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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 assessments at private clinics as an BBC Panorama investigation has found. The undercover investigation took place following tips received. Dozens of patients and whistleblowers spoke to.
Logjammed NHS waiting lists mean that many people are forced to pay for a private exam. But does it actually work?
Why do I need an appointment with a private doctor?
If you think you or someone you know has ADHD, it's important to find a specialist who can assess your condition and provide you with the necessary treatment. Many people choose to use the NHS but an individual diagnosis is often more accurate and can save both time and money.
There are concerns about the NHS's ability to meet the current demands for ADHD assessments. Patients are forced to wait weeks or months to get an appointment. This can be extremely stressful for those affected. Many people feel that the NHS assessment services aren't as efficient as they could be.
In the face of these problems, it's not surprising that more adults are choosing to seek an appointment with a private physician. The BBC Panorama investigation raised serious concerns over the quality of care offered by some private clinics. The undercover program reported that some clinics ran tests over the phone and claimed that patients were ADHD when they weren't.
A private assessment will usually begin with a series of screening questions that you must complete and return to your doctor. The screenings are designed and standardised to determine whether you have symptoms of ADHD. The results will aid the doctor in deciding whether or not you should attend an appointment for a full diagnosis.
The doctor will then conduct a thorough review of your medical and family history, as well as how the symptoms of ADHD can affect your life. They will also conduct a physical examination and cognitive tests. Based on your situation, you will then be diagnosed with ADHD and given an outline treatment plan.
Once you have been diagnosed with ADHD The doctor will send a letter to your GP with a form to sign a'shared care contract'. This allows you to continue to receive NHS medication while paying only the NHS prescription fee. You can also see your personal doctor to attend appointments and receive CBT therapy, in the event that it is needed.
What happens if I do not get an appointment?
In the case of ADHD, a clear diagnosis and the right treatment can make a huge difference. The NHS can be slow and frustrating when it comes down to diagnosing ADHD. Some adults can't wait this long and turn to private providers for their evaluation. This could save you time and frustration, but it is important to remember that it does not guarantee an accurate diagnosis.
A specialist with experience diagnosing ADHD will be able to provide a more thorough assessment than an NHS psychiatrist. This may include a physical examination as well as tests such as hearing and vision. It may also include questionnaires and checklists. The person who is conducting the test will also inquire about your family, medical and social histories as well as your symptoms. They could also employ standard ADHD rating scales and ask your caregivers or teachers to rate you.
When evaluating adult ADHD The healthcare professional will look for five or more symptoms over a period of 6 months that are serious enough to cause disruption in the demands of work or at home. They will also consider whether the symptoms are related to other mental health disorders. Depression and anxiety, for example, can cause ADHD-like signs. They will also look at your work and social life background to rule out issues such as financial difficulties, a history of abuse, and alcohol or drug misuse.
During the NHS assessment, a psychiatrist or another healthcare professional will tell you if they believe you do not meet the criteria needed to qualify for a diagnosis of ADHD. You can ask for another assessment if you disagree with their decision.
Individuals who have an official diagnosis of ADHD can decide to share this with their GP, and the GP can send them back for shared management under the NHS. Adults who have been diagnosed with ADHD are able to access medication in this way. Some GPs are reluctant to prescribe ADHD medications due to the fact that they don't specialize in the condition or because it's expensive.
What happens If I don't like my diagnosis?
It is important to remember that your clinician should be considerate and understanding of your feelings and concerns. They'll know that untreated ADHD can cause major problems for families and individuals. If your clinician disagrees with the diagnosis, they might be able to suggest alternative diagnoses and treatments that are more appropriate for you.
If your clinician determines that you do not meet the criteria for an ADHD diagnosis and they provide the reasons for this. You may have not provided enough details about your struggles or they may think that another condition is more likely to explain your symptoms (traits). If you're not satisfied with the outcome then you can seek an additional opinion from a different doctor or refer your case to the NHS complaints procedure.
It's important to consider that your doctor may find the process of assessment frustrating, whether you choose private or NHS care. This isn't due to the people involved, but rather because NHS services are stretched to the limit.
GPs also face challenges in navigating the complex diagnosis process for ADHD as well as autism (and neurodivergence in general). They must ensure that they provide a quality service that is safe and fair, and also meet the requirements of shared care prescribing set out by the GMC.
Panorama's exposé has revealed that private clinics employ quick diagnostic techniques, which can put patients in danger. This is a national scourge and a valid reason to look at alternatives.
It is also important to note that the stigma associated with being diagnosed with ADHD can make it harder for some people to be given 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 how medical professionals interpret the symptoms they present.
If you are struggling with unmanaged ADHD symptoms and feel your life is negatively impacted, we are here to assist. Our clinicians are experienced in diagnosing ADHD and are able to provide support and treatment for your difficulties. You can call us or request an appointment online to find out how we can help.

What is the next step if I don't wish to take medication?
You can receive a diagnosis if you're concerned about ADHD symptoms but don't need to take any medication. You can obtain 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 follow the "Right to Choose" pathway which is faster.
Your appointment will include an authenticated assessment and a consultation with a clinician and an online questionnaire. This will help your physician determine the way these symptoms affect you and the impact they have on your daily routine. The clinician will also 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 If they determine that you meet the diagnostic criteria of ADHD, they will provide you with an assessment. You will be asked whether you are interested in discussing the possibility of taking a medication. It is essential to consider the implications of taking any medication before making the decision. This is because the effects of medications are long-lasting and could cause serious adverse side effects if taken properly.
The psychiatrist will give you a prescription and a plan should you choose to take medication. You could be given ADHD medication for a prolonged period of time, depending on the severity of the symptoms and the length of time you've been suffering from these symptoms for. adult diagnosis of adhd is important to also remember that there are other options that aren't pharmacological to deal with ADHD symptoms. These include diet, exercise, and cognitive behavior therapy.
The BBC Panorama 'expose' of private clinics that diagnose ADHD has generated much controversy especially because it suggests that patients are misdiagnosed as a result of inadequate clinical assessments. We hesitate to claim that this isn't the case because we aren't exact creatures, and psychiatry barely is a science. However, if you are experiencing ADHD symptoms and are being frustrated by the NHS waiting times, then it is possible to take out an assessment with a private practitioner.