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ADHD Video Call Diagnosis – A BBC Panorama Investigation Finds BBC Panorama found that patients are diagnosed with ADHD at private clinics and are prescribed powerful medications following unreliable video conversations. The undercover investigation was conducted after tip-offs and dozens of patients and whistleblowers were listened to. Logjammed NHS waiting lists mean that many people are forced to pay for a private assessment. But does it actually work? Why do I need an appointment with a private doctor? If you believe that you or someone you know suffers from ADHD It's essential to find a specialist who can evaluate your condition and provide the proper treatment. While get diagnosed with adhd of people choose to use the NHS however, an individual diagnosis can be more effective and save you time and money in the long run. There are concerns about the capacity of the NHS to meet current demands for ADHD assessments. Patients are often waiting weeks or even months for an appointment, which could cause a lot of distress for those suffering. In addition, many people think 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 people are opting to go for an assessment by a private doctor. However, the BBC Panorama investigation has raised grave concerns about the quality of care provided by some private clinics. The undercover program revealed that some clinics rushed through assessments over the phone and telling patients they had ADHD even though, in actual, they did not. A private assessment typically begins with a series screening questionnaires which you'll be asked to fill out and submit to the clinician. The tests are designed to see if you exhibit the symptoms of ADHD and are also standardised. These results are used to help the clinician decide whether or not to attend a full diagnostic appointment. The clinician will then evaluate your medical history and family history, as and the impact of ADHD symptoms on your life. The doctor will also conduct a physical exam and cognitive tests. Depending on your circumstances you will be diagnosed with ADHD and given an outline treatment plan. If you're diagnosed with ADHD your doctor will submit documentation to your GP to request a shared-care agreement. This will allow you to continue to receive NHS medication (only paying the NHS prescription charge) while also seeing your private clinician for ongoing appointments and CBT therapy when required. What is the outcome if I fail to get an appointment? If you suffer from ADHD, a good diagnosis and proper treatment can make all the difference. The NHS can be slow and difficult when it comes to diagnosing ADHD. Many adults are unable to wait that long and instead turn to private specialists for their assessment. This could save you time and frustration, but it is important to keep in mind that it does not guarantee an accurate diagnosis. A professional who has expertise in diagnosing ADHD can give an extensive evaluation than a psychiatrist from the NHS. This may include a physical examination as well as tests like hearing and vision. This could include questionnaires and check-lists. The person who is conducting the test will also inquire about your family, medical and social histories and your symptoms. They may also use standard ADHD scales of rating and may also ask your caregivers or teachers to give you a score. When assessing adult ADHD The healthcare professional will look for five or more symptom over a period of 6 months that are serious enough to interfere with your work or family life. They will also check if these symptoms are caused by other mental disorders. For instance, depression or anxiety can trigger ADHD-like symptoms. They will also review your work and social life history to rule out any issues such as financial difficulties or the history of abuse and alcohol or drug misuse. During the NHS assessment, a psychiatrist or another healthcare professional will inform you if they believe you don't meet the criteria needed to qualify for a diagnosis of ADHD. They will explain their reasoning and you may request a second assessment if you disagree with their conclusion. Anyone who is diagnosed of ADHD privately can decide to discuss the diagnosis 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 medications in this manner. However, doctors have been known to be reluctant to prescribe ADHD medication because they aren't experts in the disorder and because it is expensive. What happens if I don't agree with my diagnosis? Remember that your doctor must be considerate and sensitive to your concerns and feelings. They will know that unmanaged ADHD can create serious issues for families and individuals. If your doctor isn't satisfied with the diagnosis, they might be able to suggest alternative treatment options that are more appropriate for you. If your doctor decides that you don't meet the criteria to be considered a case of ADHD They will explain the reason. It could be because you did not provide enough details about your struggles or they believe that a different condition can explain your characteristics (symptoms) better than ADHD. If you're not happy with the outcome, you can seek another opinion from another clinician or follow the NHS complaints process. It is important to be aware that your doctor may find the assessment process frustrating, whether you choose private care or NHS care. This is not because of the people involved, but rather due to the fact that NHS service provision is stretched to the limit. GPs also struggle to navigate the complex process of diagnosing ADHD, autism (and neurodivergence as a whole). They must ensure that they provide a quality service that is safe and fair, as well as meet the standards of shared care prescribing as outlined by the GMC. Panorama's exposé has revealed that private clinics employ shortcut diagnostic methods, which can put people in danger. This is a national tragedy and an excellent reason to look at alternative options. It is also important to remember that the stigma associated with being diagnosed as ADHD can make it difficult for certain people receive the diagnosis. This is particularly true if they are of a minority ethnic background, assigned female at birth or have other social and health situations that could affect the way medical professionals assess the symptoms they have. We can help if you feel your life is negatively affected by unmanaged ADHD symptoms. Our doctors are experts in identifying ADHD and can offer support and treatment to help you overcome your difficulties. Contact us today or request an appointment online to find out what we can do to help. What is the next step if I don't wish to take a medication? If you are concerned about ADHD symptoms but don't want to take medication, it is possible to be diagnosed without the need for medication. You can get an adult ADHD assessment through the NHS. You could ask your GP to send you to one of the centers that specialize in England or go through the “Right to Choose” route, which is more efficient. Your appointment will include an online questionnaire, a medical interview, and the completion of some validated tests. This will allow your doctor to know how these symptoms affect you and their impact on your daily routine. The clinician will consider your past experiences and your family history. It is essential to provide truthful and accurate answers. If the clinician determines that you have the diagnostic criteria for ADHD They can provide you with a diagnosis. You will be asked whether you are interested in discussing the possibility of taking a medication. Before deciding it is crucial to consider the advantages and disadvantages of using a medication. This is because the effects of medication are long-lasting and could cause serious adverse side effects if used in a safe manner. If you decide to take medication, your psychiatrist will give you a plan and a prescription. You may be given ADHD medication for a lengthy period of time, based on the severity of the symptoms and the length of time you've experienced these symptoms for. It is essential to be aware of other options that aren't pharmacological to deal with ADHD symptoms. These include exercise, diet, and cognitive behavior therapy. The BBC Panorama “expose” of private clinics that treat ADHD has generated controversy, particularly because it suggests people are misdiagnosed as a result inadequate evaluations of clinical conditions. We hesitate to say this isn't the case because we aren't precise creatures, and psychiatry rarely qualifies as an academic discipline. If you're experiencing ADHD symptoms but are frustrated by the NHS waiting times, it might be beneficial to pay for an assessment.