ADHD care needs better regulation and fewer pills | Letters

The UK's growing problem with ADHD care is no longer just about rising costs, but also a lack of proper regulation and over-reliance on medication. As Dr Vicky Cleak, a consultant psychiatrist, notes, the current system is "the wild west" for ADHD provision, with multiple unregulated clinics operating under NHS contracts.

This chaos is made worse by the fact that some healthcare professionals are not registered with the Care Quality Commission (CQC), allowing them to set up practices and diagnose conditions like ADHD without adequate oversight. This lack of regulation has led to concerns about the quality of care being provided, as well as the potential for over-diagnosis and misuse of medication.

Dr Cleak's own experience in navigating the CQC registration process is a stark reminder of the obstacles faced by healthcare professionals trying to provide high-quality, regulated ADHD assessments. Her description of the experience as "frustrating" and "upsetting" highlights the human cost of this systemic problem.

The over-reliance on medication is also a major concern. In many cases, medication is prescribed without proper consideration for non-pharmacological treatment options, which are often overlooked in favour of a quick fix. This approach may provide short-term relief, but it can have long-term health consequences and undermine the effectiveness of behaviour interventions.

As Mona Sood notes, parents seeking diagnostic referrals for their children should be aware that behavioural interventions require consistent application within the family to be effective. However, when medication is the default option, these interventions are often overlooked, leaving families with few options other than a potentially addictive and ineffective treatment plan.

The NHS has a vested interest in maintaining this system, as it provides a quick fix for patients and clinicians alike. But the real victims of this approach are the patients themselves, who may be left to suffer from the side effects of medication or experience long-term health damage due to the lack of comprehensive care.

Ultimately, the UK's ADHD care system needs to be overhauled to provide better regulation, more comprehensive treatment options, and a greater emphasis on behavioural interventions. Only then can we begin to address the growing problem of rising costs and ensure that patients receive the high-quality care they deserve.
 
πŸ€” I feel like we're at a crossroads with ADHD care in the UK. The costs are skyrocketing, but it's not just about the cash - it's about the quality of care too. Our healthcare system is all over the place right now, with unregulated clinics popping up left and right. It's like a Wild West show out there! 🀠

I've seen families struggle to get proper diagnoses and treatment for their kids, and it's heartbreaking. The lack of regulation is staggering - I mean, how can you trust that someone who's not even registered with the CQC is providing quality care? 🚨 It's just not right.

And then there's the medication thing... I'm all for giving people options, but we need to make sure we're not over-relying on meds. Behavioural interventions are so important, and yet they're often overlooked in favour of a quick fix. It's like we're putting band-aids on a broken arm! πŸ€•

The NHS needs to step up its game here. We need better regulation, more comprehensive treatment options, and a focus on helping people develop healthy habits rather than just popping them on meds. Our patients deserve so much better than that. πŸ’Š
 
🀯 I'm so done with how messed up the ADHD care system is in the UK! It's like, they're just throwing medication at people left and right without even considering if it's what they really need πŸ™…β€β™‚οΈ. And don't even get me started on these unregulated clinics that are popping up everywhere... it's like a total Wild West out there 🀠.

I mean, I've seen stories of people getting diagnosed with ADHD just so they can get treatment or medication, and then the diagnosis gets lost in the system... it's crazy talk! 😱 And what about all those kids who need real behavioral therapy to manage their symptoms? It's like they're being ignored and left to suffer πŸ€•.

We need some major overhaul of this system ASAP, like, comprehensive care for everyone, not just medication 🌈. I'm so sick of seeing the NHS just going along with this broken system that's only making things worse πŸ’”. We need better, we need now! 🚨
 
I'm like totally concerned about this ADHD thing in the UK 🀯. It's crazy how the system is all messed up with unregulated clinics popping up everywhere under NHS contracts. I mean, it's like they're just winging it without anyone checking if they know what they're doing. And don't even get me started on the meds - some doctors are just prescribing them willy-nilly without considering alternative treatments. That can't be good for people's health in the long run...my grandma has ADHD and she's always talking about how hard it is to manage her symptoms with all these different meds. We need better solutions, like more behavioral therapy options or something πŸ€”.
 
😩 i totally feel for the kids struggling with ADHD in the UK right now πŸ€• their families are stuck in this chaotic system where medication is oversold πŸ“Š and non-pharmaceutical treatments are basically ignored πŸ’Š it's so frustrating that parents can't get consistent advice on how to support their kiddos πŸ‘§πŸΌ without feeling like they're being pushed towards meds πŸ’‰ and it's not just the cost that's a major issue, but the actual quality of care πŸ‘¨β€βš•οΈ i mean, who's in charge of making sure these clinics are reputable and following proper procedures πŸ€”
 
🀯 I'm seriously worried about the state of ADHD care in the UK right now πŸ€• it's like they're just throwing meds at people without even considering other options πŸ’Š I mean, don't get me wrong, meds can be helpful but what about all the long-term health consequences and side effects? It's like they're prioritizing profits over people's lives πŸ’Έ

And can we talk about how broken the system is? 🀯 Unregulated clinics operating under NHS contracts? It's a recipe for disaster 🚨 I feel bad for the healthcare professionals who are trying to do their job but getting held back by all these bureaucratic obstacles πŸ™„

I think the real issue here is that the NHS is more concerned with making money than providing proper care πŸ’Έ They're like, "Hey let's just prescribe some meds and collect our paychecks" πŸ’Έ It's so not okay πŸ’”

We need to overhaul this system and give patients access to comprehensive care 🌟 Not just a quick fix but actual solutions that work in the long term πŸ’ͺ Can we get behind this? 🀝
 
This is just so messed up 🀯... I mean, think about it, these unregistered clinics are just running wild under NHS contracts and people are getting messed with. It's like a total free-for-all. And don't even get me started on all the meds being prescribed willy-nilly without considering non-pharmaceutical options. That's just not right. I'm sure there's some big corporation or pharmaceutical company behind this, pushing their meds on unsuspecting parents and kids. It's all about profit over people, if you ask me πŸ’ΈπŸ˜’
 
πŸ˜” it's heartbreaking to think about all those families being affected by this chaotic system 🀯 their kids are suffering because of a lack of proper care πŸ‘§πŸ»β€πŸŽ“ and it's not just the parents, but also the healthcare professionals who are trying to make a difference πŸ’Š they deserve our support and help too 🀝
 
I'm so concerned about what's going on with ADHD care in the UK πŸ€•. It's like they're throwing money at the problem instead of actually fixing it πŸ’Έ. I mean, I get it, there needs to be more funding and resources for healthcare, but this is just a band-aid solution πŸ₯. We need better regulation, more holistic treatment options, and an end to over-reliance on medication 🚫. It's not like it's rocket science, folks! Just treat the person, not just their symptoms 🀝. And what really gets my goat is that some clinics are doing this without even being registered with the CQC 😱. How can we trust them to provide proper care if they're not even following the rules? It's like a Wild West situation out there 🀠. We need better, period πŸ’―.
 
omg i'm literally worried about all these people struggling with adhd no one should be stuck in this wild west system where anyone can set up a clinic under nhs contracts 🀯 it's so unfair to the parents who just want their kids to get proper help and not some overmedicated quick fix my grandma has adhd and her therapist is always like "oh she'll just take some meds and be fine" but we all know that doesn't work πŸ™…β€β™€οΈ what if they're actually dealing with some deeper issue or just need more therapy? πŸ€” anyway i think the nhs needs to step up their game and provide more comprehensive care not just a bunch of clinics that are only looking out for themselves πŸ’Έ
 
OMG, like seriously how is this even happening?! 🀯 They're literally treating ADHD like it's no big deal but it's life-altering for some people! I mean, I've got a cousin who was diagnosed with ADHD and she's struggling so much because of the lack of proper treatment. She's on medication that's making her super anxious and it's just not working anymore.

And don't even get me started on the clinics that are operating without regulation... like, what kind of oversight is that?! It's so irresponsible. I'm all for helping people with ADHD but we need to do it properly, you know? Like, we need to find alternative solutions that don't just involve popping pills.

It's not just about the kids either, this affects adults too. My friend's sister has been dealing with her ADHD symptoms for years and she's had to deal with so many fake diagnoses from unqualified practitioners. It's just so frustrating because it's like they're not taking their health seriously at all.

We need to overhaul the system, like, NOW! We can't just keep relying on medication as a quick fix when there are other treatments that could work better in the long run. I'm literally so done with this situation and I hope something gets changed soon... for everyone's sake 🀞
 
omg u dont even know how bad its in the uk rn 🀯 they need 2 get their act together about regulating all these unaccredited clinics & getting more docs registered with cqc like what if ur kid gets misdiagnosed or gets meds thats not good 4 them?? it makes me so frustrated πŸ’” we cant just keep relying on meds as a "quick fix" 4 ADHD its so not fair 2 the kids & their families who need comprehensive care πŸ€·β€β™€οΈ nhs needs 2 prioritize behavioral interventions over meds ASAP πŸ‘
 
The way things are done in the UK for ADHD is super messed up 😱. It's like they're just throwing pills at people without even trying alternative solutions first. I mean, I've seen friends with ADHD who swear by non-medical stuff like therapy and lifestyle changes to manage their symptoms πŸ™Œ. But the system is all about medication and quick fixes πŸ’Š. That's not gonna cut it for me, fam πŸ‘. We need a system that prioritizes actual care over profits πŸ’Έ.
 
its so crazy how some NHS clinics are just winging it 🀯, i mean who gets registered with the CQC? its like a free-for-all, no wonder theres all these concerns about over-diagnosis and medication misuse 🚨. dr cleak sounds like she's had it up to here 😩, all those obstacles making it hard for healthcare pros to provide proper care. and honestly, i think we need to rethink how we approach ADHD treatment - its not just about meds, behaviour interventions are key too 🌱. parents gotta be aware that meds might not be the answer, especially if they're not consistent at home πŸ˜•. its time for a change, we can't keep putting patients through this πŸ’ͺ.
 
Ugh I'm literally so frustrated with our healthcare system right now 🀯! The lack of regulation around ADHD clinics is insane, it's like we're just winging it over here ⚠️. And don't even get me started on the over-reliance on medication - it's like we're just trying to medicate our problems away instead of actually fixing them πŸ’Š.

I mean, think about it, if we had more comprehensive treatment options and a greater emphasis on behavioural interventions, wouldn't that be way better for everyone? 🀝 We could work on getting kids with ADHD the support they need without relying on medication all the time. And what about the long-term health consequences of all this? It's just not right πŸ™…β€β™€οΈ.

We need to overhaul our system and make sure patients get the care they deserve, not some quick fix that might come back to bite them later 😩. I'm so done with this "wild west" mentality when it comes to healthcare 🚫. We need more accountability and better regulation, stat! πŸ’ͺ
 
🀯 The whole thing just got me thinking... if the NHS is so invested in this system it's only gonna make things worse for the patients. I mean, think about it - medication as a quick fix? That's not solving the problem, that's just masking the symptoms. And what about all these unregulated clinics popping up everywhere? It's like they're being given free rein to do whatever they want! 🚫😑

And then there's the fact that some healthcare pros aren't even registered with the CQC... that's just a recipe for disaster. I get it, regulation can be a pain, but come on, lives are at stake here! πŸ’”

We need a whole overhaul of the system, like, now! More comprehensive treatment options, better regulation... it's not rocket science. And while we're at it, let's make sure these clinics are actually providing quality care, not just a bunch of pills and PR spin! πŸ’ŠπŸ‘Ž
 
😟 I'm so concerned about people with ADHD in the UK being stuck in this mess! It's not just about the money, it's about making sure everyone gets proper help. I mean, how hard is it to regulate clinics and make sure doctors are registered? It feels like we're letting people down πŸ˜”. And what really worries me is that some kids might be getting misdiagnosed or over-medicated because of this chaos. We need to get some order in there ASAP! πŸ’ͺ
 
I'm getting really worried about the state of ADHD care in the UK rn πŸ€• it's like, yeah, costs are rising but what's even more concerning is the lack of proper regulation and over-reliance on meds πŸ’Š I mean, can't we just have some kinda balance between meds and behavioural interventions? It's not that hard to integrate these options, you know? But noooo, it seems like the NHS is all about finding quick fixes rather than addressing the root causes of the issue πŸ€¦β€β™€οΈ

I'm thinking about my own friends' experiences with ADHD and how frustrating it can be when they're constantly being prescribed meds without any real consideration for their lifestyle or needs πŸ™„ It's like, I get that medication can help, but what about all the other things we could try? And what about the parents who are just trying to find some kinda solution for their kids? They deserve so much better than this πŸ’•
 
I'm not surprised NHS is struggling with ADHD care, I mean it's like trying to find a decent cuppa in London – chaotic! 🀣 But seriously, how can you regulate something when everyone's just winging it? It's like playing ADHD whack-a-mole – new clinics pop up and suddenly they're all registered. CQC needs to get its act together or we'll end up with more patients than places to send them. And let's not forget the meds – I've got a mate who knows someone with ADHD, they say it's like playing a game of Jenga, one wrong move and everything comes crashing down! πŸ’₯
 
πŸ€” I feel so sorry for all these parents trying to find help for their kids πŸ€•. It's like the system is set up to fail them 😩. We need more support for non-medication treatments, like therapy and lifestyle changes πŸ’†β€β™€οΈ. And what's with all these clinics operating without proper oversight? 🚨 It's a recipe for disaster! πŸ‘Ž The NHS needs to step up its game and provide better care for ADHD patients. πŸ’ͺ We can't keep relying on medication alone – it's not the answer πŸ”’.
 
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