Five Things You Don't Know About Diagnosis ADHD
ADHD Video Call Diagnosis - A BBC Panorama Investigation Finds
Patients are being diagnosed with ADHD and given powerful drugs following unreliable video tests at private clinics, an BBC Panorama investigation has found. The undercover investigation was conducted following tip-offs, and dozens of patients and whistleblowers were spoken to.
Logjammed NHS waiting lists mean many people are forced to pay for a private exam. But does it actually work?
Why do I require an individual diagnosis?
If you suspect that you or someone you know has ADHD It is essential to find a doctor who can accurately assess your health and provide the appropriate treatment. Many people choose to use the NHS however an individual diagnosis is often more accurate and can save both time and money.
There are some concerns about the capacity of the NHS to meet current demands for ADHD assessments. In the end, patients are waiting for weeks or even months to get an appointment, and this could cause a lot of distress for those affected. Many people feel that the NHS assessment services aren't as effective as they could be.
In the face of these problems, it's not surprising that more adults are opting to undergo a private assessment. The BBC Panorama investigation raised serious concerns about the quality of care provided by private clinics. The undercover documentary revealed that some clinics rushed through tests over the phone and told patients they were suffering from ADHD even though, in actual, they did not.
A private assessment typically begins with a series screening questionnaires that you will be asked to fill out and then submit to your doctor. The screenings are designed to determine if you are suffering from symptoms of ADHD and are standardised. The results can be 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 background, as well as how the symptoms of ADHD affect your daily life. The clinician will also perform physical examinations and cognitive tests. You will be diagnosed with ADHD in light of your circumstances and given a treatment plan.
After you've been diagnosed with ADHD, the clinician will send a letter to your GP with a form to sign a'shared care contract'. This will allow you to continue receiving NHS medication (only paying the NHS prescription cost) while seeing your private doctor for regular appointments and CBT therapy when required.
What happens if I do not receive a diagnosis?
A correct diagnosis and the right treatment can make a massive difference in the case of ADHD. The NHS can be slow and frustrating when it comes down to diagnosing ADHD. Some adults cannot wait that long to seek out private specialists to determine their health. This can save time and frustration, but it's important to realize that this isn't a guarantee of an accurate diagnosis.
A specialist who has experience diagnosing ADHD can give more detailed evaluations than a psychiatrist from the NHS. This could include a physical examination as well as tests like hearing and vision. This will include checklists and questionnaires. The person who is conducting the test will also inquire about your family medical and social history as well as your symptoms. They might also utilize the standard ADHD rating scales and might be able to request your teachers or caregivers for ratings, too.
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 affect the family or work environment. They will also determine if these symptoms are caused by other mental disorders. Depression and anxiety, for instance, can cause ADHD-like signs. They will also assess your work and social life history to rule out problems such as financial hardship or an abuse history, and alcohol or drug abuse.
During your NHS assessment you will be informed by a psychiatrist or other healthcare professional if you don't fit the criteria for ADHD. They will also explain why they think you are not and you may request a second assessment if you disagree with their conclusion.
Anyone who is diagnosed of ADHD privately can decide to share it with their GP. The GP can then refer the patient back for shared management through the NHS. Adults who have been diagnosed with ADHD are able to access medication in this way. However, doctors have been recognized as being reluctant to prescribe ADHD medication due to the fact that they are not experts in the disorder and because it's expensive.
What if I disagree with my diagnosis?
Remember that your doctor must be respectful and sympathetic to your concerns and feelings. They'll understand that untreated ADHD symptoms can cause major problems for families and individuals. If your doctor isn't satisfied with the diagnosis, they may be able suggest other treatment options that are more suitable for you.
If your doctor determines that you do not meet the criteria for an ADHD diagnosis and they give the reasons. It may be due to the fact that you didn't provide enough information about your struggles or they believe that a different condition can explain your characteristics (symptoms) more effectively than ADHD. If you're not happy with the decision, you can seek another opinion from a different clinician or use the NHS complaints process.
It's important to consider that your doctor may find the process of assessment challenging, whether you opt for private care or NHS care. This isn't due to the people affected, but rather because NHS service provision is stretched to the limit.
GPs are also struggling to navigate the complex diagnosis process for ADHD and autism (and neurodivergence in general). They must ensure they offer a robust, fair and safe service and that they comply with the GMC's requirements for sharing care prescribing.
Unfortunately, Panorama's expose revealed that some private clinics are using shortcut diagnostic approaches and this can put people at risk. This is a tragedy for the entire country and an excellent reason to consider other options.
It is also important to note that the stigma attached to being diagnosed with ADHD can make it difficult for certain people to receive a diagnosis. This is particularly true if they are of minority ethnicity, assigned female at birth or have other health and social situations that could affect how medical professionals evaluate the symptoms they exhibit.
If you're struggling with unmanaged ADHD symptoms and feel your life is being negatively impacted, we are here to assist. Our doctors are experts in diagnosing ADHD and can offer support and treatment to help you overcome your difficulties. Contact us or make an appointment online to discuss how we can help.
What happens If you don't wish me to take my medication?
You can get a diagnosis when you're concerned about ADHD symptoms, but don't want to take medication. You can get an adult ADHD assessment through the NHS. adhd diagnose IamPsychiatry can ask your doctor to recommend you to one of the centers for specialists in England or go through the "Right to Choose" pathway which is faster.
Your appointment will consist of an assessment that is validated and a consultation with a clinician and an online questionnaire. This will help your physician understand how these symptoms affect you and their impact on your daily life. The clinician will take into account your past experiences and family history. It is important to provide accurate and truthful answers.
If the doctor decides that you meet the diagnostic criteria for 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 you make a decision it is essential to consider the pros and cons of taking any medication. The effects of medications are long-lasting, and may have serious side effects when taken improperly.
If you decide to use medication, the psychiatrist will provide you with the prescription and plan. You may be given ADHD medication for a long period of time, based on the severity of your symptoms and how long you've experienced them. However, it's important to keep in mind that there are alternatives to medication to manage ADHD symptoms, including exercise, diet and cognitive behavior therapy.
The BBC Panorama 'expose' of private clinics that diagnose ADHD has sparked a lot of debate in particular because it suggests that people are being misdiagnosed due to inadequate assessment of their clinical needs. We hesitate to say this isn't the case because we aren't exact creatures, and psychiatry rarely is an academic discipline. If you're experiencing ADHD symptoms but are annoyed by the NHS waiting times, it may be a good idea to pay for an assessment.