Five Things You Didn't Know About Diagnosis ADHD
ADHD Video Call Diagnosis - A BBC Panorama Investigation Finds
Patients are being diagnosed with ADHD and prescribed powerul medications following unreliable video call tests at private clinics according to a BBC Panorama investigation has found. The undercover investigation was conducted after tips were reported. Dozens of patients and whistleblowers contacted.
Many people are forced 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 or someone you know has ADHD You should seek out a professional who will accurately diagnose your condition and prescribe best treatment. Many people opt to use the NHS but a private diagnosis is often more accurate and can save time and money.
There are concerns that the NHS is struggling to cope with current demands on its services for ADHD assessments. As a result, patients are often waiting weeks or even months for an appointment, which could cause a lot of distress for those affected. Furthermore, a lot of people think that the quality of NHS assessment services isn't as good as it could be.
It's not a surprise, then that more people choose to have a private assessment. However the BBC Panorama investigation has raised grave concerns about the quality of care provided by some private clinics. The undercover show revealed that some clinics rushed through assessments over the phone and then told patients they had ADHD when they weren't.
A private assessment usually begins with a series of questionnaires for screening that you will be asked to complete and submit to the clinician. The screenings are standardised and designed to determine whether you have symptoms of ADHD. These results are used to help the clinician decide whether or not you need to attend an appointment for a full diagnosis.
The clinician will then evaluate your medical history and family history as and the effects of ADHD symptoms on your daily life. The doctor will also conduct a physical exam and cognitive tests. You will be diagnosed with ADHD in light of your circumstances and given a treatment plan.
After you are diagnosed with ADHD your doctor will send documents to your GP to request a shared-care agreement. This will enable you to continue receiving NHS medication (only paying the NHS prescription charge) while you see your private clinician for ongoing appointments and CBT therapy, if required.
What is the outcome if I don't receive an answer to my question?
If you suffer from ADHD an accurate diagnosis and treatment plan can make a huge difference. The NHS can be slow and frustrating when it comes down to diagnosing ADHD. Some adults cannot wait that long and seek out private specialists to determine their health. This could save you time and frustration, however it is important to remember that it does not guarantee an accurate diagnosis.
A specialist who has experience diagnosing ADHD can provide an extensive evaluation than a psychiatrist from the NHS. This could include a medical examination and tests like hearing or vision. This will include checklists and questionnaires. The person who conducts the test will also ask about your family history, as well as medical and social history, and will also inquire about your symptoms. They might also use the standard ADHD ratings scales, and may need to inquire from your caregivers or teachers for their 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 interfere in the family or work environment. They will also look to determine if these symptoms are caused by other mental disorders. For example, depression and anxiety can trigger ADHD-like symptoms. They will also look at your social and professional history to rule out issues such as financial hardships or abuse history, as well as drinking and drug addiction.
During your NHS assessment you will be informed by a psychiatrist or another healthcare professional if you do not fit the criteria for ADHD. You can ask for another assessment if they disagree with their conclusion.
People who receive a diagnosis of ADHD privately can choose to discuss it with their GP. The GP can then refer the patient back to share management via the NHS. This is how many adults who have been diagnosed with ADHD get access to medications. However, GPs have been often hesitant to prescribe ADHD medication due to the fact that they are not experts in the condition and because it's expensive.
What do I do if I don't agree with my diagnosis?
It's worth remembering that your doctor must be considerate and understanding of your concerns and feelings. They'll understand that untreated ADHD symptoms can cause significant difficulties for people and families. If your physician isn't in agreement with the diagnosis, they may be able to suggest alternative treatments or diagnoses that may be more appropriate for you.
If your physician decides that you do not meet the criteria needed to qualify for a diagnosis of ADHD, they will explain the reason. It may be due to your inability to 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 satisfied with the decision you can seek a second opinion from another clinician or use the NHS complaints procedure.
It is important to remember that your clinician may find the assessment process challenging, whether you opt for private or NHS care. The NHS is overstretched and this is not the fault of the people affected.
GPs are also struggling to navigate the complex diagnosis process for ADHD and autism (and neurodivergence as a whole). They must ensure that they offer a high-quality service that is both safe and fair, and also meet the requirements of shared care prescribing set out by the GMC.
Panorama's exposé has revealed that private clinics employ shortcut diagnostic methods, which could put patients at risk. This is a tragedy for the entire country and a valid reason to think about other options.
It is also important to note that the stigma attached to being diagnosed with ADHD can make it difficult for certain people receive a diagnosis. This is especially true when they are of minority ethnicity or were born female or have other social and health circumstances that can affect the way medical professionals evaluate the symptoms they exhibit.
If you're struggling with unmanaged ADHD symptoms and feel your life is being negatively impacted, we're here to assist. Our clinicians are experienced in diagnosing ADHD and can offer support and treatment to help you overcome your difficulties. Contact us or make an appointment online to discuss what we can do to help.
What happens when you don't wish me to take my medication?
You can get a diagnosis if you're concerned about ADHD symptoms, but don't wish to take medication. The NHS provides an adult ADHD assessment service. You can request a referral from your GP to be evaluated at one of the specialist centres in England or via the 'Right to choose route which is more efficient.
Your appointment will consist of an online questionnaire, a clinical interview and the completion of some validated assessments. This will allow your doctor to understand the way these symptoms affect you and how they impact on your daily life. The doctor will take into consideration your previous experiences as well as your family history. It is important to provide accurate and truthful answers.

If a doctor determines that you meet the diagnostic criteria for ADHD, they can provide you with an assessment. You will be asked whether you are interested in discussing the possibility of taking a medication. Before you make a decision it is essential to weigh the advantages and disadvantages of using the medication. adhd diagnosis uk adults is because the effects of medication can last for a long time and cause serious adverse side effects if taken properly.
If you decide to take medication, the doctor will provide you with a plan and a prescription. You could be given ADHD medication for a prolonged duration, based on the severity of your symptoms and how long you've experienced these symptoms for. It is also important to keep in mind that there are other methods that are not pharmacological to treat ADHD symptoms. These include exercise, diet and cognitive behavior therapy.
The BBC Panorama "expose" of private clinics that treat ADHD has sparked controversy, particularly because it suggests people are being misdiagnosed as a result of insufficient clinical assessments. We're not sure that this isn't the case because we are inexact creatures and psychiatry is barely a science. However, if you're struggling with ADHD symptoms and are disappointed by the NHS wait times, it is possible to pay for an individual assessment.