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To be angry at the ableism here on MN

290 replies

QuitChewingMyPlectrum · 07/09/2023 22:40

I don't see any threads saying cancer is over diagnosed. Or used as an excuse for something.
More and more ableism is showing up here targeting the ADHD and autistic community and I'm pig sick of it.
Overdiagnosis conversations involving those who have no lived experience (your kids don't count, sorry) suck.
You have ZERO idea what it's like to be us.
And you say WE lack empathy.

OP posts:
Thread gallery
9
greyflannel · 08/09/2023 11:06

Luckynumbereight · 08/09/2023 10:59

Ha. A whopping 21.1% of the Welsh population are classed disabled. Wonder how that happened?

Jeez. This is the thread that keeps on giving with the hard of thinking.

Do you understand the legal definition of disability? Do you understand the implications of an ageing society? Yes, the consequences of greater life expectancy is that people live with chronic conditions in their 60s 70s and 80s. We are talking about conditions like heart disease, diabetes, cancer, arthritis etc.

NoMor · 08/09/2023 11:09

Luckynumbereight · 08/09/2023 10:59

Ha. A whopping 21.1% of the Welsh population are classed disabled. Wonder how that happened?

I put it down to the healthcare cuts leading to poor diagnosis and low life expectancy, or maybe it's good practices that led to the lowering of the amount and below EU average percentage but I doubt it. Disability in the EU: facts and figures - Consilium (europa.eu)

Wherly · 08/09/2023 11:16

NoMor · 08/09/2023 11:03

Is there much documented shoddy work in this area? Could you share it please?

In my family we have 2 NHS diagnoses and 2 private ones, the private ones were much more thorough and used more highly qualified professionals. Most practitioners would not risk their license after spending over a decade training for a few quid, especially as the NHS waiting lists are so long now. They are practically able to print money at this point and many have closed their waiting lists due to high demand. Why would they risk not following NICE guidelines when they are turning customers away they're so busy?

https://www.bbc.co.uk/news/health-65534448

Profit making companies skirt or flout rules all the time to make money. I don't know why you would think private clinics would be any different. Also you answered your own question, why would they turn customers away when they can cut corners and make more money? Do you really believe that there are no unscrupulous clinics in this area?

The internet is full of advice about what clinics to go to for cheap and fast diagnosis you can literally google it, look on Reddit or TikTok or twitter. It's not hard to find.

Hand holding a bottle of pills

ADHD: Private clinics exposed by BBC undercover investigation

An undercover journalist for Panorama is diagnosed and given drugs without proper checks.

https://www.bbc.co.uk/news/health-65534448

greyflannel · 08/09/2023 11:24

Wherly · 08/09/2023 11:16

https://www.bbc.co.uk/news/health-65534448

Profit making companies skirt or flout rules all the time to make money. I don't know why you would think private clinics would be any different. Also you answered your own question, why would they turn customers away when they can cut corners and make more money? Do you really believe that there are no unscrupulous clinics in this area?

The internet is full of advice about what clinics to go to for cheap and fast diagnosis you can literally google it, look on Reddit or TikTok or twitter. It's not hard to find.

Well if you can read about it on Reddit or TikTok it must be true.🤔

As PPs have pointed out, many private providers are current or former NHS staff still working to NICE standards, which are the gold standard.

The level of casual bandying around of ill informed opinion is really depressing from people who have clearly got a bee in their bonnet about autism or ADHD, but have not even bothered to acquaint themselves with the NICE guidelines and understand the actual diagnostic pathways and assessment guidance.

Wherly · 08/09/2023 11:29

greyflannel · 08/09/2023 11:24

Well if you can read about it on Reddit or TikTok it must be true.🤔

As PPs have pointed out, many private providers are current or former NHS staff still working to NICE standards, which are the gold standard.

The level of casual bandying around of ill informed opinion is really depressing from people who have clearly got a bee in their bonnet about autism or ADHD, but have not even bothered to acquaint themselves with the NICE guidelines and understand the actual diagnostic pathways and assessment guidance.

The point of mentioning reddit and tiktok was to demonstrate that there are people actively seeking out diagnosis (as opposed to assessment) by any means necessary. I think you knew that though.

I note that you completely fail to engage with the credible news article I posted. I wonder why?

Wherly · 08/09/2023 11:38

QuitChewingMyPlectrum · 08/09/2023 09:39

I had to step away from this discussion last night as I was so angry/upset. Apologies if I left anyone hanging and disappeared. A few points to follow up:

  1. The BBC documentary on the private clinics has been very damaging to the ADHD community, particularly those with private diagnoses. Yes, there are some shysters out there and these clinics should be investigated, regulated and shut down. There are also highly professional companies offering private assessments that operate properly.
  2. I don't totally discount the opinions of NT parents with ND children, but when it comes to complete understanding of the issues that we face not just in childhood but adulthood, including the inherent ableism they don't have lived experience of what it's like with a brain like ours. Not from the inside. They don't know how it FEELS.
  3. I think there are some posts on here that do skate on thin ice. It's important these discussions are had, but slurs and ableist language has to be shut down or posters asked to edit such posts. It's the only way people will learn.
  4. Finally, you can be a good parent with a challenging child. You can be a poor parent with a challenging child. You can be a poor parent of a child with no diagnosis, behavioural issues or anything else. You can be a good parent of a child with no diagnosis, behavioural issues or anything else. You can't make a generalisation about "people" using such diagnoses as an 'excuse' for poor parenting. Who are these "people"? Do you know them, their home situation, the challenges they and the children they're parenting inside and out? I very much doubt it.

Regarding point 1, that must be very frustrating but I think saying the BBC article did damage is incorrect. Those clinics did the damage.

There is unscrupulous practice in this area. There are people that spread misinformation to make ND diagnosis look "attractive". There are people seeking to decieve to get a diagnosis. These things are happening and it's a problem, as you point out it hurts people who are living with these conditions.

The answer isn't to shut down discussion and reporting.

NoMor · 08/09/2023 11:41

Wherly · 08/09/2023 11:16

https://www.bbc.co.uk/news/health-65534448

Profit making companies skirt or flout rules all the time to make money. I don't know why you would think private clinics would be any different. Also you answered your own question, why would they turn customers away when they can cut corners and make more money? Do you really believe that there are no unscrupulous clinics in this area?

The internet is full of advice about what clinics to go to for cheap and fast diagnosis you can literally google it, look on Reddit or TikTok or twitter. It's not hard to find.

So three documented examples of shoddy work. How many private clinics did they go to that didn't diagnose him? And why did he create a clear bias and conflict of interest in the NHS appointment? There is no way to judge if the NHS doctor would have diagnosed, spent the same amount of time, etc. with him if he'd not told them who he was and what he was trying to prove. so we cannot actually compare the experiences are they were not equal.

Really shoddy journalism.

greyflannel · 08/09/2023 11:45

Summerishere123 · 08/09/2023 10:04

@greyflannel You are misunderstanding my point. Of course their struggles mean they hit out more but as a parent you can gently correct their behaviour and model appropriately. I am not talking mid meltdown here, when we are past rational discussion. Many parents I see at work totally brush off behaviours with "yeah but they are autistic" rather than "my apologies, I will try to talk to them about it but this is difficult as they are autistic."
It really does impact peoples views and how they interact in the future. We are incredibly accommodating for families with ASD but not at the expense of our staff being assaulted.
As an example - A young member of staff was running a workshop and a child kept hitting them. The staff member approached me about it and I went to speak to the parents. They told me he is autistic and likely trying to get their attention. My reply was in that case to ask them to have to have a word with them and suggest another way that they could get someones attention as I cannot explain to a 17 year old that they have to accept being hit. Or if they wanted they could supervise the child to make sure they got the attention required.
I am sure what they really needed was a coffee and a break but if I let my staff get physically assaulted I could be liable in the future.

I don't know in what capacity you work, but ND children with significant behavioural challenges should be being appropriately supervised in educational settings in order to help them remain regulated, including 1-2-1 support or greater where indicated. I'm not sure what is happening in your work environment but it doesn't sound like the needs of either ND service users or staff are being met at the moment. Do you not have risk assessments in place for your staff and service users, and training and policies covering issues like challenging behaviour? Are you working in something like a soft play centre?

If you want parents to go around apologising for the unacceptability of their disabled children, then yes, lots of parents will do this out of compassion for staff members and social embarrassment, but fundamentally these children are not making a conscious choice to behave badly, and we need to think carefully about shaming and blaming narratives. These have profound consequences for the lives of disabled people who are not able to meet societal expectations of 'normal'. This does not make them or their families bad or feckless. Perhaps those 'normal' people who get cross with disabled children and their families need to understand the natural variation in human capacities and stop expecting everyone to be able to behave like them. Not everyone can, usually not for want of support/trying.

Wherly · 08/09/2023 11:46

NoMor · 08/09/2023 11:41

So three documented examples of shoddy work. How many private clinics did they go to that didn't diagnose him? And why did he create a clear bias and conflict of interest in the NHS appointment? There is no way to judge if the NHS doctor would have diagnosed, spent the same amount of time, etc. with him if he'd not told them who he was and what he was trying to prove. so we cannot actually compare the experiences are they were not equal.

Really shoddy journalism.

It's irrelevant what the NHS would have done had they not have known. The point of the NHS assessment wasn't to see if they are better but rather to have a thorough assessment to see if he actually had the condition.

Is 3 private clinics an acceptable number to be giving out incorrect diagnosis? Let's flip your question, how many did they not test that could be practising in the same way?

What number of clinics diagnosing people in this way is a problem?

shearwater · 08/09/2023 11:54

AutismProf · 08/09/2023 10:05

No, the NHS criteria are evidence based and set out by NICE.

Any other issues you are having are relating to underfunding, understaffing and complete overwhelm. We have had a total flood of referrals (a quadrupling in my area) post COVID, on top of a 65 percent increase 2017- 19.

Our service is staffed for 90 referrals a month. We get over 300. Of course the waiting list is growing.

The effect might be a shit service (you don't want 5 years in my area though) but it's not because we are shit. The more professionals trained at NHS expense who go off and offer private assessments charging parents a fortune the worse it gets, frankly.

I'm not criticising individuals but having no service is a shit service.

No point having NICE recommendations if no-one can access it in a timely manner.

Parents are left with the private sector because they can't get any help from schools, local authorities or the NHS and they end up being fined and taken to court because the child is not attending school due to mental health reasons. The whole system sets parents and children up to fail and spend money, educate your child yourself or be fined, and potentially go to prison if they can't pay a fine. None of that helps the child, even if the parents were feckless/rubbish/can't be bothered to take the child to school.

That said, there are some very good providers in the private sector but it isn't cheap. £115 a month just for medication and the GP will not accept a shared care arrangement - local policy.

Gerrataere · 08/09/2023 11:54

It's irrelevant what the NHS would have done had they not have known. The point of the NHS assessment wasn't to see if they are better but rather to have a thorough assessment to see if he actually had the condition.

Of course it’s not irrelevant about the conclusion that the nhs would have come to if they had not known! How can you make a thorough assessment when you know the person most definitely doesn’t have the condition to start with? Of course they were going to agree with the journalist who’d come to them saying ‘look I’ve been bullshitting other people, but I’ll make you look good if you do as I say. You don’t want to look like an arse like I’ve done to other people, right?’. It was a completely unfair situation with a complete bias in mind. All it did was further prove how ineffective and covering their own tracks the NHS can be at times…

Wherly · 08/09/2023 11:56

Gerrataere · 08/09/2023 11:54

It's irrelevant what the NHS would have done had they not have known. The point of the NHS assessment wasn't to see if they are better but rather to have a thorough assessment to see if he actually had the condition.

Of course it’s not irrelevant about the conclusion that the nhs would have come to if they had not known! How can you make a thorough assessment when you know the person most definitely doesn’t have the condition to start with? Of course they were going to agree with the journalist who’d come to them saying ‘look I’ve been bullshitting other people, but I’ll make you look good if you do as I say. You don’t want to look like an arse like I’ve done to other people, right?’. It was a completely unfair situation with a complete bias in mind. All it did was further prove how ineffective and covering their own tracks the NHS can be at times…

They didn't know he definitely didn't have it. Hence the assessment.

He gave the same answers to all the assessors. Did you read it?

Perhapsperhapsto · 08/09/2023 11:56

Difference is - people
don’t diagnosis themselves or their kids with cancer, but they do with ADHD. Then use it as an excuse for awful behaviour.

Wherly · 08/09/2023 11:57

Gerrataere · 08/09/2023 11:54

It's irrelevant what the NHS would have done had they not have known. The point of the NHS assessment wasn't to see if they are better but rather to have a thorough assessment to see if he actually had the condition.

Of course it’s not irrelevant about the conclusion that the nhs would have come to if they had not known! How can you make a thorough assessment when you know the person most definitely doesn’t have the condition to start with? Of course they were going to agree with the journalist who’d come to them saying ‘look I’ve been bullshitting other people, but I’ll make you look good if you do as I say. You don’t want to look like an arse like I’ve done to other people, right?’. It was a completely unfair situation with a complete bias in mind. All it did was further prove how ineffective and covering their own tracks the NHS can be at times…

Also I am confused at your point here.

Are you trying to say he does have ADHD and the clinics diagnosis was accurate and well done?

Fuckthatguy · 08/09/2023 11:57

I agree with the trauma vs mis/overdiagnosis school of thought, and I say that with first hand experience.

LegendsBeyond · 08/09/2023 12:05

It’s true that there are huge numbers of children & adults wrongly diagnosed with ADHD. Trauma is at the heart of their behaviours. It’s very sad because the trauma often never gets addressed.

Mimmy352 · 08/09/2023 12:35

What I find absolutely disgusting is when someone makes a post asking for advice dealing with their ASD child, and the response is:

”My mother would have hit me”, or “5 minutes with me and child would never do that again!”

First of all, physical punishment or intimidation
tactics are never ok towards an adult OR a child. OR an animal for that matter, as I’ve seen some posts like that too.

Secondly, if you do not have firsthand experience with a child who has ASD, ADHD, anxiety, or whatever the additional need might be - DONT COMMENT. It’s nothing to you, and your opinion is often wrong and harmful. Just because you were in the same shop as someone with ASD once, or your neighbor Susan has a friend whose cousin’s nephew is ADHD, doesn’t mean you know anything about it.

Tr1pleJump · 08/09/2023 12:36

LegendsBeyond

Can you send a link with evidence for that.

EmmaEmerald · 08/09/2023 12:38

LegendsBeyond · 08/09/2023 12:05

It’s true that there are huge numbers of children & adults wrongly diagnosed with ADHD. Trauma is at the heart of their behaviours. It’s very sad because the trauma often never gets addressed.

what sort of traumas might lead to this please?

I have been told I have CPSTD but don't believe it, I do sometimes wonder if I have ADHD. i originally thought I had depression and anxiety since childhood but maybe that's not it.

CaffeineAndCrochet · 08/09/2023 12:41

I'm interested in the trauma/ND crossover. I was diagnosed autistic a couple of years ago, during the tail end of the pandemic. For other reasons I've been seeing a therapist for the last while and it turns out that my happy childhood wasn't so happy after all - my ACE score would be 4 (with anything over 3 considered high). I've spent the last few months now doubting my autism diagnosis.

ValleyClouds · 08/09/2023 13:05

As a disabled person the site has been very disheartening in terms of what people are willing to say behind fake names and keyboards

Benefit bashing is huge

It's all disability on here not just neurodiversities

I've seen some shocking comments in my time.

charlotte361 · 08/09/2023 13:18

TikTok and shit programmes like CocoMelon and the lazy , stupid parents who let their kids watch them, are a major cause of kids having no attention span. I am sure at least some of these are labelled ADHD.

Trez1510 · 08/09/2023 13:20

This is precisely what I don't understand. When I was a child, 50 years ago, children simply did not punch, hit or spit at adults. They just didn't. I've no doubt some stuggled with ADD, ADHD - attention span/being overly boisterous.

However, the point is, their behaviour was neither uncontrolled nor accepted as being 'just who they are' at the expense of others whether that's the physical assaults or the disruption to the education of others.

Also, I was only ever aware of one child with Autism and it presented in an obvious/classical way. He was very protected by his family and he did not attend mainstream school. No-one was cruel or abusive towards him, nor he to them. He had a particular 'fondness' for me and one of my brothers. I always felt privileged to receive his fondness and the big, beaming smile he always had for me.

Now, though, it seems to me a very high proportion of children are being put forward for a diagnosis.

I fully understand why teachers are leaving in droves preferring to not be punched and spat at or, indeed, being required to change nappies whilst attempting to educate. I also hear my nieces and nephews at the end of their respective tethers due to their children's education being constantly interrupted because 'wee Johnny' had three meltdowns today ..... not to mention the trauma to their children witnessing these meltdowns.

Again, I don't recall anyone in nappies at school and if anyone did have an accident, off they went to the school nurse to be assisted. Perhaps every school should have an on-site nurse/carer to deal with toilet needs as a priority, leaving teachers to teach?

I think the answer to the massive increase in diagnoses (either clinical or self) will only be discovered by examining both physiological, familial and societal inputs. I don't believe it is solely one or the other that has caused the incredible increase.

shearwater · 08/09/2023 13:28

ADHD and ASD doesn't necessarily mean spitting on and hitting adults.

It can mean things like masking like hell to fit in, behaving well in class but not being able to learn due to concentration, attention span, difficulty focusing.

Please read more about it before coming on here to make ignorant comments.

shearwater · 08/09/2023 13:30

charlotte361 · 08/09/2023 13:18

TikTok and shit programmes like CocoMelon and the lazy , stupid parents who let their kids watch them, are a major cause of kids having no attention span. I am sure at least some of these are labelled ADHD.

It's not just about "no attention span" either. Please stop spouting such ignorant shite, it's embarrassing.

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