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ADHD and autism at risk of over-diagnosis, says government review
Overview
An official review in England has warned that there is a risk of people being over-diagnosed with ADHD and autism, as diagnosis rates among younger age groups outstrip expected population levels. Led by Prof Peter Fonagy, the review called for tougher regulation and an advertising ban on private firms offering NHS assessments, alongside a shift away from making a medical diagnosis the sole gateway to receiving support. While highlighting the dangers of over-diagnosis and labelling, the report also acknowledged the severe harm caused by long waiting lists for families seeking urgent care.
Key points
- An official review in England found a risk of over-diagnosis for ADHD and autism, with cases in younger age groups exceeding expected population levels.
- The review called for tougher regulation and an advertising ban on private firms offering assessments for the NHS.
- Experts warned that diagnoses are often used as restrictive labels that define people by their difficulties rather than their strengths.
- Children diagnosed with autism and ADHD before 17 are about four times more likely to end up not in education, employment, or training.
- The report highlighted that long waiting lists for assessments cause immense distress and strain for families.
- The review recommended that medical diagnosis should no longer be the only pathway to receiving support, allowing for non-medical interventions and adjustments.