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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 are prescribed powerful medications following unreliable video conversations. The undercover investigation was carried out following tip-offs, and dozens of patients and whistleblowers have been spoken to. Many people are forced to pay for private assessments due to the NHS waiting list. But is it really effective? Why do I need a private diagnostic? If you or someone you know has ADHD You should find a doctor who can accurately diagnose your condition and prescribe appropriate treatment. Although many people opt to go with the NHS, an individual diagnosis can 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. As a result, patients are often waiting for weeks or even months to get an appointment, which can be a source of stress for those who suffer from the condition. Many believe that the NHS assessment services are not as effective as they could be. In the face of these issues it's not surprising that more adults are choosing to seek an assessment by a private doctor. However the BBC Panorama investigation has raised serious concerns about the standard of care provided by some private clinics. The undercover program revealed that some clinics were rushing through assessments over the phone and told patients they had ADHD even though, in actual they didn't. A private assessment will usually begin with a set of screening questions that you are asked to fill out and submit to the clinician. The tests are designed to determine if you exhibit the symptoms of ADHD and are also standardised. The results will aid the doctor in deciding whether or not you should attend an appointment for a full diagnosis. The clinician will then assess your medical history and family history, as and the effects of ADHD symptoms on your daily life. The clinician will also conduct an examination of your body and cognitive tests. Based on your specific circumstances, you will then be diagnosed with ADHD and given an outline treatment plan. If you are diagnosed with ADHD your doctor will submit paperwork to your GP to request a shared-care agreement. This permits you to continue to receive NHS medication, while only paying the NHS prescription fee. You can also see your private doctor to keep track of appointments and receive CBT therapy in the event that it is necessary. What is the outcome if I fail to get an appointment? A correct diagnosis and the appropriate treatment can make a huge difference in the case of ADHD. However, the NHS method of diagnosing ADHD can be lengthy and painful. Some adults are unable to wait that long to seek out private providers to assess their condition. This can help save time and stress, but it's important to understand that this isn't necessarily a guarantee of a precise diagnosis. A professional who has expertise in diagnosing ADHD can offer an extensive evaluation than a psychiatrist from the NHS. This may include a medical examination as well as tests such as hearing and vision. This will include questionnaires and check-lists. The person who conducts the assessment will also ask you about your family, medical and social histories and your symptoms. They could also use the standard ADHD scales of rating and ask your teachers or caregivers to rate you. When assessing adult ADHD the doctor will look at five or more symptoms that have been present for at least six months and are severe enough to cause disruption in the home or in the workplace. They will also check whether these symptoms are caused by other mental disorders. Depression and anxiety, for instance, can cause ADHD-like signs. They will also review your work and social history to rule out any issues such as financial difficulties or the history of abuse and drug or alcohol misuse. During your NHS assessment you will be informed by a psychiatrist or a healthcare professional if you do not meet the criteria for ADHD. You can request a second assessment if you disagree with their conclusion. Anyone who is diagnosed of ADHD privately can decide to discuss it with their GP. The GP can then refer the person to share management via the NHS. This is how many adults who have been diagnosed with ADHD receive medications. Some GPs are hesitant to prescribe ADHD medications due to the fact that they aren't experts in the condition or because it's expensive. What happens If I don't like my diagnosis? It's worth remembering that your doctor should be empathetic and respectful of 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 may be able suggest other treatment options that are more appropriate for you. If your doctor decides that you don't meet the criteria for an ADHD diagnosis, they will give the reasons. It could be due to your inability to give enough detail about your struggles or they believe that a different condition can explain your behavior (symptoms) better than ADHD. If you're not satisfied with this decision you may seek another opinion from a different clinician or submit your complaint to the NHS complaints procedure. It's important to consider that your clinician might find the process of assessing frustrating, whether you choose private or NHS care. This isn't due to the patients involved, but rather due to the fact that NHS service provision is stretched to the limits. GPs also struggle to navigate the complicated diagnosis process for ADHD, autism (and neurodivergence as a whole). They must ensure that they offer a high-quality service that is safe and fair, as well as meet the standards of shared care prescribing set out by the GMC. The Panorama expose has revealed that private clinics use shortcut diagnostic methods, which can put people in danger. This is a national tragedy and an excellent reason to look at alternatives. Full Review is also important to note that the stigma associated with being diagnosed with ADHD can make it difficult for certain people to be given an assessment. This is particularly true if the person is of a different ethnicity or was a female at birth, or has other health and social circumstances which can affect the way medical professionals perceive their symptoms. If you're suffering from untreated ADHD symptoms and feel your life is being negatively impacted, we are here to help. Our doctors are experts in identifying ADHD and are able to provide support and treatment to address your concerns. Contact us or make an appointment online to find out how we can help. What happens If you don't want me to take my medication? You can be diagnosed in case you're worried about ADHD symptoms, but don't need to take any medication. You can get an adult ADHD assessment through the NHS. You can ask your doctor to refer 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 how they impact on your daily life. The doctor will take into account your previous experiences and family history. It is important to provide truthful and accurate information. If the physician determines that you meet all of the diagnostic criteria for ADHD and ADHD, they will be in a position to give you a diagnosis. You will be asked whether you are interested in discussing the possibility of taking a medication. Before making a decision it is essential to consider the pros and cons of taking the medication. The effects of medication are long-term, and can be dangerous when taken improperly. If you decide to use medication, your psychiatrist will give you an outline of the treatment and a prescription. You could be prescribed ADHD medication for a prolonged duration, based on the severity of the symptoms and how long you've been experiencing them. It is also important to remember that there are other non-pharmacological ways to manage ADHD symptoms. These include 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 people are being falsely diagnosed due to inadequate clinical assessments. We hesitate to say this doesn't happen because humans are inexact creatures, and psychiatry hardly qualifies as a science. If you are experiencing ADHD symptoms but are annoyed by the NHS waiting times, it may be a good idea to pay for an assessment.