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ADHD Video Call Diagnosis - A BBC Panorama Investigation Finds
Patients are being diagnosed with ADHD and given 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 many people have no choice but to pay for a private assessment. But does it actually work?
Why do I need a private diagnosis?
If you believe that you or someone you know has ADHD, it's important to find a specialist who can accurately assess your condition and provide you with the proper treatment. Many people choose to use the NHS however a private diagnosis is often more accurate and can save both time and money.
There are concerns that the NHS is unable to cope with the demands of current services for ADHD assessments. As a result, patients are waiting for weeks or even months to get an appointment, and this can be a source of stress for those who suffer from the condition. Many people believe that the NHS assessment services are not as efficient as they could be.
In light of these problems it's not a surprise that more people are opting to undergo an assessment by a private doctor. The BBC Panorama investigation raised serious concerns about the quality of care offered by some private clinics. The undercover show revealed that some clinics rushed through tests over the phone and told patients they were ADHD even though they were not.
A private assessment usually begins with a series of questionnaires for screening that you will be asked to fill out and then submit to your doctor. The screenings are standardised and designed to determine whether you have symptoms of ADHD. The results can be used to help the clinician decide whether or not you should attend an appointment for a full diagnosis.
The clinician will then evaluate your medical history and family history, as in addition to the effects of ADHD symptoms on your daily life. The doctor will also conduct physical examinations and cognitive tests. You will be diagnosed with ADHD in light of your circumstances and given a treatment plan.
After you've been diagnosed with ADHD The doctor will write to your GP with a form to sign a'shared care contract'. This allows you to continue receiving NHS medication while paying only the NHS prescription fee. You can also visit your personal doctor to keep track of appointments and receive CBT therapy, in the event that it is necessary.
What happens if I don't get a diagnosis?
In the case of ADHD, a clear diagnosis and treatment plan can make all the difference. However the NHS procedure for diagnosing ADHD can be long and difficult. Many adults are unable to endure this long and go to private professionals for an assessment. This could save you time and frustration, but it is important to remember that it doesn't guarantee an accurate diagnosis.
A specialist who has experience diagnosing ADHD can offer a more thorough evaluation than a psychiatrist from the NHS. This could include a physical examination as well as tests such as hearing and vision. This will include checklists and questionnaires. The person conducting the evaluation will also inquire about your family medical and social history and your symptoms. They could also employ the standard ADHD rating scales, and may ask your caregivers or teachers to evaluate you.
When assessing adult ADHD the doctor will look at five or more symptoms that have been present for at least six months and are severe enough to cause disruption in the family or work environment. They will also look to determine whether these symptoms are caused by other mental disorders. Depression and anxiety, for example, can cause ADHD-like signs. They will also assess your work and social background to rule out issues such as financial difficulties, an abuse history, and alcohol or drug misuse.
During the NHS assessment, a psychiatrist or another healthcare professional will tell you if they think that you do not meet the criteria to be considered a sufferer of ADHD. They will explain their reasoning and you are able to request a new assessment if you are not satisfied with their decision.
People who receive a private diagnosis of ADHD may decide to discuss this with their GP, and the GP can then refer them back for shared management through the NHS. This is the way that some adults who have been diagnosed with ADHD get access to medications. Some GPs are reluctant to prescribe ADHD medication because they don't have a specialization in the condition or because it's expensive.
What happens if I don't agree with my diagnosis?
It is important to remember that your clinician should be empathetic and respectful of your concerns and feelings. They'll be aware that untreated ADHD symptoms can cause significant difficulties for people and families. If your physician isn't happy with the diagnosis, they may be able suggest other treatment options that are more suitable for you.
If your physician decides that you don't meet the criteria for an ADHD diagnosis and they give the reasons. You may not have provided enough details about your issues or they might believe that another condition is more likely to explain your symptoms (traits). If you're not happy with the diagnosis, you can seek another opinion from a different doctor or go through the NHS complaints procedure.
No matter if you opt for private or take advantage of NHS services the wait time for an appointment can be lengthy, and it's important to consider that your clinician might find the process frustrating. The NHS is stretched too thin and this isn't the fault of the individuals affected.
GPs are also struggling to navigate the complicated diagnosis process for ADHD and autism (and neurodivergence more generally). They must ensure that they provide a quality service that is safe and fair, and also meet the prescriptions for shared care set out by the GMC.
The Panorama exposé has revealed that private clinics employ shortcut diagnostic methods, which could put patients at risk. This is a national tragedy and an excellent reason to look at alternative options.
It is also important to recognize that the stigma associated with being diagnosed with ADHD can make it difficult for certain people to receive a diagnosis. This is especially true when the person is of a minority ethnicity or was a female at birth, or has other health or social issues that can influence how medical professionals view their symptoms.
We can help you if feel your life is negatively affected by unmanaged ADHD symptoms. Our specialists have experience diagnosing ADHD, and can provide support and treatment for your difficulties. Contact us today or make an appointment online to discuss what we can do to help.
What is the next step if I don't wish to take a medication?
You can receive a diagnosis if you're concerned about ADHD symptoms, but don't need to take any medication. The NHS provides an adult ADHD assessment service and you can request an appointment with your GP to be assessed at one of the specialist centres in England or by the 'Right To Choose route, which is much more efficient.
Your appointment will include a validated assessment as well as a medical interview and an online questionnaire. This will help your physician determine how these symptoms affect you and their impact on your daily life. The clinician will consider your experiences in the past and your family history. adhd uk diagnosis is crucial that you provide truthful and accurate information.
If the physician 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 deciding it is crucial to consider the pros and cons of taking the medication. This is because the effects of medication can be long-term and may have serious side-effects if not taken properly.
The psychiatrist will give you a prescription and a plan if you decide to take a medication. Depending on the severity your symptoms, and the duration of time you've been experiencing them, it might be suggested that you take ADHD medication for a long period of time. However, it's important to remember that there are alternatives to medication to manage ADHD symptoms, such as diet, exercise and cognitive behavior therapy.
The BBC Panorama "expose" of private clinics that treat ADHD has generated controversy, particularly because it suggests people are being misdiagnosed as the result of insufficient assessment of the clinical condition. We hesitate to say this isn't the case because we aren't precise creatures, and psychiatry hardly qualifies as an academic discipline. If you're suffering from ADHD symptoms and are being disappointed by the NHS wait times, it is possible to take out a private assessment.
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