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ADHD Video Call Diagnosis – A BBC Panorama Investigation Finds Patients are being diagnosed with ADHD and prescribed powerul drugs after unreliable video call assessments in private clinics according to an BBC Panorama investigation has found. The undercover investigation was carried out following tip-offs, and dozens of patients and whistleblowers were spoken to. Logjammed NHS waiting lists mean that many people are forced to pay for a private exam. But is it really effective? What is the reason I need a private diagnosis? If you or someone you love has ADHD You should consult a specialist who can accurately assess your condition and prescribe most appropriate treatment. Although many people opt to use the NHS however, a private diagnosis can often be more efficient and can save you time and money in the long run. There are concerns that the NHS is unable to cope with the current demand for its services for ADHD assessments. As a result, patients are often waiting weeks or even months to get an appointment, and this can be a source of stress for those who suffer from the condition. Furthermore, a lot of people think that the quality of NHS assessment services isn't quite as high as it should be. It's not surprising, therefore, that more adults choose to get a private evaluation. The BBC Panorama investigation raised serious concerns about the quality of care offered by private clinics. The undercover programme reported that some clinics were speeding through tests over the phone and telling patients they were suffering from ADHD when, in reality, they did not. A private assessment usually begins with a series of questionnaires for screening, which you will be asked to complete and then submit to your doctor. The screenings are standardised and designed to determine whether you have symptoms of ADHD. The results will help the clinician decide whether or not you need to attend an entire diagnostic appointment. The physician will then conduct an in-depth assessment of your family and medical history, as well as how the symptoms of ADHD can affect your life. The clinician will also perform an examination of your body and cognitive test. Depending on your circumstances you will be diagnosed with ADHD and given a detailed treatment plan. If you are diagnosed with ADHD, your clinician will forward documents to your GP to sign a shared care agreement. This allows you to continue receiving NHS medications while paying only the NHS prescription fee. You can also visit your personal doctor to attend appointments and receive CBT therapy should it be necessary. What happens if I do not get an appointment? A correct diagnosis and the right treatment can make a huge difference in the case of ADHD. However, the NHS procedure for diagnosing ADHD is lengthy and difficult. Some adults can't wait that long and instead turn to private professionals for an evaluation. This can save you time and frustration, but it is important to remember that it does not guarantee an accurate diagnosis. A professional with experience in diagnosing ADHD will be able to give a more thorough evaluation than an NHS psychiatrist. This can include a medical examination and tests such as hearing and vision. The assessment may also include checklists and questionnaires. The person who is conducting the test will also ask you about your family medical and social history as well as your symptoms. They could also employ standard ADHD rating scales and may also request your teachers or caregivers to evaluate you. When evaluating IamPsychiatry 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 determine whether these symptoms are due to mental health issues in other ways. Depression and anxiety, for example can trigger symptoms similar to ADHD. They will also assess your social and work background to rule out issues such as financial hardship, an abuse history, and alcohol or drug abuse. During the NHS assessment, a psychiatrist or another healthcare professional will tell you if they believe that 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. Anyone who is diagnosed of ADHD privately can choose to discuss it with their GP. The GP can then refer the person back for shared management through the NHS. Adults who have been diagnosed with ADHD can access medications in this manner. Some GPs are hesitant to prescribe ADHD medications due to the fact that they don't have a specialization in the condition or because it's expensive. What happens if I don't agree with my diagnosis? Remember that your therapist must be considerate and sensitive to your concerns and feelings. They will know that unmanaged ADHD can create serious issues for families and individuals. If your doctor isn't happy with the diagnosis, they might be able suggest alternative diagnoses or treatments that could be more appropriate for you. If your doctor decides that you don't meet the criteria for a diagnosis of ADHD, they will explain why. It could be due to your inability to provide enough information about your struggles or they believe another condition explains your characteristics (symptoms) more effectively than ADHD. If you're not satisfied with the diagnosis you can seek a second opinion from a different doctor or go through the NHS complaints process. It is important to remember that your clinician might find the process of assessing difficult, regardless of whether you select private care or NHS care. The NHS is stretched to its limits and this is not the fault of the individuals affected. GPs are also struggling to navigate the complicated process of diagnosing ADHD and autism (and neurodivergence as a whole). They must make sure they provide a reliable and safe, fair and fair service, and that they are in compliance with the GMC's requirements for sharing care prescribing. Unfortunately, Panorama's expose revealed that private clinics are using shortcut diagnostic techniques and this could put people at risk. This is a national scourge and a valid reason to consider alternative options. It is also important to recognize that the stigma attached to being diagnosed as ADHD can make it difficult for some people to receive a diagnosis. This is particularly true if they are of a minority ethnic background or were born female or have other social and health situations that could affect the way medical professionals interpret the symptoms they present. If you are struggling with untreated ADHD symptoms and feel that your life is being negatively impacted, we are here to help. Our doctors have experience diagnosing ADHD and are able to provide support and treatment for your issues. You can make an appointment via our website or give us an email to find out how we might be able to assist you. What is the consequence if I don't want to take a medication? If you are concerned about ADHD symptoms but don't want to take medication, it's possible to be diagnosed without taking medication. The NHS provides an adult ADHD assessment service. You can request a referral from your GP to be assessed at one of the centers for specialists in England or by the 'Right to choose' pathway which is faster. Your appointment will consist of an online questionnaire, a clinic interview, and the completion of some validated assessments. This will enable your doctor to assess how you are affected by these symptoms and what impact they have on your daily life. The clinician will consider your past experiences and your family history. It is important to give accurate and honest answers. If the physician determines that you meet the diagnostic criteria for ADHD and ADHD, they will be in a position to give you a diagnosis. You will also be asked if you would like to discuss the possibility of taking a medication. It is important to think about the consequences of taking any medication before making an informed 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 psychiatrist will give you the prescription and plan. Depending on the severity your symptoms, and the duration of time you've been experiencing them, it might be recommended that you take ADHD medication for an extended period of time. However, it's important to keep in mind that there are alternatives to medication to manage ADHD symptoms, like 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 a result inadequate evaluations of clinical conditions. We hesitate to say this isn't true because humans aren't exact creatures, and psychiatry barely qualifies as an academic discipline. If you're suffering from ADHD symptoms but are frustrated by the NHS waiting times, it may be beneficial to pay for an assessment.