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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 prescribed strong medications following unreliable video conversations. The undercover investigation was conducted after tips were received. A plethora of patients and whistleblowers were interviewed. Logjammed NHS waiting lists mean that many people have no choice but to pay for a private examination. But is it really effective? Why do I require an individual diagnostic? If you or someone you love has ADHD You should seek out a professional who will accurately diagnose your condition and prescribe most appropriate 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 regarding the NHS's ability to meet the current demands for ADHD assessments. As a result, patients are often waiting for weeks or even months for an appointment, which could cause a lot of distress for those who suffer from the condition. In addition, many people feel that the quality of NHS assessment services isn't as good as it could be. It's not surprising, then, that more adults 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 programme revealed that some clinics rushed through tests over the phone and claimed that patients were ADHD when they were not. A private assessment will usually begin with a set of screening questions that you are asked to complete and return to your doctor. The tests are designed to determine if you have symptoms of ADHD and are standardized. The results can be used to help the clinician decide whether or not you should attend an appointment for a full diagnosis. The clinician will then assess your medical background and family history as and the impact of ADHD symptoms on your daily life. They will also conduct physical and cognitive tests. Based on your specific circumstances you will be diagnosed with ADHD and given a detailed treatment plan. After you are diagnosed with ADHD your doctor will forward paperwork to your GP for a shared care agreement. This will allow you to continue receiving NHS medication (only paying the NHS prescription cost) while you see your private doctor for regular appointments and CBT therapy if required. What happens if I don't get an appointment? A good diagnosis and the right treatment can make a massive difference in the case of ADHD. The NHS can be slow and frustrating when it comes down to diagnosing ADHD. Many adults are unable to wait that long and instead turn to private providers for their evaluation. This could save you time and frustration, but it is important to keep in mind that it does not guarantee an accurate diagnosis. A professional with experience diagnosing ADHD can provide more detailed evaluations than a psychiatrist on the NHS. This can include a physical examination as well as tests, such as hearing and vision. It may also include questionnaires and checklists. The person conducting the test will also inquire about your family history and your social and medical history, and will also inquire about your symptoms. They may also utilize standard ADHD rating scales and may be able to request your teachers or caregivers for ratings, too. When assessing adult ADHD The healthcare professional will look for five or more symptom over six months that are serious enough to disrupt work or home life. They will also determine whether these symptoms are due to any other mental health conditions. For instance, depression or anxiety can trigger ADHD-like symptoms. They will also review your professional and social history to rule out potential issues like financial difficulties, abuse histories, and alcohol and drug abuse. During your NHS assessment you will be informed by a psychiatrist or other healthcare professional if you don't meet the criteria for ADHD. You may request a re- assessment if they disagree with their conclusion. If you are diagnosed of ADHD privately can decide to share it with their GP. The GP can then refer the patient back for shared management through the NHS. Adults who have been diagnosed as ADHD can get medication this way. Some doctors are reluctant to prescribe ADHD medications due to the fact that they don't have a specialization in the condition or because it's costly. What do I do if I don't agree with my diagnosis? Remember that your therapist must be considerate and sensitive to your concerns and feelings. They will understand that unmanaged ADHD symptoms can create significant 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 suitable for you. If your clinician decides you do not meet the criteria to be considered a case of ADHD They will then explain the reason. It may be due to your inability to give enough detail about your issues or they believe that another condition is responsible for your behavior (symptoms) better than ADHD. If you're not satisfied with the diagnosis you can seek a second opinion from a different doctor or follow the NHS complaints procedure. Whether you go private or take advantage of NHS care waiting times for an appointment can be lengthy, and it's worth pondering that your doctor may find the process difficult. The NHS is stretched to its limits and this is not the fault of the individuals involved. GPs are trying to navigate the complicated diagnosis process for ADHD and autism (and neurodivergence in general). They must make sure they provide a solid, fair and safe service and that they comply with the GMC's requirements for shared care prescribing. Unfortunately, Panorama's expose has exposed that private clinics are using shortcut diagnostic methods and this could put patients at risk. This is a national issue and a valid reason to look at alternative options. It is also important to note that the stigma attached to being diagnosed as ADHD can make it difficult for certain people receive the diagnosis. This is particularly true if they are ethnically minorities or born female or have other social or health circumstances that affect how medical professionals interpret the symptoms they present. If you are struggling with untreated ADHD symptoms and feel that your life is being negatively affected, we are here to assist. Our specialists are skilled in diagnosing ADHD and can provide assistance and treatment to help you overcome your concerns. Contact us or request an appointment online to learn how we can help. What happens If you don't wish me to take my medication? You can receive a diagnosis when you're concerned about ADHD symptoms but don't need to take any medication. The NHS offers an adult ADHD assessment service and you can request a referral from your GP to be evaluated at one of the centres for specialist assessment in England or by the 'Right To Choose' pathway which is a lot quicker. Your appointment will include an assessment that is validated as well as a medical interview and an online questionnaire. This will allow your doctor to determine the way these symptoms affect you and the impact they have on your daily routine. The clinician will take into account your past experiences and family history. It is essential to provide accurate and truthful answers. If the clinician determines that you have the diagnostic criteria for ADHD They can provide you with an assessment. You will be asked if you would like to discuss the possibility of taking medication. It is essential to consider the implications of taking any medication prior to making a decision. ADHD Diagnosis of a medication last for a long time, and they can cause serious adverse effects when taken improperly. If you decide to take medication, your psychiatrist will give you the prescription and plan. You could be given ADHD medication for a lengthy period of time, depending on the severity of your symptoms and the length of time you've been experiencing these symptoms for. However, it is also important to keep in mind that there are other options to manage ADHD symptoms, including diet, exercise and cognitive behavior therapy. The BBC Panorama 'expose' of private clinics diagnosing ADHD has generated much controversy in particular because it suggests that people are misdiagnosed because of insufficient clinical assessments. We're not sure that this isn't the case, because humans are awfully inexact creatures and psychiatry is not a science at all. If you are experiencing ADHD symptoms but are frustrated by the NHS waiting times, it may make sense to pay for an assessment.