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Why are ADHD benefits in the firing line?

388 replies

FunStork · Yesterday 22:36

I've been seeing this a lot recently.

Feels like the media is very much against ADHD benefits claims.

Why is that the one that seems to be getting all the focus?

Another one from BBC Verify tonight:

https://www.bbc.co.uk/news/articles/c24ym9yd8p6o

Is this an orchestrated campaign?

The head and shoulders of Andy Burnham, wearing glasses, a white shirt and a blue blazer, on a blue Verify-style background, with Verify logo in the top left hand side corner.

How rise in ADHD benefits claims is adding to Andy Burnham's welfare challenge

More than 100,000 people with ADHD as their main condition receive Pip, latest figures show, an increase of 40% since Labour came to power.

https://www.bbc.co.uk/news/articles/c24ym9yd8p6o

OP posts:
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Myskyscolour · Today 14:27

PocketSand · Today 14:02

@Myskyscolour did you not have to complete assessments and submit evidence prior to the diagnostic assessment?

Yes, we had questionnaires for school / parents / child. But that’s not « proof », and more importantly it is very subjective. For ex: does your child struggles with homework - many children do, ADHD or not. Is he anxious - never/occasionally/often/all the time: I might have answered ‘occasionally’ because it is only a few times a day but another parent might say ‘all the time’ because it’s every day.

Nothing else, just made the appt and had a call booked 2 weeks later.

Kirbert2 · Today 14:28

lemonVerbenaMintsorbet · Today 11:23

In regards to cancer I’d like to know the statistics and what the increase in claims and awards for cancer actually is? So much outrage and focus on the increase in prevalence and awards for things like ASD and ADHD then insinuating not all cases are genuine ? But what are the cancer claim rates ? Are they rising by a similar amount? Are we being manipulated to be angry about benefit rates and we actually need to look at all conditions and ask why are we sicker ? What causes this and where are the weaknesses in the nhs that could proactively manage these rates.

Edited

I know that childhood cancer is rising and no one knows why. Cancer treatment is made for adult bodies, not child bodies and can cause all kinds of complications which means children can end up needing DLA for years after cancer treatment if they survive, sometimes for much longer than that.

Owninterpreter · Today 14:30

hairbearbunches · Today 13:19

I get all of that. But, in my book, you don't need higher rate mobility to use for a car (because of anxiety about public transport and not being able to understand timetables etc) when you can perfectly well get your arse on a train by yourself to the other side of the country to see a friend.

If the criteria was met, it was because there were lies on the form or the criteria is so lax as to be rendered completely laughable.

This is from the disabilityrightsuk.org website :

To qualify for the higher rate mobility component of Disability Living Allowance (DLA) as an adult in England, you must be unable to walk, virtually unable to walk, or at risk of serious health deterioration from the effort of walking. Additionally, you may qualify if you have severe visual impairments or severe mental impairments that significantly affect your mobility

If 1 in every 5 cars 'sold' in this country (in 2024) are motability cars, 'severe mental impairments' is doing an unbelievable amount of heavy lifting, it seems. Taxpayers are right to be thoroughly hacked off at the benefits system.

It sounds like your friend/relative doesnt meet the criteria without lying. Its a shame fraud exists.

But you do also believe the criteria are wrong as well, which i suppose it what i am getting at.

Every system has fraud and we can do what we can to prevent fraud and its immoral to be fraudulent

But a lot of people also disagree with some of the fundamental ideas behind pip but sort of muddle the two together.

Many feel that being too psychologically overwhelmed to make any journey, or only being able to make a familiar journey with support (which is defined as frequent /continous) - shouldnt be enough to be eligible for higher rate mobility.

But removing this would then exclude people with very obvious learning disabilities that you may well recognise as needing support to be mobile.

Its a tricky balance which is why need rather than condition has been the deciding factor to date.

But is all up for change im sure.

Kirbert2 · Today 14:37

hairbearbunches · Today 13:19

I get all of that. But, in my book, you don't need higher rate mobility to use for a car (because of anxiety about public transport and not being able to understand timetables etc) when you can perfectly well get your arse on a train by yourself to the other side of the country to see a friend.

If the criteria was met, it was because there were lies on the form or the criteria is so lax as to be rendered completely laughable.

This is from the disabilityrightsuk.org website :

To qualify for the higher rate mobility component of Disability Living Allowance (DLA) as an adult in England, you must be unable to walk, virtually unable to walk, or at risk of serious health deterioration from the effort of walking. Additionally, you may qualify if you have severe visual impairments or severe mental impairments that significantly affect your mobility

If 1 in every 5 cars 'sold' in this country (in 2024) are motability cars, 'severe mental impairments' is doing an unbelievable amount of heavy lifting, it seems. Taxpayers are right to be thoroughly hacked off at the benefits system.

That is an outdated website. Only children get DLA now, 16+ get PIP.

Kirbert2 · Today 14:44

When it comes through, this image shows how a child can be eligible for high rate mobility part of DLA through the severe mentally impaired route. It is by far from easy.

Why are ADHD benefits in the firing line?
Isitevensummer · Today 14:50

MissBattleaxe · Today 13:05

I couldn't agree more. Well said!

Yes, Completely agree. And unlike what the the poster upthread wants to believe, most "specialist consultant interventions will be years long waits for assessment or the private clinics which are deeply problematic. There are no interventions offered other than medication even though CBT has a robust evidence based. So people applying for PIP may well not have a diagnosis or a deeply suspect one, may only had had medicine offered as an intervention, and may be unaware of alternative ways to cope.

PocketSand · Today 14:55

@Myskyscolourlots of people struggle with standardised questionaries that are closed ended (defined answers rather than open narrative) and believe them to be subjective. They are actually considered to be objective and able to be subject to statistical analysis regardless of whether you might struggle to answer one way or another. The objectivity is compounded by questionnaires completed by parents, child and school. Maybe you thought all was well but the school and child questionnaires aligned. This is all scored prior to the diagnostic interview.

Kindly I think that you may be struggling with legitimate diagnosis and therefore demanding ‘proof’. This is about supporting your child. Untreated ADHD can have catastrophic life long effects. But it is treatable and early diagnosis and treatment are effective.

hairbearbunches · Today 15:00

@Kirbert2 That is an outdated website. Only children get DLA now, 16+ get PIP.

Thanks for the update. The criteria for higher rate mobility doesn't change regardless of whether it's DLA or PIP, so my points still stand.

Kirbert2 · Today 15:11

hairbearbunches · Today 15:00

@Kirbert2 That is an outdated website. Only children get DLA now, 16+ get PIP.

Thanks for the update. The criteria for higher rate mobility doesn't change regardless of whether it's DLA or PIP, so my points still stand.

The criteria for high rate mobility DLA under SMI is incredibly strict. You have to meet all criteria's for SMI, even if a child meets every criteria but one then they aren't eligible.

emuloc · Today 15:22

Octavia64 · Today 13:22

It isn’t job done once you know what to say.

DWP ask if they can access your nhs records. They say you can still get PIP if you say no, but they do go and check them.

in my interview they reminded me of an operation I had when I was 8 that I had forgotten about.

if you put in a claim and fill in the form but have no medical evidence it’ll get turned down.

As it has been pointed out numerous times, but those posters who consistently say that you need no proof, or the Doctors, and Consultants just write up whatever a patient says, seem to think they know best!

Myskyscolour · Today 15:26

PocketSand · Today 14:55

@Myskyscolourlots of people struggle with standardised questionaries that are closed ended (defined answers rather than open narrative) and believe them to be subjective. They are actually considered to be objective and able to be subject to statistical analysis regardless of whether you might struggle to answer one way or another. The objectivity is compounded by questionnaires completed by parents, child and school. Maybe you thought all was well but the school and child questionnaires aligned. This is all scored prior to the diagnostic interview.

Kindly I think that you may be struggling with legitimate diagnosis and therefore demanding ‘proof’. This is about supporting your child. Untreated ADHD can have catastrophic life long effects. But it is treatable and early diagnosis and treatment are effective.

Don’t get me wrong, I completely accept my son’s ADHD (and autism) diagnosis. We paid for it privately as we didn’t wanted to wait for months, so definitely not a case of struggling with accepting it.

However, I was shocked at the difference between the two diagnosis. For autism, DS spent two long sessions with a psychiatrist + a separate session with parents, where we were asked detailed questions, examples etc. He was 10yo at the time.

Now at 12yo, it was apparently fine for me to be there during the assessment and even to be the one answering most questions. And again, we were not asked about details, how exactly is x challenging, what happens
during a typical homework session, etc, just: do you struggle with homework?

My point is: whilst I’m convinced that DS has ADHD, I found that it would have been very easy to get a diagnosis for a child with no special needs. And that’s not the case with ASD assessment - maybe why people are not as doubtful as with ADHD.

Her53ff43 · Today 16:09

Myskyscolour · Today 15:26

Don’t get me wrong, I completely accept my son’s ADHD (and autism) diagnosis. We paid for it privately as we didn’t wanted to wait for months, so definitely not a case of struggling with accepting it.

However, I was shocked at the difference between the two diagnosis. For autism, DS spent two long sessions with a psychiatrist + a separate session with parents, where we were asked detailed questions, examples etc. He was 10yo at the time.

Now at 12yo, it was apparently fine for me to be there during the assessment and even to be the one answering most questions. And again, we were not asked about details, how exactly is x challenging, what happens
during a typical homework session, etc, just: do you struggle with homework?

My point is: whilst I’m convinced that DS has ADHD, I found that it would have been very easy to get a diagnosis for a child with no special needs. And that’s not the case with ASD assessment - maybe why people are not as doubtful as with ADHD.

They use the ASC diagnosis to inform the AdHD diagnosis and vice versa.

Her53ff43 · Today 16:19

Itchthescratch · Today 13:35

My point isn't that ND brains aren't wired differently than a so called typical 'NT' brain but that almost all of us have brains that are wired differently to the NT model too. Lots of personality traits are associated with physical differences in the brain. Kindness, extraversion, curiosity etc are all associated with observable differences in the brain and how it works. So these traits shape our brains and where we have strong traits then they will differ from the standard brain.

The diagnostic process relies heavily on self reported symptoms and impacts. Clinics have a 60-95% conversion from referral to diagnosis. The point is that these highly trained professionals often aren't filtering many people out using these in depth diagnostic models versus quite rudimentary screening that relies very heavily on ASRS and examples provided by individuals. There is only so much verification they do of what you're telling them and as referenced in my previous post, people with ADHD are more likely to unintentionally exaggerate how symptoms impact them. I know a lot about the diagnostic process and it's nowhere near as secure as you are suggesting.

I have compared less severe forms of ADHD to glasses and hair dye because it is something that can largely be self managed with various tools and systems. It doesn't go away entirely and will create an additional burden on the individual versus someone that has no ADHD traits at all but very few of us are dealt a perfect hand in life and the state can't equalise everything.

ADHD is a very poorly understood condition and there is a huge amount we don't yet understand about it. The stats aren't even useful because ADHD is so often confused with trauma and other conditions like bipolar. The clinical threshold is also likely to move as we understand more. It's already changed significantly in 2013 when the threshold was lowered significantly, hence the explosion of diagnosis. There is a huge debate now about whether the criteria is currently too wide and medicalising natural variance. Personally I believe it is and that the binary between ND and NT must be challenged and changed. There isn't an obvious point where traits of these conditions flip from being sub clinical to diagnosable and someone just above threshold is ND and someone just below is NT. It is clearly nonsense.

That isn’t what the NHS ADHD taskforce is saying. In 2013 changes were made because women and girls were shut out of the diagnosis process and we now known ADHD presents differently in females. Surprise surprise some don’t like it now women that have been historically shut out are coming forward. Medical misogyny yet again.

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