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Kent McQueen posted an update 4 months, 3 weeks ago
ADHD Video Call Diagnosis – A BBC Panorama Investigation Finds
Patients are being diagnosed with ADHD and prescribed powerul drugs following unreliable video assessments in private clinics, an BBC Panorama investigation has found. The undercover investigation was carried out following tip-offs and dozens patients and whistleblowers were spoken to.
Logjammed NHS waiting lists mean that a lot of people have no choice but to pay for a private exam. But does it work?
Why do I require a private diagnosis?
If you suspect that you or someone you know has ADHD, it’s important to find a doctor who can evaluate your condition and provide the appropriate treatment. Many people opt to use the NHS but a private diagnosis is usually more accurate and can save time and money.
There are some concerns about the capacity of the NHS to meet current demands for ADHD assessments. Patients are forced to wait weeks or months for an appointment. This can be extremely difficult for those affected. In addition, many people believe that the quality of NHS assessment services is not as high as it could be.
In light of these issues, it’s not surprising that more adults are choosing to go for a private assessment. However the BBC Panorama investigation has raised grave concerns about the quality of care offered by certain private clinics. The undercover program reported that some clinics rushed through assessments over the telephone and then told patients they had ADHD when they were not.
A private assessment typically begins with a series of screening questions, 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 of these tests help the doctor decide if you should attend an appointment for diagnosis.
The doctor will then conduct a detailed assessment of your family and medical history, and how the symptoms of ADHD affect your daily life. The clinician will also conduct a physical exam and cognitive tests. You will be diagnosed with ADHD according to your specific situation and then given a treatment plan.
After you are diagnosed with ADHD your doctor will submit documentation to your GP to sign a shared care agreement. This allows you to continue receiving NHS medication, while only paying the NHS prescription fee. You can also see your personal doctor to keep track of appointments and receive CBT therapy in the event that it is necessary.
What happens if I do not receive a diagnosis?
A good diagnosis and the right treatment can make a big difference in the case of ADHD. However the NHS process for diagnosing ADHD can be long and painful. Some adults are unable to wait that long to seek out private specialists to determine their situation. This could save you time and frustration, however it is important to remember that it does not guarantee an accurate diagnosis.
A specialist with experience diagnosing ADHD can give a more thorough evaluation than an NHS psychiatrist. This could include a physical exam and tests such as hearing and vision. This will include check-lists and questionnaires. The person conducting the evaluation will also inquire about your family, medical and social histories as well as your symptoms. They could also use standard ADHD scales of rating and may also ask your caregivers or teachers to rate you.
When assessing adult ADHD The healthcare professional will be looking for five or more signs within a period of six months that are serious enough to interfere with 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 trigger symptoms similar to ADHD. They will also evaluate your professional and social history to rule out potential issues like financial difficulties, abuse histories, and drug and alcohol misuse.
During the NHS assessment, a psychiatrist or another healthcare professional will inform you if they think that you do not meet the criteria needed to qualify for a diagnosis of ADHD. You can request a second assessment if they disagree with their decision.
Individuals who have an official diagnosis of ADHD can decide to share the diagnosis with their GP and the GP can send them back for shared management through the NHS. Adults who have been diagnosed with ADHD can get medication in this way. However, doctors have been often hesitant to prescribe ADHD medication because they aren’t experts in the condition and because it is expensive.
What is my next step if I disagree with my diagnosis?
Remember that your clinician must be considerate and sensitive to your feelings and concerns. They’ll be aware that untreated ADHD symptoms can cause major problems for families and individuals. If your clinician doesn’t agree with the diagnosis, they may be able to suggest other diagnoses or treatments that could be more suitable for you.
If your physician finds that you don’t meet the criteria for an ADHD diagnosis, they will provide the reasons for this. It could be that you haven’t provided enough information about your issues, or they may believe that another condition better explains your symptoms (traits). If you’re not happy with this decision, you can ask for an alternative opinion from a different doctor or submit your complaint to the NHS complaints procedure.
It is important to be aware that your physician may find the process of assessment frustrating, whether you choose private care or NHS care. adult adhd diagnosis uk isn’t due to the individuals involved, but rather due to the fact that NHS service provision is stretched to its limits.
GPs are trying to navigate the complicated process of diagnosing ADHD and autism (and neurodivergence more generally). They must make sure they provide a reliable safe, fair and secure service and that they comply with the GMC’s requirements for shared care prescribing.
Panorama’s exposé has revealed that private clinics use shortcut diagnostic methods, which can put patients in danger. This is a national catastrophe and a real reason to consider alternatives.
It is also important to remember that the stigma associated with being diagnosed as ADHD can make it difficult for some people receive the diagnosis. This is especially true when they are of a minority ethnic background or born female or have other social or health circumstances that can affect the way medical professionals assess the symptoms they have.
We can help you if feel your life is negatively affected by unmanaged ADHD symptoms. Our specialists are skilled in diagnosing ADHD and are able to provide support and treatment to help you overcome your difficulties. Contact us or make an appointment online to find out how we can assist you.
What is the consequence if I don’t want to take a medication?
You can get a diagnosis if you’re concerned about ADHD symptoms but don’t want to take medication. You can obtain an adult ADHD assessment through the NHS. You can 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 consist of an online questionnaire, a clinical interview and the completion of some validated assessments. This will allow your clinician to determine how you are affected by these symptoms and the effect they have on your daily life. The clinician will take into account your personal experiences as well as your family history. It is essential that you provide accurate and truthful responses.
If the physician determines that you meet all of the diagnostic criteria for ADHD, they will be in a position to give you an diagnosis. You will be asked if would like to discuss the possibility of taking medication. Before you make a decision, it is important to weigh the advantages and disadvantages of using any medication. The effects of medications are long-term, and can cause serious adverse effects in the event of a misjudgment.
When you choose to take medication, the psychiatrist will give you the prescription and plan. You may be prescribed ADHD medication for a long period of time, depending on the severity of your symptoms and the length of time you’ve been suffering from these symptoms for. It is essential to remember that there are other options that aren’t pharmacological to deal with ADHD symptoms. These include diet, exercise, and cognitive behavior therapy.
The BBC Panorama “expose” of private clinics that diagnose ADHD has caused controversy, in particular because it suggests that people are being misdiagnosed as the result inadequate evaluations of clinical conditions. We hesitate to claim that this isn’t true because humans aren’t precise creatures, and psychiatry rarely is an actual science. If you’re experiencing ADHD symptoms and you are being let down by the NHS waiting times, then it may be a good idea to take out an individual assessment.