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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 tests at private clinics, a BBC Panorama investigation has found. The undercover investigation was conducted after tips were received. adult diagnosis adhd and whistleblowers contacted. Many people are forced to pay for private assessments because of the NHS waiting list. But is it effective? Why do I need a private diagnostic? If you believe that you or someone you know has ADHD It is essential to find a doctor who can assess your health and provide the proper treatment. While many people may choose to go with the NHS but an individual diagnosis can be more effective and save you both time and money in the long run. There are concerns about the capacity of the NHS to meet the current demands for ADHD assessments. Patients are waiting for weeks or months for an appointment. This can be very stressful for those affected. Furthermore, a lot of people feel that the quality of NHS assessment services is not 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 offered by private clinics. The undercover programme revealed that some clinics had rushed through assessments over the telephone and claimed that patients were ADHD even though they were not. A private assessment typically begins with a series of screening questions that you will be asked to complete and then submit to your doctor. The screenings are standardised and designed to determine if you exhibit symptoms of ADHD. The results can be used to aid the doctor in deciding whether or not you need to attend a full diagnostic appointment. The clinician will then assess your medical history and family history, as and the effects of ADHD symptoms on your life. The clinician will also conduct a physical exam and cognitive test. You will be diagnosed with ADHD based on your situation and given a treatment program. After you've been diagnosed with ADHD and the doctor will send a letter to your GP with paperwork for a 'shared care agreement'. This will allow you to continue receiving NHS medication (only paying the NHS prescription cost) while also seeing your private doctor for regular appointments and CBT therapy if needed. What is the outcome if I don't receive an answer to my question? A good diagnosis and the appropriate treatment can make a huge difference in the case of ADHD. However the NHS process for diagnosing ADHD can be long and difficult. Some adults are unable to wait that long and seek out private providers to evaluate their health. This could save you time and frustration, however it is important to keep in mind that it doesn't guarantee an accurate diagnosis. A professional with experience diagnosing ADHD can provide a more thorough evaluation than a psychiatrist from the NHS. This may include a medical examination and tests such as hearing and vision. It will also include check-lists and questionnaires. The person who conducts the assessment will also ask you about your family, medical and social histories as well as your symptoms. They might also utilize the standard ADHD ratings scales, and may need to inquire from your caregivers or teachers for ratings, too. When assessing adult ADHD The healthcare professional will be looking for five or more symptom within a period of six months that are serious enough to disrupt the demands of work or at home. They will also look at whether these symptoms are due to other mental health disorders. Depression and anxiety, for instance can trigger signs similar to those seen in ADHD. They will also look at your social and work history to rule out any issues like financial hardship or an abuse history, and alcohol or drug misuse. During the NHS assessment, a psychiatrist or other healthcare professional will inform you if they believe you don't meet the criteria for a diagnosis of ADHD. They will also explain why they think you are not and you may request a second assessment if you disagree with their conclusion. People who receive a private diagnosis of ADHD can choose to share this with their GP, and the GP can send them back for shared management through the NHS. Adults who have been diagnosed as ADHD can get medication in this way. However, GPs are recognized as being reluctant to prescribe ADHD medication because they aren't experts in the disorder and because it's expensive. What if I disagree with my diagnosis? It's worth remembering that your doctor should be respectful and empathetic to your feelings and concerns. They will understand that unmanaged ADHD symptoms can cause major difficulties for families and individuals. If your physician isn't in agreement with the diagnosis, they may be able to suggest other treatments or diagnoses that may be more appropriate for you. If your clinician decides you don't meet the criteria needed to qualify 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 are not happy with this choice you may seek an additional opinion from a different physician or refer your case to the NHS complaints procedure. Whether you go private or access NHS care, the wait time for an assessment can be lengthy, and it's worth pondering the possibility that your physician may find the process difficult. This is not because of the patients involved, but rather because NHS service delivery is stretched to the limits. GPs are trying to navigate the complicated process of diagnosing ADHD and autism (and neurodivergence as a whole). They must ensure that they provide a solid, fair and safe service, and that they are in compliance with the requirements of the GMC for sharing care prescribing. Unfortunately, Panorama's expose has revealed that private clinics are using short cut diagnostic methods and this could put people at risk. This is a national catastrophe and an excellent reason to think about other options. It is also important to remember that the stigma associated with being diagnosed as ADHD can make it difficult for some people receive a diagnosis. This is especially true when the person is of a different ethnicity, was assigned female at birth, or has other health and social circumstances that affect how medical professionals view their symptoms. We can help you if feel your life is negatively affected by untreated ADHD symptoms. Our doctors have experience diagnosing ADHD and can provide support and treatment for your problems. You can request an appointment via our website or give us an email to find out how we might be able to assist. What happens if you don't wish me to take my medication? If you are worried about ADHD symptoms but do not wish to take medication, it is possible to be diagnosed without the need for medication. You can get an adult ADHD assessment through the NHS. You can ask your GP to refer you to one of the centers that specialize in England or go through the “Right to Choose” pathway which is faster. Your appointment will comprise an authenticated assessment as well as a medical interview and an online questionnaire. This will help your physician understand the way these symptoms affect you and the impact they have on your daily life. The clinician will consider your personal experiences as well as your family history. It is important to provide accurate and truthful answers. If a doctor determines that you meet the diagnostic criteria of ADHD They can give you a diagnosis. You will be asked if you would like to discuss the possibility of taking medication. It is essential to consider the potential consequences of taking any medication before making a decision. The effects of medication last for a long time, and they can be dangerous when taken improperly. When you choose to take medication, your doctor will provide you with a plan and a prescription. You may be prescribed ADHD medication for a long period of time, depending on the severity of your symptoms and the length of time you've experienced these symptoms for. It is essential to remember 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 sparked a lot of debate, particularly because it suggests that patients are being misdiagnosed as a result of inadequate clinical assessments. We're not sure that this does not happen because we are inexact, and psychiatry barely a science. If you're experiencing ADHD symptoms but are frustrated by the NHS waiting times, it might be a good idea to pay for an assessment.