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ADHD Video Call Diagnosis – A BBC Panorama Investigation Finds BBC Panorama found that patients are diagnosed with ADHD at private clinics and are prescribed powerful medications after video calls that are not reliable. The undercover investigation was conducted after tips were received. Dozens of patients and whistleblowers spoke to. Logjammed NHS waiting lists mean that many people have no choice but to pay for a private assessment. But does it actually work? Why do I need a private diagnosis? If you or someone you know has ADHD It is important to seek out a professional who can accurately assess your condition and prescribe appropriate treatment. Many people opt to use the NHS however a private diagnosis is usually more accurate and can save both time and money. There are concerns about the capacity of the NHS to meet the current demands for ADHD assessments. As a result, patients are often waiting for weeks or even months to get an appointment, which can cause significant distress for those affected. Many people think that the NHS assessment services are not as efficient as they could be. In the light of these issues it's not a surprise that more people are opting to undergo a private assessment. The BBC Panorama investigation raised serious concerns about the quality of care offered by some private clinics. The undercover programme reported that some clinics rushed through assessments over the phone and told patients that they were suffering from ADHD even though, in actual they didn't. A private examination will typically start with a series of screening questionnaires you are asked to complete and return to your doctor. The screenings are standardised and designed to determine whether you have symptoms of ADHD. The results will aid the doctor in deciding whether or not you need to attend a full diagnostic appointment. The doctor will then conduct a detailed assessment of your family and medical history, as well as how the symptoms of ADHD can affect your life. The clinician will also perform physical examinations 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 doctor will send documents to your GP for a shared care agreement. This will allow you to continue receiving NHS medication (only paying the NHS prescription charge) while also seeing your private doctor for regular appointments and CBT therapy, if required. What happens if I don't receive an appointment? A clear diagnosis and the right treatment can make a big difference in the case of ADHD. However, the NHS procedure for diagnosing ADHD is lengthy and difficult. Many adults are unable to endure this long and go to private providers for their assessment. This can help save time and stress, but it's important to realize that this isn't necessarily a guarantee of an accurate diagnosis. A professional with experience in diagnosing ADHD can offer a more thorough diagnosis than an NHS psychiatrist. This could include a physical exam and tests, such as hearing and vision. This will include checklists and questionnaires. The person who conducts the assessment will also ask you about your family medical and social history as well as your symptoms. They may also use the standard ADHD rating scales and may also ask your teachers or caregivers to rate you. When evaluating adult ADHD The healthcare professional will be looking for five or more symptoms over a period of 6 months that are severe enough to disrupt the demands of work or at home. They will also determine whether these symptoms are due to any other mental health conditions. Depression and anxiety, for example can trigger signs similar to those seen in ADHD. They will also look at your work and social life history to rule out problems like financial hardship or an abuse history, and drug or alcohol misuse. During your NHS assessment, you will be told by a psychiatrist or a healthcare professional if you do not meet the criteria for ADHD. They will also explain why they think you are not and you may request a second assessment if you disagree with their decision. People who receive an official diagnosis of ADHD may decide to discuss this information with their GP and the GP can then refer them to shared management through the NHS. Adults who have been diagnosed as ADHD can access medications in this manner. Some GPs are reluctant to prescribe ADHD medications due to the fact that they aren't experts in the condition or because it's expensive. What happens if I don't agree with my diagnosis? Remember that your therapist must be respectful and sympathetic to your feelings and concerns. They'll be aware that untreated ADHD symptoms can cause significant difficulties for people and families. If your clinician disagrees with the diagnosis, he or she might be able to suggest alternative treatment options that are more suitable for you. If your doctor determines that you do not meet criteria for an ADHD diagnosis and they explain the reasons why. It could be that you haven't provided enough details about your difficulties or they may think that another condition better explains your symptoms (traits). If you're unhappy with the decision, you can seek another opinion from another clinician or go through the NHS complaints process. It is important to remember that your doctor may find the process of assessment frustrating, whether you choose private care or NHS care. The NHS is stretched too thin and this isn't the fault of the individuals who are involved. GPs are also struggling to navigate the complicated diagnosis process for ADHD and autism (and neurodivergence as a whole). They must ensure they offer a robust and safe, fair and fair service, and that they are in compliance with the GMC's requirements for shared care prescribing. The Panorama expose has revealed that private clinics use quick diagnostic techniques, which can put people in danger. This is a national issue, and a very real reason to think about alternatives. It is also important to note that the stigma associated with being diagnosed with ADHD can make it difficult for certain people to receive an assessment. www.iampsychiatry.uk is especially true when they are ethnically minorities, assigned female at birth or have other social and health circumstances that influence how medical professionals evaluate the symptoms they exhibit. If you're suffering from untreated ADHD symptoms and feel your life is negatively impacted, we're here to help. Our doctors are experts in identifying ADHD and can provide assistance and treatment to address your concerns. You can make an appointment via our website or give us an email to find out what we can do to assist you. What is the consequence if I don't want to take a medication? You can receive a diagnosis in case you're worried about ADHD symptoms but don't want to take medication. You can obtain an adult ADHD assessment through the NHS. You can ask your GP to recommend 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 online questionnaire, a medical interview and the completion of some validated tests. This will help your clinician know how these symptoms affect you and their impact on your daily life. The doctor will take into consideration your experiences in the past and your family history. It is crucial that you give truthful and accurate information. If the doctor determines that you meet all of the diagnostic criteria for ADHD and ADHD, they will be in a position to give you a diagnosis. You will be asked if you are interested in discussing the possibility of taking medication. It is important to think about the potential consequences of taking any medication before making a decision. This is because the effects of medication can be long-term and may have serious side-effects if not taken properly. If you decide to take medication, your doctor will provide you with an outline of the treatment and a prescription. You may be prescribed ADHD medication for a long duration, based on the severity of your symptoms and how long you've experienced them. However, it's important to keep in mind that there are non-pharmacological options to manage ADHD symptoms, like diet, exercise and cognitive behaviour therapy. The BBC Panorama “expose” of private clinics that diagnose ADHD has caused controversy, particularly because it suggests people are misdiagnosed as a result of inadequate assessment of the clinical condition. We hesitate to claim that this isn't the case because we aren't precise creatures, and psychiatry rarely is an academic discipline. If you're suffering from ADHD symptoms, but are frustrated by the NHS waiting time, it could be beneficial to pay for an assessment.