Private ADHD providers acknowledge conflicts of interest, stress need for public-private collaboration

Private ADHD assessment providers in Norway acknowledge a potential conflict of interest in their services, a point raised by physician Henrik Vogt. They agree that this conflict exists, not only for private practitioners but also for specialists and general practitioners within the public system.

These providers explain that patients often turn to them after being denied assessment by the public healthcare system. The public system's prioritization guide restricts assessments to individuals with "significant functional problems," a necessary limitation given finite resources. However, this leaves a substantial group of patients with moderate functional impairments and significant personal distress who are willing to pay for an assessment.

The private providers emphasize that their fees cover time and expertise, not a guaranteed outcome. They do not proceed with full assessments without indication, and a considerable number of patients are informed that there is no basis for an assessment. They accept that some patients will be disappointed by negative results, viewing this as a professional ethical responsibility. They argue that while Vogt's reminder about conflicts of interest is important, such conflicts do not equate to dishonesty but rather a risk that must be managed.

Referencing professors Lars Lien and Solveig Klæbo Reitan, the providers cite a recent British Journal of Psychiatry editorial that found no evidence of systematic overdiagnosis of ADHD, with data suggesting underdiagnosis instead. They note that ADHD assessments constitute a small portion of their overall practice, asserting that if diagnosis were their primary revenue source, their businesses would not be viable.

While acknowledging they lack the power to define medical problems, these psychologists stress their duty to manage diagnoses professionally and ethically. They recognize that diagnoses trigger access to resources and rights, and they are obligated to be diligent gatekeepers of societal resources. This includes ensuring diagnoses are not given without justification and that those who meet the criteria receive the help they are entitled to. The article concludes by stating that in Norway in 2026, the private and public sectors need each other, as society benefits when individuals with ADHD receive support, leading to improved quality of life and functioning in various roles.

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