By Emily Stearn, Health Reporter For Mailonline
09:36 01 Mar 2024, updated 09:56 01 Mar 2024
- Dr Anthony David said people ‘have made their own mind up about a diagnosis’
- Latest NHS data shows more than 230,000 people in England take ADHD meds
The ailing NHS risks being ‘overwhelmed’ by a huge surge in ADHD and autism self-diagnoses, experts have warned.
Professor Anthony David, director of UCL Institute of Mental Health, said clinicians had seen a spike in Brits wanting a diagnosis ‘rubber-stamped’.
Trendy apps promising to help manage the condition and social media influencers promoting everyday problems as potential symptoms have also sowed the seed about certain neuropsychiatric conditions, he claimed.
But the rise in self-diagnoses might also be harming those in need of the most help, he argued.
Since 1998 there has been a nine-fold increase in autism diagnoses in the UK, with the largest rise among adults, figures suggest.
Latest NHS data also shows a massive surge year-on-year in ADHD drug prescriptions.
Professor David said: ‘It is a big and growing issue. There are people who have made their own mind up about a diagnosis, often as adults.’
He added: ‘And that has led to huge waiting lists. So the system can’t cope with all of a sudden people wanting to have an assessment.’
‘Neurodivergence’, which means having an atypical mind, is a category used principally to describe conditions like autism, ADHD, dyslexia and Tourette’s syndrome.
Writing in the journal Psychological Medicine with Dr Quinton Deeley, a social behaviour and neurodevelopment expert from King’s College London, they also argued accounts of later-life diagnoses are ‘frequently’ featured in the press.
They said: ‘Take a middle-aged man who talks of his strong narrow interests as a child, and feeling he was different from children his age growing up.
‘When older he manages to channel these interests into an occupation and gains admirers for his ability to articulate them with passion but runs into conflict for being uncompromising and “obsessive”.
‘He then embraces a diagnosis of autism – into which his life-story fits neatly.
‘It “explains” his interests, attitudes, and difficulties. He needn’t feel at odds with the world in the same way.’
They added: ‘It is easy to appreciate the feeling of being (finally) understood and of not being alone.
‘However, it is not obvious how lasting such feelings are and there is little research on this matter.’
It is estimated that around 700,000 Brits and 5.4 million adults in the US have an autism diagnosis.
According to a 2021 Newcastle University study, around one in 57 (1.76 per cent) children in the UK is on the spectrum.
While NICE guidance asserts that no-one should wait longer than three months between being referred and first being seen, latest NHS figures show over 80,000 people have been waiting longer than this.
Television presenters Melanie Sykes, Chris Packham and Christine McGuinness are among celebrities who have shared their diagnoses.
Meanwhile, ADHD affects around 5 per cent of children in the US with rates in the UK about 3.6 per cent in boys and 0.9 per cent of girls.
But as many as one in 20 adults in Britain could have the condition, according to the ADHD Foundation charity.
NHS data for the 2022/23 financial year shows more than 230,000 people in England were now taking ADHD meds to combat their inattentiveness and hyperactivity.
Prescription rates jumped by a fifth in a year, in the biggest annual rise since modern records began in 2015.
In the journal paper, however, Professor David and Dr Deeley also argued that a diagnosis validation could come at the cost of those who need help more.
They wrote: ‘People who are less articulate or non-verbal are, in the arena of self-diagnosis, marginalized and denied a voice — an example of testimonial injustice.’
Earlier this week scientists also argued society is to blame for creating a ‘mental health crisis’, with doctors handing out diagnoses like ‘candy’.
It came in the wake of a report revealing 20-somethings are now more likely to be off work sick than adults in their 40s amid soaring rates of depression, anxiety and bipolar disorder.
Professor Frank Furedi, a sociologist at the University of Kent, said: ‘We have the constant proliferation of psychological diagnosis given to children so things like ADHD are constantly handed out like candy.
‘If you look at all the reports published over the past 20 years, it’s really intensified in the last ten years, they’re constantly talking about mental health conditions.’
Earlier this year, a damning BBC investigation found patients could get an ADHD diagnosis and powerful drugs through unreliable video call assessments with private clinics.
But experts have also argued that ADHD was only officially listed in the UK as a disorder that affects adults in 2008.
Before then, it was only recognised as a childhood problem that kids grew out of.
As a result, rather than being over diagnosed, some experts argue that many adults now being told they have ADHD have gone years having their symptoms dismissed.
Sarah Carter is a health and wellness expert residing in the UK. With a background in healthcare, she offers evidence-based advice on fitness, nutrition, and mental well-being, promoting healthier living for readers.
