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 drugs after unreliable video calls. The undercover investigation was conducted after tip-offs and dozens of patients and whistleblowers were listened to.
Many people are required to pay for private assessments due to the NHS waiting list. But is it really effective?
Why do I need an individual diagnosis?
If you suspect that you or someone you know suffers from ADHD It's essential to find a professional who can assess your health and provide the proper treatment. While a lot of people choose to go with the NHS however, a private diagnosis can often be more efficient and can save you both time and money in the long run.
There are concerns about the capacity of the NHS to meet the current demands for ADHD assessments. Patients are often waiting weeks or even months for an appointment, and this can be a source of stress for those who suffer from the condition. In addition, many people feel that the quality of NHS assessment services is not as high as it could be.
In the light of these issues it's not a surprise that more people are opting to go for a private assessment. The BBC Panorama investigation raised serious concerns about the quality of care provided by some private clinics. The undercover program reported that some clinics ran assessments over the telephone and then told patients they had ADHD even though they were not.
A private examination will typically begin with a series of screening questions that you will be asked to complete and return to the doctor. The screenings are designed and standardised to determine if you exhibit symptoms of ADHD. These results are used to assist the doctor to decide whether or not you should attend an appointment for a full diagnosis.
The doctor will then conduct a thorough review of your medical and family history, as well as how the symptoms of ADHD can affect your life. They will also conduct a physical examination and cognitive tests. Based on your situation you will then be diagnosed with ADHD and given a detailed treatment plan.
After you've been diagnosed with ADHD, the clinician will write to your GP with a request to sign a'shared care contract'. This will enable you to continue to receive NHS medication (only paying the NHS prescription fee) while also seeing your private clinician for ongoing appointments and CBT therapy, if needed.
What is the outcome if I don't receive an answer to my question?
A good diagnosis and the right treatment can make a huge difference in the case of ADHD. The NHS can be slow and difficult when it comes to diagnosing ADHD. Many adults can't wait that long and seek out private providers to evaluate their situation. This could save you time and stress, 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 offer a more thorough evaluation than a psychiatrist from the NHS. This can include a physical examination and tests like hearing and vision. This could include questionnaires and check-lists. The person who conducts the assessment will also inquire about your family medical and social history and your symptoms. They may also utilize the standard ADHD rating scales and may be able to request your teachers or caregivers for ratings, too.
When assessing adult ADHD Healthcare professionals will be looking for five or more symptom within a period of six months that are severe enough to disrupt work or home life. They will also determine whether these symptoms are due to any other mental health conditions. For example, depression and anxiety can trigger ADHD-like symptoms. They will also review your professional and social history to rule out potential issues like financial difficulties and abuse histories as well as alcohol and drug abuse.
During the NHS assessment the psychiatrist or other healthcare professional will tell you if they believe that you don't meet the criteria needed to qualify for a diagnosis of ADHD. They will also explain why they think you are not and you are able to request a new assessment if you are not satisfied with their decision.
If you have a private diagnosis of ADHD may decide to discuss this information with their GP and the GP can send them back for shared management under the NHS. Adults who have been diagnosed with ADHD can get medication this way. Some doctors are reluctant to prescribe ADHD medications because they aren't experts in the condition or because it's expensive.
What if I disagree with my diagnosis?

Remember that your therapist must be considerate and sensitive to your concerns and feelings. They'll know that untreated ADHD can cause serious problems for families and individuals. If your clinician disagrees with the diagnosis, he or she may be able suggest other diagnoses and treatments that are more appropriate for you.
If your doctor decides that you don't meet criteria for an ADHD diagnosis They will give the reasons. It could be that you haven't provided enough information about your struggles, or they may believe that another disorder is more responsible for your symptoms (traits). If you're not satisfied with this choice you may seek an additional opinion from a different doctor or refer your case to the NHS complaints procedure.
If you choose to go private or use NHS care, the wait time for an assessment can be lengthy, and it's worth pondering that your doctor may find the process difficult. This is not because of the patients involved, but rather due to the fact that NHS services are stretched to its limits.
GPs are also having difficulty navigating the complicated diagnosis process for ADHD and autism (and neurodivergence as a whole). They must ensure they offer a high-quality service that is safe and fair, and meet the prescriptions for shared care set out by the GMC.
Unfortunately, Panorama's expose revealed that some private clinics are using short cut diagnostic methods and this could put people at risk. This is a national issue and a compelling reason to think about alternative options.
It is also important to remember that the stigma attached to being diagnosed with ADHD can make it difficult for certain people receive an assessment. This is particularly true if they are of a minority ethnic background or were born female or have other social or health situations that could influence how medical professionals evaluate the symptoms they exhibit.
If you're struggling with untreated ADHD symptoms and feel your life is being negatively impacted, we're here to assist. Our clinicians are experienced in identifying ADHD and can provide assistance and treatment to address your issues. Contact us or request an appointment online to learn how we can assist you.
What is the consequence if I don't want to take a medication?
If you are worried about ADHD symptoms but do not want to use medication, it is possible to receive a diagnosis without a prescription. You can get an adult ADHD assessment through the NHS. You can ask your GP to refer you to one of the centers for specialists in England or go through the "Right to Choose" pathway which is faster.
Your appointment will comprise an online questionnaire, a clinical interview, and the completion of certain validated assessments. This will help your physician to understand how you are affected by these symptoms and the effect they have on your daily life. The clinician will consider your previous experiences as well as your family history. It is important to provide accurate and truthful responses.
If the clinician determines that you meet the diagnostic criteria of ADHD, they can provide you with a diagnosis. You will be asked if you are interested in discussing the possibility of taking a medication. It is important to think about the implications of taking any medication prior to making the decision. The effects of medications last for a long time, and they can have serious side effects when taken improperly.
adhd diagnosed will provide you with the prescription and a plan should you choose to take a medication. Based on the severity of your symptoms, as well as the duration of time you've been experiencing them, it may be suggested that you take ADHD medication for a long period of time. It is also important to keep in mind that there are other non-pharmacological ways to manage ADHD symptoms. These include diet, exercise, and cognitive behavior therapy.
The BBC Panorama 'expose' of private clinics diagnosing ADHD has generated much controversy, particularly because it suggests that patients are being falsely diagnosed due to inadequate assessment of their clinical needs. We are reticent to say that this isn't the case since humans are incredibly inexact and psychiatry is only a flimsy science. However, if you're struggling with ADHD symptoms and you are being frustrated by the NHS wait times, then it can make sense to pay for an assessment with a private practitioner.