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ADHD Video Call Diagnosis – A BBC Panorama Investigation Finds Patients are being diagnosed with ADHD and prescribed powerful medications following unreliable video call tests at private clinics as an BBC Panorama investigation has found. The undercover investigation was conducted following tip-offs, and dozens of patients and whistleblowers have been spoken to. Logjammed NHS waiting lists mean many people are forced to pay for a private examination. But does it work? Why do I need an individual diagnostic? If you think you or someone you know has ADHD It is essential to find a doctor who can accurately assess your condition and provide the proper treatment. While many people may choose to go with the NHS however, a private diagnosis can often 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. Patients are often waiting for weeks or even months for an appointment, which could cause a lot of distress for those suffering. Many people think that the NHS assessment services aren't as effective as they could be. In the face of these problems it's not surprising that more adults are choosing to undergo an assessment by a private doctor. The BBC Panorama investigation raised serious concerns over the quality of care offered by private clinics. The undercover documentary revealed that some clinics rushed through tests over the phone and told patients they were suffering from ADHD when, in fact they didn't. A private assessment typically begins with a series of questionnaires for screening, which you will be asked to fill out and submit to the clinician. The screenings are standardised and designed to determine if you exhibit symptoms of ADHD. The results will aid the doctor in deciding whether or not you should attend a full diagnostic appointment. The clinician will then evaluate your medical background and family history, as in addition to the effects of ADHD symptoms on your daily life. The clinician will also perform physical examinations and cognitive tests. You will be diagnosed with ADHD based on your situation and given a treatment program. If you are diagnosed with ADHD The doctor will write to your GP with paperwork for a'shared-care agreement'. This will enable you to continue to receive NHS medication (only paying the NHS prescription fee) while seeing your private doctor for regular appointments and CBT therapy when needed. What happens if I don't get an answer to my question? A clear diagnosis and the appropriate treatment can make a massive difference in the case of ADHD. However, the NHS procedure for diagnosing ADHD is lengthy and difficult. Some adults are unable to endure this long and go to private providers for their assessment. This could save time and frustration but it's important to realize that this isn't necessarily a guarantee of a precise diagnosis. A professional who has expertise in diagnosing ADHD can give an extensive evaluation than a psychiatrist working for the NHS. This can include a physical examination and tests like hearing and vision. It may also include questionnaires and checklists. The person conducting the assessment will also ask about your family background and medical and social history, as well as asking about your symptoms. They might also utilize standard ADHD ratings scales, and may be able to inquire from your caregivers or teachers for their ratings, too. When assessing adults with ADHD the healthcare professional will look for five or more signs that have been present for at least six months and are serious enough to affect work or family life. They will also look at whether these symptoms are due to mental health issues in other ways. Depression and anxiety, for instance, can cause ADHD-like signs. They will also assess your work and social history to rule out any issues such as financial difficulties, an abuse history, and drug or alcohol misuse. During the NHS assessment, a psychiatrist or other healthcare professional will tell you if they believe you do not meet the criteria for a diagnosis of ADHD. You may request a re- assessment if you disagree with their conclusion. Anyone who is diagnosed of ADHD privately can choose to share it with their GP. The GP can then refer the person for shared management through the NHS. Adults who have been diagnosed with ADHD can access medication in this way. However, GPs are known to be reluctant to prescribe ADHD medication due to the fact that they do not specialise in the condition and also because it's expensive. What happens when I don't agree with my diagnosis? Remember that your clinician must be considerate and sensitive to your concerns and feelings. They'll be aware that untreated ADHD symptoms can create significant difficulties for people and families. If your clinician doesn't agree with the diagnosis, they might be able to suggest other treatments or diagnoses that may be more appropriate for you. If your clinician decides that you don't meet the criteria for an ADHD diagnosis, they will explain the reasons why. It could be due to your inability to give enough detail about your difficulties or because they believe another condition explains your behavior (symptoms) better than ADHD. If you're not satisfied with the outcome, you can seek another opinion from a different clinician or use the NHS complaints process. Whether you go private or access NHS services, the wait time for an assessment could be lengthy, and it's worth considering the possibility that your physician might find the process frustrating. This is not because of the individuals involved, but rather because NHS services are stretched to the limits. GPs are also having difficulty navigating the complicated diagnosis process for ADHD and autism (and neurodivergence in general). learn more must make sure they provide a reliable safe, fair and secure service and that they meet the requirements of the GMC for shared care prescribing. Panorama's exposé has revealed that private clinics use shortcut diagnostic methods, which can put people in danger. This is a national scourge, and a very real reason to think about alternatives. 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 an assessment. This is especially true if the person is of a minority ethnicity or was a female at birth or has other social and health issues that affect the way that medical professionals evaluate their symptoms. If you're struggling with unmanaged ADHD symptoms and feel that your life is negatively impacted, we're here to help. Our doctors are experts in diagnosing ADHD and can provide assistance and treatment to help you overcome your issues. You can request an appointment online or give us a call to see what we can do to assist. What happens when you don't want me to take my medication? If you are concerned about ADHD symptoms but do not want to take medication, it's possible to be diagnosed without the need for medication. You can obtain an adult ADHD assessment through the NHS. You can ask your doctor to recommend you to one of the centers that specialize in England or use the 'Right to Choose” method, which is quicker. Your appointment will consist of a validated assessment as well as a medical interview and an online questionnaire. This will allow your doctor to determine how these symptoms affect you and the impact they have on your daily routine. The doctor will consider your previous experiences and family history. It is essential to provide accurate and truthful responses. If the physician determines that you meet all of the diagnostic criteria for ADHD the doctor will be able to provide you with an assessment. You will be asked whether you would like to discuss the possibility of taking a medication. It is essential to consider the potential consequences of taking any medication before making the decision. The effects of medications are long-term, and can be dangerous in the event of a misjudgment. The doctor will issue you an appointment and a treatment plan should you choose to take a medication. You could be prescribed ADHD medication for a long period of time, depending on the severity of the symptoms and how long you've been experiencing them. However, it is also important to keep in mind that there are other options to manage ADHD symptoms, like exercise, diet and cognitive behavior therapy. The BBC Panorama “expose” of private clinics that treat ADHD has sparked controversy, particularly because it suggests that people are misdiagnosed as a result of inadequate clinical assessments. We're hesitant to claim that this does not happen since humans are incredibly inexact and psychiatry is not a science at all. If you're experiencing ADHD symptoms but are annoyed by the NHS waiting times, it may make sense to pay for an assessment.