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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 strong drugs after unreliable video calls. The undercover investigation took place after tips were reported. A plethora of patients and whistleblowers were interviewed. Many people are forced to pay for private assessments because of the NHS waiting list. But is it really effective? Why do I require an individual diagnostic? If you suspect that you or someone you know has ADHD, it's important to find a doctor who can evaluate your condition and provide you with the proper treatment. Many people opt 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 current demands on its services for ADHD assessments. As a result, patients are often waiting weeks or even months to get an appointment, and this can cause significant distress for those affected. Furthermore, a lot of people feel that the quality of NHS assessment services isn't as good as it could be. In the face of these problems, it's not surprising that more adults are choosing to go for a private assessment. However, the BBC Panorama investigation has raised grave concerns about the quality of care offered by certain private clinics. The undercover documentary revealed that some clinics were rushing through tests over the phone and told patients that they were suffering from ADHD when, in reality, they did not. A private assessment typically begins with a series screening questionnaires that you will be asked to complete and send to the doctor. The tests are designed to determine whether you have symptoms of ADHD and are also standardised. These results are used to aid the doctor in deciding whether or not you need to attend an entire diagnostic appointment. The doctor will then review your medical history and family history, as well as the impact of ADHD symptoms on your daily life. They will also conduct a physical examination and cognitive test. You will be diagnosed with ADHD based on your situation and given a treatment plan. After you've been diagnosed with ADHD, the clinician will send a letter to your GP with a request for a 'shared care agreement'. This will allow you to continue receiving NHS medication (only paying the NHS prescription fee) while you see your private clinician for ongoing appointments and CBT therapy if required. What is the outcome if I fail to get an appointment? A clear diagnosis and the proper treatment can make a huge difference in the case of ADHD. The NHS can be slow and frustrating when it comes to diagnosing ADHD. Some adults are unable to endure this long and go to private specialists for their assessment. This can help save time and stress, but it's important to recognize that this isn't a guarantee of an accurate diagnosis. A specialist who has experience diagnosing ADHD can provide an extensive evaluation than a psychiatrist from the NHS. This could include a medical exam and tests such as hearing and vision. It will also include check-lists and questionnaires. The person conducting the test will also ask about your family history, as well as your social and medical history, as well as asking about your symptoms. They may also utilize standardized ADHD rating scales and may be able to ask your teachers or caregivers for ratings, too. When assessing adult ADHD the doctor will look at five or more symptoms that have been present for at least six months and are serious enough to interfere in the family or work environment. They will also check whether the symptoms are caused by other mental disorders. Depression and anxiety, for instance, can cause ADHD-like signs. They will also review your social and work background to rule out issues like financial hardship or the history of abuse and drug or alcohol misuse. During the NHS assessment, a psychiatrist or another healthcare professional will inform you if they believe you don't meet the criteria for a diagnosis of ADHD. You can ask for another assessment if you disagree with their conclusion. People who receive a diagnosis of ADHD privately can choose to discuss it with their GP. The GP can then refer the person for shared management through the NHS. This is the way that some adults who have been diagnosed with ADHD get access to medication. Some GPs are reluctant to prescribe ADHD medications due to the fact that they don't have a specialization in the condition or because it's costly. What happens If I don't like my diagnosis? Remember that your therapist must be respectful and sympathetic to 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 to suggest alternative treatment options or diagnoses that might be more appropriate for you. If your clinician determines that you do not meet criteria for an ADHD diagnosis They will give the reasons. You may not have provided enough details about your difficulties, or they may believe that another condition is more likely to explain your symptoms (traits). If you're not satisfied with the outcome you may seek a second opinion from another clinician or follow the NHS complaints process. It is important to remember that your clinician may find the process of assessment challenging, whether you opt for private or NHS care. This isn't due to the people involved, but rather due to the fact that NHS service delivery is stretched to the limit. GPs also have to navigate the complex diagnosis process for ADHD, autism (and neurodivergence as a whole). They must ensure they provide a quality service that is safe and fair, as well as meet the requirements of shared care prescribing that are set by the GMC. The Panorama expose has revealed that private clinics are using a shortened diagnostic approaches and this can put patients at risk. This is a national scandal and a compelling reason to look at alternative options. It is also worth noting that the stigma associated with being diagnosed with ADHD can make it harder for some people to receive the diagnosis. This is particularly true if they are of a minority ethnic background or were born female or have other social or health circumstances that can affect the way medical professionals interpret the symptoms they present. If you're struggling with unmanaged ADHD symptoms and feel your life is being negatively impacted, we're here to help. Our specialists have experience diagnosing ADHD, and can provide support and treatment for your difficulties. You can request an appointment online or give us a call to see how we might be able to assist. What is the consequence if I don't want to take medication? You can get a diagnosis if you're concerned about ADHD symptoms, but don't need to take any medication. You can get an adult ADHD assessment through the NHS. You could ask your GP to refer you to one of the centers that specialize in England or use the 'Right to Choose” route, which is more efficient. Your appointment will comprise a validated assessment as well as a medical interview and an online questionnaire. This will enable your doctor to determine how you are affected by these symptoms and the effect they have on your daily activities. how to diagnose adhd will look at your previous experiences as well as your family history. It is crucial to provide truthful and accurate information. If the physician determines that you meet all of the diagnostic criteria for ADHD the doctor will be in a position to give you an diagnosis. You will be asked whether you would like to discuss the possibility of taking medication. Before you make a decision it is essential to consider the advantages and disadvantages of taking any medication. The effects of medications are long-term, and can cause serious adverse effects in the event of a misjudgment. When you choose to take medication, the psychiatrist will give you a plan and a prescription. Depending on the severity your symptoms and the duration of time you've been experiencing them, it might be recommended to take ADHD medication for a long period of time. It is important to also keep in mind that there are other non-pharmacological ways to manage ADHD symptoms. These include diet, exercise, and cognitive behavior therapy. The BBC Panorama “expose” of private clinics that diagnose ADHD has generated controversy, particularly because it suggests people are being misdiagnosed as the result of insufficient assessment of the clinical condition. We're hesitant to claim that this isn't the case, because humans are awfully inexact, and psychiatry barely a science. If you're experiencing ADHD symptoms but are frustrated by the NHS waiting time, it could be a good idea to pay for an assessment.