ADHD Video Call Diagnosis - A BBC Panorama Investigation Finds
Patients are being diagnosed with ADHD and given powerful drugs following unreliable video assessments at private clinics, an BBC Panorama investigation has found. The undercover investigation was conducted following tip-offs and dozens 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 actually work?
Why do I require an individual diagnostic?
If you think you or someone you know suffers from ADHD, it's important to find a specialist who can accurately assess your condition and provide you with the necessary treatment. While many people may choose to go with the NHS however, an individual diagnosis can be more efficient and can save you both time and money in the long run.
There are concerns regarding the NHS's ability to meet the current demands for ADHD assessments. Patients are often waiting for weeks or even months to get an appointment, and this can cause significant distress for those suffering. In addition, many people think that the quality of NHS assessment services isn't as high as it could be.
In light of these problems it's not surprising that more adults are choosing to go for a private assessment. However, the BBC Panorama investigation has raised serious concerns about the standard of care provided by some private clinics. The undercover programme revealed that some clinics rushed through assessments over the telephone and claimed that patients were ADHD even though they were not.
A private assessment typically begins with a series screening questionnaires that you will be asked to complete and then submit to your doctor. The screenings are designed to determine 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 physician will then conduct a thorough review of your medical and family background, as well as how the symptoms of ADHD are impacting your life. They will also carry out an examination of your body and cognitive tests. You will be diagnosed with ADHD in light of your circumstances and then given a treatment plan.
If you are diagnosed with ADHD, the clinician will write to your GP with paperwork for a 'shared care agreement'. This will allow you to continue receiving NHS medication (only paying the NHS prescription cost) while also seeing your private doctor for regular appointments and CBT therapy, if needed.
What is the outcome if I don't receive an answer to my question?
In the case of ADHD an accurate diagnosis and treatment plan can make a huge difference. The NHS can be slow and difficult when it comes to diagnosing ADHD. adhd uk diagnosis are unable to wait that long and instead turn to private professionals for an evaluation. This can help save time and frustration, but it's important to understand that this isn't an assurance of a correct diagnosis.
A specialist with experience diagnosing ADHD will be able to provide a more thorough assessment than an NHS psychiatrist. This may include a medical examination and tests such as hearing or vision. It will also include questionnaires and check-lists. The person who conducts the assessment will also ask you about your family, medical and social histories as well as your symptoms. They could also employ standard ADHD scales of rating and may also ask your teachers or caregivers to rate you.
When evaluating adults with ADHD Healthcare professionals will look for five or more signs within a period of six months that are severe enough to disrupt your work or family life. They will also determine whether the symptoms are related to other mental health disorders. Depression and anxiety, for example can trigger signs similar to those seen in ADHD. They will also look at your social and professional history to rule out problems like financial difficulties, abuse histories, and drinking and drug addiction.
During the NHS assessment, a psychiatrist or other healthcare professional will tell you if they believe you do not meet the criteria to be considered a sufferer of ADHD. They will also explain why they think you are not and you can request another assessment if you are not satisfied with their decision.
Anyone who is diagnosed of ADHD privately can decide to share it with their GP. The GP can then refer the person to share management via the NHS. Adults who have been diagnosed with ADHD can get medication in this way. Some doctors are reluctant to prescribe ADHD medication because they don't have a specialization in the condition or because it's expensive.
What if I disagree with my diagnosis?

It's worth remembering that your doctor must be respectful and empathetic to your concerns and feelings. They'll understand that untreated ADHD symptoms can cause significant difficulties for people and families. If your doctor isn't happy with the diagnosis, they might be able to suggest alternative diagnoses or treatments that could be more appropriate for you.
If your clinician decides you don't meet the criteria needed to qualify for a diagnosis of ADHD They will then explain the reason. It may be due to the fact that you didn't provide enough details about your struggles or they believe another condition explains your traits (symptoms) better than ADHD. If you're unhappy with the outcome, you can seek another opinion from a different clinician or go through the NHS complaints process.
If adult adhd diagnosis uk choose to go private or use NHS healthcare the wait time for an assessment could be long and it's worth considering the possibility that your physician may find the process difficult. This isn't because of the people involved, but rather because NHS service provision is stretched to the limit.
GPs also struggle to navigate the complicated diagnosis process for ADHD and autism (and neurodivergence in general). They must ensure that they offer a high-quality service that is safe and fair, and also meet the prescriptions for shared care that are set by the GMC.
The Panorama expose has exposed that private clinics utilize shortcut diagnostic methods, which could put patients at risk. This is a national tragedy and a real reason to consider alternative options.
It is also important to recognize that the stigma attached to being diagnosed as ADHD can make it difficult for some people receive a diagnosis. This is particularly true if the person is of a different ethnicity, was assigned female at birth or has other health or social issues that can influence the way medical professionals perceive their symptoms.
If you're struggling with untreated ADHD symptoms and feel your life is negatively impacted, we are here to assist. Our doctors have experience diagnosing ADHD, and can provide support and treatment for your problems. Contact us today or request an appointment online to discuss what we can do to help.
What is the consequence if I don't want to take medication?
You can be diagnosed in case you're worried about ADHD symptoms, but do not want to take medication. The NHS offers an adult ADHD assessment service. You can request an appointment from your doctor to be evaluated at one of the specialist centres in England or by the 'Right to Choose' pathway, which is much faster.
Your appointment will consist of a validated assessment as well as a medical interview and an online questionnaire. This will help your physician determine the way these symptoms affect you and the impact they have on your daily life. The doctor will consider your past experiences and family history. It is important to give accurate and honest answers.
If the clinician finds that you meet the diagnostic criteria for ADHD the doctor will be able to provide you with a diagnosis. You will be asked if would like to discuss the possibility of taking a medication. Before you make a decision it is crucial to weigh the advantages and disadvantages of taking a medication. This is because the effects of medication can be long-term and may cause serious adverse side effects if taken in a proper manner.
When you choose to take medication, the psychiatrist will give you a plan and a prescription. Depending on the severity of your symptoms and the duration of time you've been suffering from them, it could be suggested that you take ADHD medication for an extended period of time. It is essential to keep in mind that there are other methods that are not pharmacological to treat ADHD symptoms. These include exercise, diet, and cognitive behavior therapy.
The BBC Panorama "expose" of private clinics that diagnose ADHD has generated controversy, particularly because it suggests that people are being misdiagnosed as the result inadequate evaluations of clinical conditions. We hesitate to claim that this doesn't happen because humans aren't precise creatures, and psychiatry hardly is an actual science. If you are experiencing ADHD symptoms but are frustrated by the NHS waiting time, it could make sense to pay for an assessment.