What looks like ‘overdiagnosis’ is really a system struggling to provide continuous care

By Oladayo Bifarin, Senior Lecturer School of Nursing and Advanced Practice, Liverpool John Moores University
Dan W Joyce, Professor of Connected Mental Health, Department of Primary Care and Mental Health, University of Liverpool

After waiting more than a year to see an NHS specialist, Sam’s assessment for ADHD took less than two hours. It happened over video, involved a short checklist and brief history, and ended with a swift decision.

Within weeks, Sam had a diagnosis, a prescription and a discharge letter back to the GP. But when symptoms worsened and medication side-effects appeared a few months later, no one seemed sure who was responsible for follow-up. As we know from our clinical and research work, stories like this are…

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