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ADHD and autism at risk of over-diagnosis, government review finds

An official review in England has identified a risk of over-diagnosis for ADHD and autism, particularly in younger age groups, and called for tougher regulation of private assessment firms.

  • An official review in England found a risk of over-diagnosis for ADHD and autism, especially in younger age groups.
  • The review called for tougher regulation and a ban on advertising for private firms offering NHS assessments.
  • It also highlighted long waits for diagnosis and the need for better support for all conditions.

An official review in England has found a risk of people being over-diagnosed with ADHD and autism. Experts leading the review noted a rise in diagnoses over the past 25 years, suggesting cases now appear to exceed the expected number in the population for some younger age groups.

The review called for stricter regulation of private firms providing assessments for the NHS, citing concerns about quality and consistency, and recommended a ban on their advertising. It also concluded that economic uncertainty combined with social media is contributing to an increase in mental health problems among young people, advocating for improved support across all conditions.

The review, ordered 10 months ago by then-health secretary Wes Streeting, examined people of all ages but focused particularly on young people and children, who have the highest rates of diagnoses. It found that long waits for diagnosis are also causing harm to individuals.

Professor Peter Fonagy, chair of the review, stated that the system is "under immense strain" and that diagnosis should no longer be the sole pathway to accessing support. The government welcomed the report and plans to outline a new support model in its forthcoming mental health strategy, expected before the end of the year, and has pledged to introduce tougher regulation for ADHD and autism assessments.

Why this matters: The review's findings are likely to influence government policies concerning NHS services, benefits, and support for young people not in education, employment, or training.

What this means for you: If you or a family member are on a waiting list for an ADHD or autism diagnosis, the review calls for reassessment of waiting lists to prioritise those with the highest needs, potentially leading to quicker assessments for some or alternative non-medical support.

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