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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 following tip-offs, and dozens of patients and whistleblowers were listened to. Many people are required to pay for private assessments due to the NHS waiting list. But does it work? Why do I need a private diagnosis? If you or someone you know has ADHD It is important to consult a specialist who will accurately diagnose your condition and prescribe most appropriate treatment. Although many people opt to use the NHS, an individual diagnosis can be more effective and save you both time and money in the long run. There are concerns about the ability 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, and this can be a source of stress for those who suffer from the condition. Many people think that the NHS assessment services aren't as effective as they could be. In the face of these challenges it's not surprising that more adults are choosing to undergo a private assessment. The BBC Panorama investigation raised serious concerns about the quality of care provided by private clinics. The undercover program revealed that some clinics rushed through assessments over the phone and telling patients they had ADHD even though, in actual, they did not. A private assessment usually starts with a series of questionnaires for screening which you'll be asked to complete and submit to the clinician. The screenings are designed and standardised to determine whether you have symptoms of ADHD. The results of these tests help the doctor decide if it is appropriate to schedule an appointment to diagnose. The doctor will then review your medical history and family history, as well as the impact of ADHD symptoms on your daily life. They will also carry out a physical examination and cognitive test. You will be diagnosed with ADHD based on your situation and then given a treatment plan. Once you have been diagnosed with ADHD, the clinician will send a letter to your GP with a form to sign a'shared care contract'. This allows you to continue receiving NHS medications while paying only the NHS prescription fee. You can also visit your private doctor to keep up with appointments and receive CBT therapy, should it be required. What happens if I don't have an answer to my question? In the case of ADHD an accurate diagnosis and treatment plan can make all the difference. The NHS can be slow and frustrating when it comes to diagnosing ADHD. Some adults cannot wait that long to look for private doctors to determine their health. This can help save time and stress, but it's important to realize that this isn't necessarily a guarantee of an accurate diagnosis. ADHD Diagnosis who has experience diagnosing ADHD can provide more detailed evaluations than a psychiatrist working for the NHS. This could include a medical examination as well as tests such as hearing and vision. It will also involve checklists and questionnaires. The person who conducts the assessment will also ask you about your family medical and social history and your symptoms. They may also utilize standardized ADHD ratings scales, and may want to inquire from your caregivers or teachers for ratings, too. When assessing adults with ADHD the doctor will look for five or more signs that have been present for at least six months and are severe enough to interfere in the home or in the workplace. They will also check whether the symptoms are caused by other mental disorders. For example, depression and anxiety can trigger ADHD-like symptoms. They will also assess your social and work history to rule out problems such as financial difficulties or a history of abuse, and alcohol or drug misuse. During your NHS assessment during your NHS assessment, you will be informed by a psychiatrist or other healthcare professional if you do not fit the criteria for ADHD. You may request a re- assessment if you disagree with their conclusion. If you have an official diagnosis of ADHD can choose to share this information with their GP, and the GP can then refer them back for shared management through the NHS. This is the way that some adults who have been diagnosed with ADHD are able to access medications. Some GPs are reluctant to prescribe ADHD medications because they aren't experts in the condition or because it's costly. What do I do if I don't agree with my diagnosis? It's worth remembering that your doctor must be empathetic and respectful of your concerns and feelings. They will understand that unmanaged ADHD symptoms can create significant problems for families and individuals. If your clinician doesn't agree with the diagnosis, they may be able suggest alternative treatments or diagnoses that may be more suitable for you. If your clinician decides you don't meet the criteria needed to qualify for a diagnosis of ADHD They will explain why. You may not have given enough details about your difficulties or they might believe that another condition better explains your symptoms (traits). If you're unhappy with the outcome you may seek a second opinion from a different clinician or go through the NHS complaints process. No matter if you opt for private or take advantage of NHS services the wait time for an assessment could be lengthy, and it's worth pondering that your doctor may find the process difficult. The NHS is stretched to its limits and it's not the fault of the individuals involved. GPs also face challenges in navigating the complicated diagnosis process for ADHD, autism (and neurodivergence generally). They must make sure they provide a reliable and safe, fair and fair service, and that they are in compliance with the requirements of the GMC for sharing care prescribing. The Panorama expose has exposed that private clinics utilize shortcut diagnostic methods, which could put patients at risk. This is a national catastrophe and a valid reason to look at alternatives. It is also worth noting that the stigma associated with being diagnosed with ADHD can make it more difficult for some people to receive an assessment. This is especially true when they are of a minority ethnic background or were born female or have other health and social circumstances that affect how medical professionals evaluate the symptoms they exhibit. We can assist you if feel your life is negatively affected by unmanaged ADHD symptoms. Our specialists have experience diagnosing ADHD and are able to offer support and treatment for your issues. Contact us today or request an appointment online to discuss what we can do to help. What happens if you don't want me take my medication? You can be diagnosed 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 doctor to refer you to one of the specialist centers 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 enable your doctor to determine how you are affected by these symptoms and the effect they have on your daily life. The clinician will consider your past experiences and family history. It is important to provide accurate and truthful answers. If the physician determines that you meet all of the diagnostic criteria for ADHD, they will be able to provide you with a diagnosis. You will be asked if you are interested in discussing the possibility of taking a medication. Before you make a decision it is essential to consider the advantages and disadvantages of using a medication. This is because the effects of medications can be long-term and may be harmful if used in a safe manner. The psychiatrist will provide you with an appointment and a treatment plan if you decide to take a medication. Based on the severity of your symptoms and the amount of time you've been suffering from them, it could be suggested that you take ADHD medication for a longer period of time. It is also important to keep in mind that there are other options that aren't pharmacological to deal with ADHD symptoms. These include exercise, diet, and cognitive behavior therapy. The BBC Panorama 'expose' of private clinics that diagnose ADHD has caused a lot of controversy in particular because it suggests that people are being misdiagnosed due to inadequate assessment of their clinical needs. We hesitate to claim that this doesn't happen because humans are inexact creatures, and psychiatry barely is a science. If you're suffering from ADHD symptoms but are frustrated by the NHS waiting times, it may make sense to pay for an assessment.