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ADHD Video Call Diagnosis – A BBC Panorama Investigation Finds Patients are being diagnosed with ADHD and prescribed powerful drugs following unreliable video assessments at private clinics as a BBC Panorama investigation has found. The undercover investigation took place following tips received. Numerous patients and whistleblowers contacted. Many people are forced to pay for private assessments because of the NHS waiting list. But does it work? Why do I need an appointment with a private doctor? If you think you or someone you know has ADHD It's essential to find a professional who can accurately assess your condition and provide the proper treatment. Many people opt to use the NHS but a private diagnosis is usually more accurate and can save both time and money. There are concerns that the NHS is struggling to cope with the demands of current services for ADHD assessments. Patients have to wait for weeks or months for an appointment. This can be extremely difficult for those affected. Many feel that the NHS assessment services aren't as effective as they could be. It's not a surprise, then that more adults opt to undergo a private examination. The BBC Panorama investigation raised serious concerns over the quality of care provided by private clinics. The undercover programme reported that some clinics rushed through assessments over the phone and told patients that they had ADHD when, in reality, they did not. A private assessment will typically begin with a set of screening questionnaires that you are asked to complete and return to your doctor. The tests are designed to see if you are suffering from symptoms of ADHD and are standardized. The results will assist the doctor to decide whether or not you should attend a full diagnostic appointment. The clinician will then conduct an in-depth assessment of your medical and family history, as well as how the symptoms of ADHD can affect your life. They will also conduct an examination of your body and cognitive test. Based on your specific circumstances, you will then be diagnosed with ADHD and given an outline treatment plan. If you are diagnosed with ADHD and the doctor will write to your GP with a request for a'shared-care agreement'. This will allow you to continue receiving NHS medication (only paying the NHS prescription cost) while seeing your private clinician for ongoing appointments and CBT therapy if required. What is the outcome if I fail to get an appointment? A correct diagnosis and the proper 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. Some adults are unable to wait that long to look for private doctors to determine their situation. This can save you time and frustration, but it is important to remember that it doesn't guarantee an accurate diagnosis. A specialist with experience diagnosing ADHD can provide a more thorough assessment than an NHS psychiatrist. This can include a medical examination as well as tests such as hearing or vision. This could include check-lists and questionnaires. The person who conducts the assessment will also inquire about your family medical and social history as well as your symptoms. They could also use the standard ADHD scales of rating, and may request your teachers or caregivers to evaluate you. When assessing adult ADHD the doctor will look for five or more symptoms that have been present for at least six months and are severe enough to cause disruption in the family or work environment. They will also check whether the symptoms are a result of other mental disorders. For example, depression and anxiety can trigger symptoms similar to ADHD. They will also assess your social and work history to rule out any issues like financial hardship, an abuse history, and alcohol or drug abuse. During the NHS assessment the psychiatrist or other healthcare professional will tell you if they believe that you do not meet the criteria needed to qualify for a diagnosis of ADHD. They will also explain why they think you are not and you are able to request a new assessment if you disagree with their conclusion. If you have an official diagnosis of ADHD can choose to share the diagnosis with their GP and the GP can send them back for shared management through the NHS. This is how many adults who have been diagnosed with ADHD get access to medications. Some GPs are hesitant to prescribe ADHD medications because they don't have a specialization in the condition or because it's costly. What is my next step if I disagree with my diagnosis? Remember that your clinician must be respectful and sympathetic to your concerns and feelings. They'll be aware that untreated ADHD symptoms can cause significant problems for families and individuals. If your clinician disagrees with the diagnosis, he or she may be able suggest other diagnoses and treatments that are more appropriate for you. If your physician decides that you don't meet the criteria for a diagnosis of ADHD, they will explain why. It may be due to the fact that you didn't provide enough information about your struggles or they believe that a different condition can explain your behavior (symptoms) more effectively than ADHD. If you're unhappy with the diagnosis, you can seek another opinion from a different doctor or follow the NHS complaints procedure. It is important to be aware that your physician may find the assessment process challenging, whether you opt for private care or NHS care. The NHS is stretched too thin and this isn't the fault of the people who are involved. GPs are also struggling to navigate the complicated process of diagnosing ADHD and autism (and neurodivergence as a whole). They must ensure that they provide a quality service that is safe and fair, and also meet the requirements of shared care prescribing set out by the GMC. The Panorama expose has revealed that private clinics are using short cut diagnostic approaches and this can put people at risk. This is a national tragedy and an excellent reason to consider alternative options. It is also important to note that the stigma of being diagnosed with ADHD can make it difficult for some people to be given the diagnosis. This is particularly true if the person is of a different ethnicity or was a female at birth or has any other health or social issues which can affect the way that medical professionals evaluate their symptoms. We can help you if find your life negatively affected by untreated ADHD symptoms. Our specialists have experience diagnosing ADHD, and can provide support and treatment for your issues. 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 worried about ADHD symptoms but do not want to use medication, it is possible to receive a diagnosis without a prescription. The NHS provides an adult ADHD assessment service. You can request an appointment from your doctor to be evaluated at one of the centers for specialists in England, or through the 'Right To Choose route, which is much more efficient. Your appointment will consist of a validated assessment and a consultation with a clinician and an online questionnaire. This will help your physician determine how these symptoms affect you and the impact they have on your daily life. The clinician will also consider your previous experiences and family history. how is adhd diagnosed in adults IamPsychiatry is essential to give accurate and honest answers. If a doctor determines that you have the diagnostic criteria for ADHD, they can provide you with an assessment. You will be asked if you are interested in discussing the possibility of taking medication. Before making a decision it is essential to consider the advantages and disadvantages of taking the medication. The effects of a medication are long-lasting, and may cause serious adverse effects if taken incorrectly. The doctor will issue you the prescription and a plan should you choose to take medication. You may be given ADHD medication for a prolonged duration, based on the severity of your symptoms and how long you've been suffering from them. However, it is also important to remember that there are alternatives to medication to manage ADHD symptoms, including diet, exercise and cognitive behaviour therapy. The BBC Panorama “expose” of private clinics that treat ADHD has generated controversy, especially because it suggests that people are being misdiagnosed as the result of inadequate clinical assessments. We're not sure that this does not happen, because humans are awfully inexact creatures and psychiatry is barely a science. If you're suffering from ADHD symptoms but are frustrated by the NHS waiting times, it may be a good idea to pay for an assessment.