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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 tests at private clinics, a BBC Panorama investigation has found. The undercover investigation was carried out after tip-offs and dozens of patients and whistleblowers were spoken to. Many people are required to pay for private assessments because of the NHS waiting list. But does it work? Why do I need an individual diagnostic? If you suspect that you or someone you know has ADHD It is essential to find a doctor who can accurately assess your condition and provide the necessary treatment. Many people choose to use the NHS however a private diagnosis is often more accurate and can save time and money. There are concerns about the NHS's ability to meet the current demands for ADHD assessments. Patients are often waiting for weeks or even months to get an appointment, and this could cause a lot of distress for those affected. Many people also believe that the NHS assessment services are not as good as they could be. In the face of these problems it's not a surprise that more people are opting to seek an appointment with a private physician. However, the BBC Panorama investigation has raised serious concerns about the quality of care at some private clinics. The undercover programme revealed that some clinics ran assessments over the phone and claimed that patients were ADHD when they weren't. A private assessment usually starts with a series of screening questions, which you will be asked to fill out and submit to the clinician. The screenings are standardised and designed to determine if you exhibit symptoms of ADHD. The results will assist the doctor to decide whether or not you need to attend an appointment for a full diagnosis. The clinician will then conduct a detailed review of your medical and family history, as well as how the symptoms of ADHD are impacting your life. The clinician will also perform an examination of your body and cognitive tests. Depending on your circumstances, you will then be diagnosed with ADHD and given a detailed treatment plan. After you've been diagnosed with ADHD The doctor will send a letter to your GP with a form for a'shared-care agreement'. This permits you to continue to receive NHS medication, while only paying the NHS prescription fee. You can also see your private doctor to attend appointments and receive CBT therapy if required. What happens if I don't get a diagnosis? In the case of ADHD an accurate diagnosis and the right treatment can make all the difference. The NHS can be slow and frustrating when it comes to diagnosing ADHD. Some adults are unable to wait that long to seek out private providers to evaluate their situation. This could save you time and frustration, however it is important to note that it doesn't guarantee an accurate diagnosis. adhd diagnosis uk adults who has experience diagnosing ADHD can offer an extensive evaluation than a psychiatrist on the NHS. This could include a medical examination as well as tests such as hearing or vision. The assessment may also include checklists and questionnaires. The person conducting the test will also inquire about your family history and your social and medical history, as well as asking about your symptoms. They could also employ standard ADHD rating scales and may also request your teachers or caregivers to rate you. When assessing adult ADHD, the healthcare professional will be looking for five or more symptom over a period of 6 months that are serious enough to disrupt your work or family life. They will also check whether the symptoms are caused by other mental disorders. For instance, depression and anxiety can trigger ADHD-like symptoms. They will also evaluate your professional and social history to rule out potential issues such as financial hardships and abuse histories as well as drinking and drug addiction. During the NHS assessment, a psychiatrist or other healthcare professional will inform you if they think that 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. Anyone who is diagnosed of ADHD privately can decide to discuss it with their GP. The GP can then refer the patient back for shared management through the NHS. This is how many adults who have been diagnosed with ADHD are able to access medication. Some doctors are reluctant to prescribe ADHD medications because they don't specialize in the condition or because it's costly. What is my next step if I disagree with my diagnosis? Remember that your clinician must be tolerant and respectful to your feelings and concerns. They will understand that unmanaged ADHD symptoms can cause major problems for families and individuals. If your clinician doesn't agree with the diagnosis, they might be able to suggest other treatments or diagnoses that may be more appropriate for you. If your clinician finds that you don't meet criteria for an ADHD diagnosis and they explain the reasons why. It could be that you haven't provided enough details about your struggles or they might believe that another condition is more likely to explain your symptoms (traits). If you're not satisfied with the decision you can seek a second opinion from another clinician or use the NHS complaints process. If you choose to go private or access NHS services waiting times for an assessment could be lengthy and it's important to consider the possibility that your physician might find the process frustrating. The NHS is overstretched and this isn't the fault of the people who are involved. GPs also have to navigate the complex diagnosis process for ADHD as well as autism (and neurodivergence generally). They must ensure they provide a solid and safe, fair and fair service, and that they are in compliance with the GMC's requirements for sharing care prescribing. Panorama's exposé has revealed that private clinics use techniques for diagnosing problems that are not as thorough, and could put patients at risk. This is a national tragedy and a valid reason to think about alternative options. It is also important to recognize that the stigma attached to being diagnosed with ADHD can make it difficult for certain people receive the diagnosis. This is especially true if they are of minority ethnicity, assigned female at birth or have other social and health circumstances that can affect the way medical professionals evaluate the symptoms they exhibit. We can help if you feel your life is negatively affected by untreated ADHD symptoms. Our clinicians have experience in diagnosing ADHD, and can provide support and treatment for your issues. You can schedule an appointment online or give us a call to see what we can do to assist. What is the consequence if I don't want to take a medication? If you are worried about ADHD symptoms but don't want to take medication, it's possible to receive a diagnosis without a prescription. The NHS offers an adult ADHD assessment service. You can request a referral from your GP to be evaluated at one of the centers for specialists in England, or through the 'Right To Choose route, which is much quicker. Your appointment will comprise an assessment that is validated, a clinical interview, and an online questionnaire. This will allow your doctor to understand how these symptoms affect you and how they impact on your daily life. The clinician will also consider your personal experiences as well as your family history. It is essential to provide accurate and truthful answers. If a doctor determines that you have the diagnostic criteria for ADHD If they determine that you meet the diagnostic criteria of ADHD, they will provide you with a diagnosis. You will be asked if you would like to discuss the possibility of using medication. Before deciding, it is important to consider the pros and cons of taking the medication. This is because the effects of medication are long-lasting and could cause serious adverse side effects if taken properly. If you decide to use medication, the doctor will provide you with a plan and a prescription. Depending on the severity of your symptoms, as well as the amount of time you've been suffering from them, it may be recommended to take ADHD medication for a longer period of time. It is essential to be aware of other options that aren't pharmacological to deal with ADHD symptoms. These include exercise, diet and cognitive behavior therapy. The BBC Panorama 'expose' of private clinics that diagnose ADHD has caused a lot of controversy in particular because it suggests that people are being falsely diagnosed as a result of inadequate assessment of their clinical needs. We hesitate to claim that this isn't true because humans are inexact creatures, and psychiatry hardly is an academic discipline. If you're suffering from ADHD symptoms but are annoyed by the NHS waiting times, it might make sense to pay for an assessment.