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ADHD Video Call Diagnosis – A BBC Panorama Investigation Finds Patients are being diagnosed with ADHD and given powerful medications following unreliable video call assessments at private clinics according to an BBC Panorama investigation has found. The undercover investigation took place after tips were reported. Numerous patients and whistleblowers contacted. Logjammed NHS waiting lists mean many people are forced to pay for a private exam. But does it actually work? Why do I require a private diagnostic? If you or someone you know suffers from ADHD It is important to seek out a professional who can accurately assess the condition and prescribe appropriate treatment. Although many people opt to go with the NHS, an individual diagnosis can be more effective and save you time and money in the end. There are concerns that the NHS is struggling to deal with the demands of current services for ADHD assessments. In the end, patients are often waiting weeks or even months for an appointment, which can be a source of stress for those affected. Many people believe that the NHS assessment services aren't as good as they could be. In the face of these issues it's not a surprise that more people are opting to go for an appointment with a private physician. However, the BBC Panorama investigation has raised serious concerns about the quality of care provided by some private clinics. The undercover programme reported that some clinics were speeding through assessments over the phone, and were telling patients that they were suffering from ADHD when, in reality they didn't. A private assessment will usually begin with a set of screening questionnaires that you will be asked to fill out and submit to the doctor. The screenings are designed to determine if you exhibit the symptoms of ADHD and are standardised. The results can be used to aid the doctor in deciding whether or not to attend an appointment for a full diagnosis. The clinician will then conduct a detailed review of your family and medical history, and how the symptoms of ADHD affect your daily life. The doctor will also conduct an examination of your body and cognitive tests. You will be diagnosed with ADHD in light of your circumstances and given a treatment program. Once you have been diagnosed with ADHD and the doctor will send a letter to your GP with a request to sign a'shared care contract'. This will allow 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 when needed. What is the outcome if I don't receive an answer to my question? A correct diagnosis and the appropriate treatment can make a huge difference in the case of ADHD. The NHS can be slow and frustrating when it comes down to diagnosing ADHD. Some adults cannot wait that long and seek out private specialists to assess their health. This can save time and frustration, but it's important to understand that this isn't a guarantee of an accurate diagnosis. A professional who has expertise in diagnosing ADHD can provide an extensive evaluation than a psychiatrist working for the NHS. This can include a physical examination as well as tests, such as hearing and vision. The assessment may also include checklists and questionnaires. The person conducting the test will also inquire about your family background and medical and social history, and will also inquire about your symptoms. They may also use the standard ADHD scales of rating and ask your caregivers or teachers to give you a score. When evaluating adults with ADHD The healthcare professional will be looking for five or more signs over six months that are serious enough to cause disruption in the demands of work or at home. They will also determine whether these symptoms are caused by other mental disorders. Depression and anxiety, for example, can cause ADHD-like signs. They will also look at your social and work background to rule out issues such as financial difficulties, the history of abuse and drug or alcohol misuse. During the NHS assessment the psychiatrist or other healthcare professional will tell you if they think that you do not meet the criteria for a diagnosis of ADHD. You can ask for another assessment if you disagree with their decision. If you have an official diagnosis of ADHD may decide to discuss this information with their GP, and the GP can send them back for shared management through the NHS. This is how some adults who have been diagnosed with ADHD get access to medication. Some doctors are reluctant to prescribe ADHD medication because they aren't experts in the condition or because it's expensive. What happens If I don't like my diagnosis? Remember that your therapist must be considerate and sensitive to your concerns and feelings. They will know that unmanaged ADHD can create serious issues for families and individuals. If your physician isn't happy with the diagnosis, they might suggest alternative treatment options that are more appropriate for you. If your doctor decides that you don't meet the criteria for a diagnosis of ADHD They will explain the reason. You may not have provided enough information about your issues or they might believe that another disorder is more responsible for your symptoms (traits). If you're not satisfied with the outcome you can seek a second opinion from a different clinician or go through the NHS complaints process. provate adhd diagnosis ADHD Diagnosis if you opt for private or take advantage of NHS healthcare the wait time for an assessment could be lengthy and it's worth pondering that your clinician might find the process frustrating. This isn't due to the patients involved, but rather due to the fact that NHS service provision is stretched to its limits. GPs are also having difficulty navigating the complicated diagnosis process for ADHD and autism (and neurodivergence more generally). They must ensure they offer a high-quality service that is safe and fair, and also meet the standards of shared care prescribing that are set by the GMC. Unfortunately, Panorama's expose has exposed that private clinics are using shortcut diagnostic methods and this could put people at risk. This is a national issue, and a very real reason to consider alternative options. It is also important to note that the stigma associated with being diagnosed with ADHD can make it more difficult for certain people to be given the diagnosis. This is especially true if they are of a minority ethnic background, assigned female at birth or have other social and health situations that could influence how medical professionals assess the symptoms they have. We can assist you if think your life is affected by unmanaged ADHD symptoms. Our specialists have experience diagnosing ADHD and can provide support and treatment for your problems. Contact us or make 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 concerned about ADHD symptoms but do not want to use medication, it is possible to get a diagnosis without the need for medication. You can get an adult ADHD assessment through the NHS. You could ask your GP to recommend you to one of the specialist centers in England or follow the “Right to Choose” method, which is quicker. Your appointment will include a validated assessment and a consultation with a clinician and an online questionnaire. This will enable your doctor to understand how you are affected by these symptoms and the impact they affect your daily routine. The doctor will take into consideration your past experiences and your family history. It is crucial to provide accurate and truthful answers. If the doctor determines that you meet the diagnostic criteria for ADHD the doctor will be capable of providing you with an diagnosis. You will be asked if you would like to discuss the possibility of taking medication. Before deciding it is essential to consider the advantages and disadvantages of using a medication. The effects of medication are long-term, and can cause serious adverse effects when taken improperly. The doctor will issue you the prescription and a plan if you decide to take a medication. Based on the severity of your symptoms, and the length of time you have been experiencing them, it might be recommended that you take ADHD medication for a longer period of time. It is also important to be aware of 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 generated controversy, especially because it suggests that people are being misdiagnosed as a result of inadequate evaluations of clinical conditions. We are hesitant to say that this isn't the case because we aren't precise creatures, and psychiatry hardly is an academic discipline. If you are experiencing ADHD symptoms but are frustrated by the NHS waiting times, it may make sense to pay for an assessment.