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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 at private clinics, a BBC Panorama investigation has found. The undercover investigation occurred after tips were received. Dozens of patients and whistleblowers contacted. Logjammed NHS waiting lists mean many patients are forced to pay for a private exam. But is it really working? Why do I need an individual diagnosis? If you or someone you know has ADHD You should consult a specialist who can accurately diagnose your condition and prescribe the best treatment. Although many people opt to use the NHS however, private diagnosis may be more effective and save you both time and money in the end. There are concerns regarding the NHS's ability to meet current demands for ADHD assessments. Patients are often waiting for weeks or even months to get an appointment, and this can be a source of stress for those suffering. In addition, many people think that the quality of NHS assessment services isn't quite as high as it should be. In light of these problems, it's not surprising that more people are opting to undergo 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 programme reported that some clinics were speeding through tests over the phone and telling patients that they had ADHD when, in reality they didn't. A private assessment will typically start with a series of screening questionnaires you are asked to complete and return to the doctor. The screenings are designed to determine if you are suffering from symptoms of ADHD and are standardized. The results of these tests help the doctor determine if you are a candidate for an appointment to diagnose. The doctor will then review your medical history and family history as in addition to the effects of ADHD symptoms on your life. They will also conduct physical and cognitive test. Depending on your circumstances, 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 request for a'shared-care agreement'. This will enable you to continue to receive NHS medication (only paying the NHS prescription cost) while seeing your private therapist for ongoing appointments and CBT therapy if needed. What is the outcome if I don't receive a diagnosis? If you suffer from ADHD, a good diagnosis and treatment plan can make all the difference. However, the NHS method of diagnosing ADHD is lengthy and painful. Some adults cannot wait that long to look for private doctors to evaluate their situation. This could save you time and frustration, but it is important to keep in mind that it does not guarantee an accurate diagnosis. A specialist with experience diagnosing ADHD will be able to offer a more thorough diagnosis than an NHS psychiatrist. This may include a physical examination and tests such as hearing and vision. This could include questionnaires and check-lists. The person who is conducting the test will also inquire about your family medical and social history as well as your symptoms. They could also use standard ADHD scales for rating, and may ask your teachers or caregivers to evaluate you. When evaluating adult ADHD The healthcare professional will be looking for five or more symptom over a period of 6 months that are serious enough to cause disruption in work or home life. They will also check whether these symptoms are caused by other mental disorders. For instance, depression or anxiety can trigger symptoms similar to ADHD. diagnosed with adhd Iam Psychiatry will also look at your professional and social history to rule out potential issues like financial difficulties or abuse history, as well as alcohol and drug abuse. During your NHS assessment you will be informed by a psychiatrist or other healthcare professional if you do not meet the criteria for ADHD. They will also explain why they think you are not and you can request another assessment if you disagree with their conclusion. People who receive an official diagnosis of ADHD may decide to discuss this with their GP and the GP can then refer them back for shared management through the NHS. Adults who have been diagnosed as ADHD are able to access medications in this manner. Some GPs are reluctant to prescribe ADHD medications because they don't have a specialization in the condition or because it's expensive. What happens when I don't agree with my diagnosis? Remember that your doctor must be respectful and sympathetic to your feelings and concerns. They will know that unmanaged ADHD can cause major problems for families and individuals. If your clinician disagrees with the diagnosis, he or she may be able suggest other diagnoses and treatments that are more appropriate for you. If your doctor determines that you do not meet criteria for an ADHD diagnosis They will provide the reasons for this. It may be due to the fact that you didn't give enough detail about your issues or they believe that a different condition can explain your behavior (symptoms) better than ADHD. If you're unhappy with the outcome you may seek a second opinion from a different doctor or go through the NHS complaints procedure. Whether you go private or use NHS healthcare waiting times for an assessment can be lengthy, and it's worth considering that your doctor may find the process difficult. This isn't due to the people involved, but rather due to the fact that NHS services are stretched to its limits. GPs also struggle to navigate the complicated diagnosis process for ADHD, autism (and neurodivergence in general). They must ensure they offer a high-quality service that is safe and fair, as well as meet the standards of shared care prescribing set out by the GMC. Unfortunately, Panorama's expose has revealed that some private clinics are using shortcut diagnostic approaches and this can put people at risk. This is a national scandal and a compelling reason to look at alternative options. It is also important to note that the stigma associated with being diagnosed as ADHD can make it difficult for some people receive a diagnosis. This is especially true when they are of minority ethnicity, assigned female at birth or have other social and health situations that could affect how medical professionals interpret the symptoms they present. We can help you if find your life negatively affected by unmanaged ADHD symptoms. Our clinicians are experienced in identifying ADHD and are able to provide support and treatment for your concerns. You can request an appointment on our website or give us a call to see what we can do to assist. What is the next step if I don't wish to take a medication? If you are concerned about ADHD symptoms but do not want to take medication, it is possible to be diagnosed without the need for medication. The NHS offers an adult ADHD assessment service. You can request an appointment from your doctor to be evaluated at one of the centers for specialists in England, or through the 'Right to Choose route which is a lot quicker. Your appointment will consist of a validated assessment and a consultation with a clinician and an online questionnaire. This will help your physician know how these symptoms affect you and how they impact on your daily life. The clinician will consider your experiences in the past and your family history. It is important to provide truthful and accurate information. If a doctor determines that you meet the diagnostic criteria for ADHD If they determine that you meet the diagnostic criteria of ADHD, they will give you a diagnosis. You will be asked if you are interested in discussing the possibility of taking medication. Before you make a decision, it is important to consider the pros and cons of taking any medication. This is because the effects of medications can be long-term and may be harmful if taken in a proper manner. The psychiatrist will provide you with the prescription and a plan should you choose to take a medication. You may be given ADHD medication for a lengthy period of time, depending on the severity of the symptoms and how long you've experienced these symptoms for. However, it is also important to keep in mind that there are non-pharmacological options to manage ADHD symptoms, like exercise, diet and cognitive behavior therapy. The BBC Panorama “expose” of private clinics that treat ADHD has sparked controversy, in particular because it suggests people are misdiagnosed as a result inadequate assessment of the clinical condition. We hesitate to claim that this isn't the case because we are inexact creatures, and psychiatry barely qualifies as a science. If you are experiencing ADHD symptoms, but are frustrated by the NHS waiting time, it could be beneficial to pay for an assessment.