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ADHD Video Call Diagnosis – A BBC Panorama Investigation Finds BBC Panorama found that patients are diagnosed with ADHD in private clinics and prescribed powerful drugs after unreliable video calls. The undercover investigation took place after tips were received. Dozens of patients and whistleblowers spoke to. Many people are required to pay for private assessments because of the NHS waiting list. But is it really effective? Why do I require a private diagnosis? If you think you or someone you know has ADHD It's essential to find a doctor who can evaluate your condition and provide you with the necessary treatment. While a lot of people choose to go with the NHS, private diagnosis may be more effective and save you time and money in the end. There are concerns that the NHS is struggling to cope with current demands on its services for ADHD assessments. As a result, patients are often waiting weeks or even months to get an appointment, and this could cause a lot of distress for those who suffer from the condition. Many feel that the NHS assessment services are not as effective as they could be. It's not surprising, then that more adults opt to get a private evaluation. However, the BBC Panorama investigation has raised grave concerns about the quality of care at some private clinics. The undercover program revealed that some clinics were speeding through tests over the phone and told patients that they had ADHD even though, in actual they didn't. A private assessment usually starts with a series screening questionnaires, which you will be asked to fill out and then submit to your doctor. The screenings are designed to determine whether you have symptoms of ADHD and are standardized. The results will assist the doctor to decide whether or not to attend an entire diagnostic appointment. The doctor will then review your medical history and family history, as well as the effects of ADHD symptoms on your daily life. They will also carry out an examination of your body and cognitive test. You will be diagnosed with ADHD based on your situation and then given a treatment plan. If you are diagnosed with ADHD and the doctor will write to your GP with a form for a 'shared care agreement'. This permits you to continue to receive NHS medication while paying only the NHS prescription fee. You can also visit your private doctor to keep up with appointments and receive CBT therapy, if necessary. What happens if I don't get an answer to my question? In the case of ADHD, a good diagnosis and proper treatment can make a huge difference. However the NHS procedure for diagnosing ADHD can be long and difficult. Some adults cannot wait that long and seek out private specialists to evaluate their health. This could save time and frustration, but it's important to understand that this isn't necessarily a guarantee of a precise diagnosis. A specialist with experience diagnosing ADHD will be able to offer a more thorough diagnosis than an NHS psychiatrist. This may include a physical examination as well as tests, such as hearing and vision. This will include checklists and questionnaires. The person who conducts the assessment will also inquire about your family, medical and social histories and your symptoms. They may also employ the standard ADHD rating scales and may want to request your teachers or caregivers for ratings, too. When assessing adults with ADHD the doctor will look for five or more signs that have been present for at least six months and are serious enough to cause disruption in the home or in the workplace. They will also determine whether these symptoms are a result of other mental disorders. Depression and anxiety, for example can trigger symptoms similar to ADHD. They will also look at your work and social life background to rule out issues like financial hardship or the history of abuse and alcohol or drug abuse. During your NHS assessment, you will be told by a psychiatrist or another healthcare professional if you don't fit the criteria for ADHD. You may request a re- 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 then refer them back for shared management through the NHS. This is the way that some adults who have been diagnosed with ADHD get access to medications. However, doctors have been often hesitant to prescribe ADHD medication because they are not experts in the disorder and because it's costly. What is my next step if I disagree 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 cause significant difficulties for people and families. If your physician isn't in agreement with the diagnosis, they might be able suggest alternative treatments or diagnoses that may be more suitable for you. If your doctor decides that you do not meet the criteria needed to qualify for a diagnosis of ADHD They will explain why. You may not have provided enough information about your difficulties or they might believe that another disorder is more responsible for your symptoms (traits). If you're not satisfied with the decision, you can seek another opinion from another clinician or follow the NHS complaints procedure. It's important to consider that your doctor may find the process of assessment frustrating, whether you choose private care or NHS care. This is not because of the patients affected, but rather because NHS service delivery is stretched to its limits. GPs also have to navigate the complicated diagnosis process for ADHD as well as autism (and neurodivergence in general). They must ensure that they provide a reliable, fair and safe service and that they comply with the requirements of the GMC for shared care prescribing. The Panorama expose has revealed that private clinics are using shortcut diagnostic approaches and this can put people at risk. This is a tragedy for the entire country and a valid reason to think about 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 an assessment. This is especially true when they are of a minority ethnic background or were born female or have other health and social situations that could affect how medical professionals assess the symptoms they have. If you're suffering from untreated ADHD symptoms and feel that your life is being negatively impacted, we are here to help. Our doctors are experts in identifying ADHD and can offer support and treatment to address your difficulties. Contact us or request an appointment online to discuss how we can assist you. What happens if get adhd diagnosis don't want me take my medication? If you are worried about ADHD symptoms but don't want to take medication, it is possible to get a diagnosis without taking medication. The NHS offers an adult ADHD assessment service. You can request a referral from your GP to be assessed at one of the centers for specialists in England or by the 'Right to Choose option, which is much more efficient. Your appointment will include an authenticated assessment as well as a medical interview and an online questionnaire. This will help your physician to assess how you are affected by these symptoms and what impact they have on your daily life. The clinician will consider your experiences in the past and your family history. It is important to give accurate and honest answers. If the clinician determines that you meet the diagnostic criteria of ADHD If they determine that you meet the diagnostic criteria of ADHD, they will provide you with a diagnosis. You will be asked whether you are interested in discussing the possibility of taking medication. Before deciding, it is important to weigh the advantages and disadvantages of using the medication. This is because the effects of medication can be long-term and may have serious side-effects if not taken in a proper manner. When you choose to take medication, the psychiatrist will provide you with a plan and a prescription. Depending on the severity your symptoms, and the amount of time you've been experiencing them, it may be recommended that you take ADHD medication for a longer period of time. However, it is also important to keep in mind that there are alternatives to medication to help manage ADHD symptoms, such as exercise, diet and cognitive behavior therapy. The BBC Panorama 'expose' of private clinics that diagnose ADHD has caused a lot of controversy, particularly because it suggests that patients are misdiagnosed due to inadequate assessment of their clinical needs. We are reticent to say that this doesn't happen, because humans are awfully inexact and psychiatry is only a flimsy science. However, if you're experiencing ADHD symptoms and are let down by the NHS wait times, it is possible to pay for an individual assessment.