (only paying the NHS prescription fee) while also seeing your private doctor for regular appointments and CBT therapy when required.
What happens if I don’t have an answer to my question?
A clear diagnosis and the appropriate treatment can make a big difference in the case of ADHD. However the NHS method of diagnosing ADHD is lengthy and painful. Many adults are unable to wait that long and instead turn to private specialists for their evaluation. This can save you time and frustration, but it is important to note that it does not guarantee an accurate diagnosis.
A specialist who has experience diagnosing ADHD can give an extensive evaluation than a psychiatrist on the NHS. This may include a medical examination as well as tests such as hearing or vision. The assessment may also include checklists and questionnaires. The person who conducts the assessment will also ask you about your family medical and social history and your symptoms. They could also utilize the standard ADHD ratings scales, and may want to ask your teachers or caregivers for ratings, too.
When evaluating adults with ADHD Healthcare professionals will be looking for five or more signs within a period of six months that are severe enough to interfere with your work or family life. They will also determine whether these symptoms are due to other mental health disorders. Depression and anxiety, for instance, can cause ADHD-like signs. They will also evaluate your professional and social background to rule out problems like financial difficulties or abuse history, as well as drug and alcohol misuse.
During your NHS assessment you will be informed by a psychiatrist or other healthcare professional if you do not fit the criteria for ADHD. You may request a re- assessment if they disagree with their decision.
If you are getting diagnosed for adhd of ADHD privately can decide to discuss it with their GP. The GP can then refer the person back for shared management through the NHS. This is how some adults who can diagnosis adhd have been diagnosed with ADHD receive medications. However, doctors have been often hesitant to prescribe ADHD medication because they are not experts in the condition and also because it’s expensive.
What happens If I don’t like my diagnosis?
Remember that your clinician must be respectful and sympathetic to your feelings and concerns. They’ll know 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 to suggest alternative diagnoses or treatments that could be more appropriate for you.
If your doctor decides that you don’t meet the criteria for a diagnosis of ADHD They will explain the reason. You may have not provided enough information about your difficulties, or they may believe that another condition is more likely to explain your symptoms (traits). If you’re not happy with this choice you may seek another opinion from a different physician or submit your complaint to the NHS complaints procedure.
It’s important to consider that your clinician may find the process of assessment frustrating, whether you choose private care or NHS care. The NHS is stretched too thin and this is not the fault of the people affected.
GPs are also struggling to navigate the complex diagnosis process for ADHD and autism (and neurodivergence more generally). They must ensure that they offer a robust safe, fair and secure service and that they meet the GMC’s requirements for sharing care prescribing.
The Panorama expose has revealed that private clinics employ techniques for diagnosing problems that are not as thorough, and can put patients in danger. This is a national scourge, and a very real reason to consider alternative options.
It is also important to note that the stigma of being diagnosed with ADHD can make it harder for certain people to receive the diagnosis. This is particularly true if they are ethnically minorities or were born female or have other social and health circumstances that can affect how medical professionals interpret the symptoms they present.
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What happens if you don’t wish me to take my medication?
If you are worried about ADHD symptoms but don’t want to use medication, it is possible to receive a diagnosis without the need for medication. You can receive an adult ADHD assessment through the NHS. You could ask your GP to send you to one of the centers that specialize in England or go through the “Right to Choose” method, which is quicker.
Your appointment will consist of an online questionnaire, a medical interview, and certain validated assessments. This will help your clinician know how these symptoms affect you and how they impact on your daily life. The doctor will take into consideration your past experiences and your family history. It is essential that you provide honest and truthful information.
If the clinician finds that you meet the diagnostic criteria for ADHD and adhd how to get diagnosed, they will be capable of providing you with an diagnosis. You will be asked whether you are interested in discussing the possibility of taking medication. It is important to think about the consequences of taking any medication before making the decision. The effects of medication last for a long time, and they can have serious side effects when taken improperly.
The psychiatrist will give you the prescription and a plan should you choose to take medication. You could be prescribed ADHD medication for a long duration, based on the severity of the symptoms and the length of time you’ve been experiencing these symptoms for. However, it’s important to keep in mind that there are alternatives to medication to manage ADHD symptoms, such as exercise, diet and cognitive behavior therapy.
The BBC Panorama “expose” of private clinics that diagnose ADHD has generated controversy, particularly because it suggests that people are being misdiagnosed as the result of insufficient clinical assessments. We hesitate to claim that this isn’t the case because we aren’t precise creatures, and psychiatry barely is an actual science. However, if you’re struggling with ADHD symptoms and are let down by the NHS waiting times, then it may be a good idea to take out an individual assessment.