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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 prescribed strong drugs after unreliable video calls. The undercover investigation was conducted after tips were received. Numerous patients and whistleblowers spoke to. Many people are required to pay for private assessments due to the NHS waiting list. But does it actually work? Why do I need an appointment with a private doctor? If you think you or someone you know has ADHD, it's important to find a doctor who can accurately assess your condition and provide you with the proper treatment. IamPsychiatry choose to use the NHS but a private diagnosis is usually more accurate and can save both time and money. There are concerns that the NHS is struggling to deal with current demands on its services for ADHD assessments. Patients have to wait for weeks or months for an appointment. This can be very stressful for those affected. Additionally, many think that the quality of NHS assessment services is not as high as it could be. In the face of these challenges, it's not surprising that more adults are opting to undergo an assessment by a private doctor. The BBC Panorama investigation raised serious concerns about the quality of care offered by private clinics. The undercover program reported that some clinics had rushed through assessments over the telephone and told patients they were ADHD even though they were not. A private assessment typically begins with a series of questionnaires for screening which you'll be asked to complete and send to the doctor. The tests are designed to see if you are suffering from symptoms of ADHD and are standardized. The results will help the clinician decide whether or not you need to attend a full diagnostic appointment. The clinician will then evaluate your medical history and family history as in addition to the effects of ADHD symptoms on your daily life. They will also conduct physical and cognitive test. You will be diagnosed with ADHD according to your specific situation and given a treatment plan. Once you have been diagnosed with ADHD, the clinician will write to your GP with a request for a 'shared care agreement'. This will allow you to continue receiving NHS medication (only paying the NHS prescription charge) while seeing your private therapist for ongoing appointments and CBT therapy if required. What happens if I do not receive a diagnosis? In the case of ADHD, a good diagnosis and the right treatment can make a huge difference. However, the NHS method of diagnosing ADHD can be long and difficult. Some adults are unable to wait that long and instead turn to private specialists for their assessment. This could save time and frustration but it's important to understand that this isn't necessarily a guarantee of an accurate diagnosis. A specialist who has experience diagnosing ADHD can provide more detailed evaluations than a psychiatrist from the NHS. This may include a medical examination and tests such as hearing or vision. This could include checklists and questionnaires. The person who conducts the test will also ask about your family background and your social and medical history, in addition to asking about your symptoms. They may also use the standard ADHD rating scales and may be able to inquire from your caregivers or teachers for their ratings, too. When assessing adult ADHD the doctor will look for five or more signs that have been present for at least six months and that are severe enough to cause disruption in work or family life. They will also check if these symptoms are a result of other mental disorders. Depression and anxiety, for instance can trigger signs similar to those seen in ADHD. They will also look at your professional and social history to rule out issues such as financial hardships or abuse history, as well as alcohol and drug abuse. During the NHS assessment, a psychiatrist or other healthcare professional will tell you if they think that you do not meet the criteria to be considered a sufferer of ADHD. You can request a second assessment if they disagree with their conclusion. If you are diagnosed of ADHD privately can decide to discuss it with their GP. The GP can then refer the person back for shared management through the NHS. This is how some adults who have been diagnosed with ADHD are able to access medications. However, GPs are often hesitant to prescribe ADHD medication due to the fact that they do not specialise in the condition and because it's expensive. What if I disagree with my diagnosis? It is important to remember that your doctor should be respectful and empathetic 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, he or she might be able to suggest alternative treatment options that are more appropriate for you. If your clinician decides that you don't meet the criteria for an ADHD diagnosis They will explain the reasons why. You may not have provided enough information about your struggles or they might believe that another disorder is more responsible for your symptoms (traits). If you're not satisfied with the outcome you can seek a second opinion from another clinician or use the NHS complaints process. It is important to be aware that your clinician might find the process of assessing challenging, whether you opt for private care or NHS care. The NHS is stretched too thin and it's not the fault of the individuals who are involved. GPs are trying to navigate the complicated process of diagnosing ADHD and autism (and neurodivergence as a whole). They must be sure they offer a high-quality service that is safe and fair, and also meet the standards of shared care prescribing set out by the GMC. Panorama's exposé has revealed that private clinics employ quick diagnostic techniques, which can put patients in danger. This is a national issue and a compelling reason to think about alternatives. It is also important to remember that the stigma attached to being diagnosed as ADHD can make it difficult for certain people to receive an assessment. This is especially true when the person is of a different ethnicity or was a female at birth, or has other social and health issues that affect how medical professionals view their symptoms. If you're struggling with unmanaged ADHD symptoms and feel your life is negatively impacted, we are here to assist. Our doctors are experts in identifying ADHD and can provide assistance and treatment for your issues. You can request an appointment via our website or give us call to see what we can do to assist. What is the next step if I don't wish to take medication? You can receive a diagnosis in case you're worried about ADHD symptoms, but don't wish to take medication. You can get an adult ADHD assessment through the NHS. You can ask your GP to refer you to one of the specialist centers in England or use the 'Right to Choose” route, which is more efficient. Your appointment will consist of an assessment that is validated as well as a medical interview and an online questionnaire. This will allow your doctor to know the way these symptoms affect you and how they impact 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 doctor decides 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 medication. It is crucial to think about the implications of taking any medication prior to making a decision. This is because the effects of medications are long-lasting and could cause serious adverse side effects if taken properly. The psychiatrist will provide you with the prescription and a plan if you decide to take a medication. 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. It is important to also keep in mind 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 treat ADHD has generated controversy, particularly because it suggests people are misdiagnosed as a result of insufficient assessment of the clinical condition. We hesitate to say this isn't true because humans aren't exact creatures, and psychiatry rarely is an academic discipline. If you're suffering from ADHD symptoms and are being let down by the NHS wait times, it may be a good idea to pay for an assessment with a private practitioner.