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 according to a BBC Panorama investigation has found. The undercover investigation was conducted following tip-offs and dozens patients and whistleblowers were spoken to.
Logjammed NHS waiting lists mean many people have no choice but to pay for a private examination. But is it really working?
Why do I require an individual diagnosis?
If you believe that you or someone you know suffers from ADHD, it's important to find a specialist who can accurately assess your condition and provide you with the necessary treatment. Many people prefer to utilize the NHS however a private diagnosis is often more precise and can save time and money.
There are concerns that the NHS is struggling to cope with current demands on its services for ADHD assessments. In the end, patients are waiting for weeks or even months for an appointment, and this could cause a lot of distress for those suffering. In addition, many people think that the quality of NHS assessment services is not quite as high as it should be.
In the light of these issues it's not a surprise that more adults are choosing to seek an assessment by a private doctor. However, the BBC Panorama investigation has raised grave concerns about the quality of care at some private clinics. The undercover programme reported that some clinics were rushing through assessments over the phone, and were telling patients that they had ADHD even though, in actual they didn't.
A private examination will typically start with a series of screening questions that you are asked to fill out and submit to the clinician. The screenings are designed to determine if you have symptoms of ADHD and are also standardised. These results are used to aid the doctor in deciding whether or not you need to attend an entire diagnostic appointment.
The clinician will then conduct a detailed assessment of your family and medical background, as well as how the symptoms of ADHD can affect your life. The doctor will also conduct a physical exam and cognitive test. Based on your specific circumstances you will be diagnosed with ADHD and given an outline treatment plan.
Once you have been diagnosed with ADHD and the doctor will send a letter to your GP with a form for a'shared-care agreement'. This will enable you to continue to receive NHS medication (only paying the NHS prescription cost) while also seeing your private therapist for ongoing appointments and CBT therapy if required.
What is the outcome if I fail to receive a diagnosis?
In the case of ADHD, a good diagnosis and the right treatment can make all the difference. However, the NHS method of diagnosing ADHD can be long and difficult. Many adults are unable to wait that long and instead turn to private specialists for their evaluation. This could save you time and stress, but it is important to note 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 could include a physical examination and tests such as hearing and vision. The assessment may also include checklists and questionnaires. The person who conducts the assessment will also ask you about your family, medical and social histories and your symptoms. They could also employ standardized ADHD rating scales and may be able to ask your teachers or caregivers for ratings, too.
When evaluating adult ADHD Healthcare professionals will be looking for five or more symptoms over six months that are serious enough to disrupt the demands of work or at home. They will also look at whether these symptoms are due to mental health issues in other ways. For example, depression and anxiety can trigger symptoms similar to ADHD. They will also review your social and work background to rule out issues such as financial hardship, the history of abuse and alcohol or drug misuse.
During your NHS assessment, you will be told by a psychiatrist or a healthcare professional if you don't fit the criteria for ADHD. You may request a re- assessment if you disagree with their conclusion.
People who receive a diagnosis of ADHD privately may choose to share it with their GP. The GP can then refer the person back to share management via the NHS. Adults who have been diagnosed with ADHD can get medication this way. Some GPs are hesitant to prescribe ADHD medications due to the fact that they aren't experts in the condition or because it's expensive.
What if I disagree with my diagnosis?
It's worth remembering that your doctor should be empathetic and respectful of your feelings and concerns. They will understand that unmanaged ADHD symptoms can cause significant problems for families and individuals. If your physician isn't happy with the diagnosis, he or she may be able suggest other diagnoses and treatments that are more suitable for you.
If your doctor finds that you don't meet criteria for an ADHD diagnosis They will provide the reasons for this. It could be due to your inability to provide enough details about your struggles or they believe that a different condition can explain your traits (symptoms) better than ADHD. If you're not satisfied with this choice, you can ask for an additional opinion from a different doctor or submit your complaint to the NHS complaints procedure.
It is important to remember that your doctor might find the process of assessing frustrating, whether you choose private care or NHS care. This is not because of the individuals involved, but rather because NHS service provision is stretched to the limits.
GPs are also having difficulty navigating the complex diagnosis process for ADHD and autism (and neurodivergence in general). They must ensure that they provide a reliable safe, fair and secure service and that they meet the GMC's requirements for sharing care prescribing.
Unfortunately, Panorama's expose has revealed that private clinics are using shortcut diagnostic approaches and this can put people at risk. This is a national catastrophe and a real reason to consider other options.
It is also important to recognize that the stigma attached to being diagnosed with ADHD can make it difficult for some people to receive the diagnosis. This is particularly true if they are ethnically minorities or were born female or have other social and health circumstances that affect how medical professionals assess the symptoms they have.
We can assist you if think your life is affected by untreated ADHD symptoms. Our doctors are experts in diagnosing ADHD and can provide assistance and read more treatment to help you overcome your concerns. Contact us or request an appointment online to discuss what we can do to help.
What happens If you don't want me take my medication?
If you are worried about ADHD symptoms but don't want to take medication, it is possible to receive a diagnosis without the need for medication. The NHS provides an adult ADHD assessment service and you can request an appointment with your GP to be assessed at one of the specialist centres in England, or through the 'Right To Choose option which is faster.
Your appointment will include an online questionnaire, a medical interview, and some validated tests. This will enable your doctor to assess how you are affected by these symptoms and what impact they have on your daily life. The doctor will take into consideration your previous experiences as well as your family history. It is important to provide truthful and accurate information.
If the clinician determines that you meet the diagnostic criteria for ADHD, they can provide you with an assessment. You will be asked if would like to discuss the possibility of using medication. It is essential to consider the potential consequences of taking any medication prior to making a decision. This is because the effects of medication can last for a long time and be harmful if taken in a proper manner.
If you decide to take medication, your doctor will provide you with the prescription and plan. You could be given ADHD medication for a long duration, based on the severity of your symptoms and the length of time you've experienced these symptoms for. It is essential to keep in mind that there are other methods that are not pharmacological to treat ADHD symptoms. These include exercise, diet, and cognitive behavior therapy.
The BBC Panorama "expose" of private clinics that treat ADHD has generated controversy, particularly because it suggests that people are being misdiagnosed as the result inadequate evaluations of clinical conditions. We are hesitant to say that this isn't true because humans are inexact creatures, and psychiatry barely is an actual science. If you're experiencing ADHD symptoms, but are frustrated by the NHS waiting times, it might be beneficial to pay for an assessment.