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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, an BBC Panorama investigation has found. The undercover investigation was conducted after tips were reported. Dozens of patients and whistleblowers spoke to. Many people are forced to pay for private assessments due to the NHS waiting list. But does it actually work? Why do I require an individual diagnosis? If you or someone you know suffers from ADHD You should consult a specialist who will accurately diagnose your condition and prescribe the best treatment. Although many people opt to use the NHS but a private diagnosis can often be more efficient and can save you time and money in the long run. There are concerns regarding the capacity of the NHS to meet current demands for ADHD assessments. Patients have to wait for months or even weeks for an appointment. This can be very stressful for those affected. Many believe that the NHS assessment services aren't as effective as they could be. It's not surprising, therefore that more people choose to have a private assessment. The BBC Panorama investigation raised serious concerns about the quality of care offered by some private clinics. The undercover program revealed that some clinics were speeding through tests over the phone and told patients they were suffering from ADHD when, in fact they didn't. A private assessment usually starts with a series of screening questions which you'll be asked to complete and submit to the clinician. The screenings are designed to see if you are suffering from symptoms of ADHD and are also standardised. These results help the clinician decide if you should attend a diagnostic appointment. The clinician will then evaluate your medical background and family history as and the effects of ADHD symptoms on your life. They will also carry out physical and cognitive test. You will be diagnosed with ADHD based on your situation and given a treatment plan. After you are diagnosed with ADHD Your doctor will send paperwork to your GP to request a shared-care agreement. This allows you to continue receiving NHS medication while paying only the NHS prescription fee. You can also see your private doctor to keep up with appointments and receive CBT therapy, should it be necessary. What happens if I don't have a diagnosis? A correct diagnosis and the proper treatment can make a big difference in the case of ADHD. However the NHS procedure for diagnosing ADHD can be long and difficult. Some adults cannot wait that long and seek out private providers to determine their situation. This can save you time and frustration, however it is important to remember that it does not guarantee an accurate diagnosis. A professional who has experience diagnosing ADHD can offer a more thorough diagnosis than an NHS psychiatrist. This can include a medical exam and tests such as hearing or vision. This will include checklists and questionnaires. The person conducting the evaluation will also inquire about your family medical and social history as well as your symptoms. They may also use the standard ADHD rating scales, and may request your teachers or caregivers to give you a score. When assessing adult ADHD the healthcare professional will look for five or more signs that have been present for at least six months and are severe enough to interfere in work or family life. They will also determine whether the symptoms are related to mental health issues in other ways. For instance, depression and anxiety can trigger symptoms similar to ADHD. They will also look at your social and work history to rule out any issues such as financial hardship, a history of abuse, and drug or alcohol misuse. During the NHS assessment, a psychiatrist or another healthcare professional will tell you if they think that you don't meet the criteria for a diagnosis of ADHD. They will explain their reasoning and you may request a second assessment if you disagree with their decision. People who receive a private diagnosis of ADHD can choose to share the diagnosis with their GP, and the GP can then refer them to shared management through the NHS. This is how some adults who have been diagnosed with ADHD are able to access medication. However, GPs have been often hesitant to prescribe ADHD medication due to the fact that they are not experts in the condition and because it is expensive. What if I disagree with my diagnosis? Remember that your therapist must be tolerant and respectful to your feelings and concerns. They'll know that untreated ADHD can cause serious problems for families and individuals. If your physician isn't in agreement with the diagnosis, they might be able to suggest other diagnoses or treatments that could be more appropriate for you. If your clinician determines that you do not meet the criteria for an ADHD diagnosis and they give the reasons. It could be due to your inability to give enough detail about your difficulties or because they believe another condition explains your behavior (symptoms) more effectively than ADHD. If you're not happy with this decision you may seek another opinion from a different doctor or refer your case to the NHS complaints procedure. No matter if you opt for private or access NHS services, the wait time for an assessment could be lengthy, and it's worth pondering the possibility that your physician may find the process difficult. This isn't due to the individuals affected, but rather because NHS services are stretched to its limits. GPs also have to navigate the complicated diagnosis process for ADHD, autism (and neurodivergence in general). They must make sure they provide a reliable and safe, fair and fair service and that they meet the requirements of the GMC for shared care prescribing. The Panorama exposé has revealed that private clinics employ techniques for diagnosing problems that are not as thorough, and could put patients at risk. This is a national scandal and a compelling reason to think about alternative options. It is also worth noting that the stigma associated with being diagnosed with ADHD can make it harder for certain people to be given a diagnosis. This is particularly true if the person is of a minority ethnicity, was assigned female at birth or has any other health and social circumstances which can affect the way medical professionals perceive their symptoms. We can help if you think your life is affected by unmanaged ADHD symptoms. adhd in adults undiagnosed ADHD Diagnosis have experience diagnosing ADHD and can provide support and treatment for your issues. You can make an appointment via our website or give us call to see how we might be able to help. What is the next step if I don't wish to take a medication? If you are worried about ADHD symptoms but do not want to take medication, it's possible to get a diagnosis without taking medication. You can get an adult ADHD assessment through the NHS. You could ask your GP to recommend you to one of the centers for specialists in England or go through the “Right to Choose” method, which is quicker. Your appointment will include an online questionnaire, a clinical interview and the completion of some validated tests. This will help your physician to assess how you are affected by these symptoms and what impact they have on your daily activities. The clinician will consider your past experiences and your family history. It is essential to provide truthful and accurate information. If a doctor determines that you meet the diagnostic criteria of ADHD If they determine that you meet the diagnostic criteria of ADHD, they will provide you with an assessment. You will also be asked if you would like to discuss the possibility of taking a medication. Before deciding it is crucial to consider the pros and cons of taking the medication. This is because the effects of medications can be long-term and may 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 may be given ADHD medication for a lengthy period of time, based on the severity of your symptoms and how long you've experienced them. It is important to also 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 diagnose ADHD has sparked a lot of debate, particularly because it suggests that people are being misdiagnosed as a result of inadequate clinical assessments. We are reticent to say that this doesn't happen because we are inexact creatures and psychiatry is only a flimsy science. If you're experiencing ADHD symptoms and are frustrated by the NHS wait times, it can make sense to take out an assessment with a private practitioner.