Health and Me

Ishita Roy

Family Doctors Say Mental Health Is Over-Diagnosed and Under-Treated

According to a latest BBC report, GPs think that many people in England are being over diagnosed with <span>mental health</span> problems. Being stressed does not mean an illness. As per the commonly held view by family doctors, the society tends to over medicalize normal life stresses. However, the doctors are also concerned about the difficulty for the patients who actually have a mental health condition. 

Earlier this week, the Health Secretary launched an independent review to understand why more people in England are seeking mental health, ADHD and autism services, and to identify where support is currently falling short.

BBC News sent a questionnaire to more than 5,000 GPs in England to understand their experiences supporting patients with mental health concerns. The 752 responses that came back show just how complicated and emotionally heavy this workload has become for many family doctors.

Of those who took part, 442 GPs said they believed over-diagnosis was a problem. Most felt mental health issues were being slightly over-diagnosed rather than significantly. At the same time, 81 GPs felt the opposite and said under-diagnosis was still a real concern.

Over-diagnosis was far from the only issue. Many GPs told us they were deeply worried about the lack of meaningful support available for patients who come to them in distress. The questionnaire included both multiple-choice questions and an open invitation to leave anonymous comments, which many used to explain their frustrations.

One of the most common sentiments was summed up by a GP who said, “Life being stressful is not an illness.” Another reflected on how much expectations have changed, noting that society seems to have forgotten that heartbreak and grief are painful but still part of normal life. Another GP argued that labels like anxiety or depression risk medicalizing everyday emotional struggles, and this could pull resources away from people facing severe and complex needs.

A small number were openly critical of certain patients, with one describing them as “dishonest and narcissistic” and taking advantage of a system that is free at the point of use.

According to NHS England, one in five adults lives with a common mental health condition. The rate is even higher among young people, where it rises to one in four for those aged 16 to 24.

GPs who responded to the questionnaire identified young adults between 19 and 34 as the age group most in need of mental health support. Some felt young people have become less resilient since the pandemic, with a stronger focus on seeking a diagnosis instead of learning coping strategies. Others disagreed and said the real problem was that services have become increasingly hesitant to assess and diagnose people when needed.

There are nearly 40,000 fully qualified GPs in England. While the responses cannot represent every doctor across the country, they do reveal clear patterns. Almost all GPs with more than five years of experience said the amount of time they now spend on mental health has risen sharply.

<h2>They pointed to three main reasons for this increase:</h2>

<ul><li>Supporting patients who are unable to access good quality mental health services elsewhere</li></ul>

<ul><li>Helping people whose mental health is affected by practical issues like housing, employment or financial pressure</li></ul>

<ul><li>Seeing patients who believe they have a mental health condition when they may be dealing with normal life challenges</li></ul>

Earlier this year, the Health Secretary said mental health conditions were being over-diagnosed and too many people were being written off. He has since acknowledged that his comments were divisive and did not reflect the full complexity of the situation.

<h2>Demand That Services Cannot Meet</h2>

It is estimated that 2.5 million people in England have ADHD, including many without a formal diagnosis. Some NHS ADHD services have already stopped accepting new patients because they cannot cope with the demand. Many individuals have told the BBC just how difficult it has become to find proper assessment and care.

Overall, most GPs agreed that the system is not keeping up. Of the 752 respondents, 508 said there was rarely or never enough good quality mental health support for adults in their area. An even larger number, 640, said they were worried about getting young patients the help they need.

One GP called the state of mental health support “a national tragedy”. Another described the situation for children starkly: “A child literally needs to be holding a knife to be taken seriously and the second that knife is put down, services disengage.”

GPs were also asked whether they prescribe medication because they worry patients will not get other types of support, like talking therapies, quickly enough. The most common answer was yes, and that they do this routinely. One GP admitted they often reach for antidepressants even though they know it may only offer short-term relief and does little to prevent future episodes.

Professor Victoria Tzortziou Brown, chair of the Royal College of GPs, said family doctors face a difficult balance. Patients increasingly expect a diagnosis, yet not every emotional difficulty meets the criteria for one. She added that society needs to be careful not to medicalize the full range of normal feelings but also must avoid dismissing genuine concerns.

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According to a latest BBC report, GPs think that many people in England are being over diagnosed with mental health problems. Being stressed does not mean an illness. As per the commonly held view by family doctors, the society tends to over medicalize normal life stresses. However, the doctors are also concerned about the difficulty for the patients who actually have a mental health condition. Earlier this week, the Health Secretary launched an independent review to understand why more people in England are seeking mental health, ADHD and autism services, and to identify where support is currently falling short.BBC News sent a questionnaire to more than 5,000 GPs in England to understand their experiences supporting patients with mental health concerns. The 752 responses that came back show just how complicated and emotionally heavy this workload has become for many family doctors.Of those who took part, 442 GPs said they believed over-diagnosis was a problem. Most felt mental health issues were being slightly over-diagnosed rather than significantly. At the same time, 81 GPs felt the opposite and said under-diagnosis was still a real concern.Concerns about Limited SupportOver-diagnosis was far from the only issue. Many GPs told us they were deeply worried about the lack of meaningful support available for patients who come to them in distress. The questionnaire included both multiple-choice questions and an open invitation to leave anonymous comments, which many used to explain their frustrations.One of the most common sentiments was summed up by a GP who said, “Life being stressful is not an illness.” Another reflected on how much expectations have changed, noting that society seems to have forgotten that heartbreak and grief are painful but still part of normal life. Another GP argued that labels like anxiety or depression risk medicalizing everyday emotional struggles, and this could pull resources away from people facing severe and complex needs.A small number were openly critical of certain patients, with one describing them as “dishonest and narcissistic” and taking advantage of a system that is free at the point of use.Rising Need Across Age GroupsAccording to NHS England, one in five adults lives with a common mental health condition. The rate is even higher among young people, where it rises to one in four for those aged 16 to 24.GPs who responded to the questionnaire identified young adults between 19 and 34 as the age group most in need of mental health support. Some felt young people have become less resilient since the pandemic, with a stronger focus on seeking a diagnosis instead of learning coping strategies. Others disagreed and said the real problem was that services have become increasingly hesitant to assess and diagnose people when needed.A Growing Workload for GPsThere are nearly 40,000 fully qualified GPs in England. While the responses cannot represent every doctor across the country, they do reveal clear patterns. Almost all GPs with more than five years of experience said the amount of time they now spend on mental health has risen sharply.They pointed to three main reasons for this increase:Supporting patients who are unable to access good quality mental health services elsewhereHelping people whose mental health is affected by practical issues like housing, employment or financial pressureSeeing patients who believe they have a mental health condition when they may be dealing with normal life challengesEarlier this year, the Health Secretary said mental health conditions were being over-diagnosed and too many people were being written off. He has since acknowledged that his comments were divisive and did not reflect the full complexity of the situation.Demand That Services Cannot MeetIt is estimated that 2.5 million people in England have ADHD, including many without a formal diagnosis. Some NHS ADHD services have already stopped accepting new patients because they cannot cope with the demand. Many individuals have told the BBC just how difficult it has become to find proper assessment and care.Overall, most GPs agreed that the system is not keeping up. Of the 752 respondents, 508 said there was rarely or never enough good quality mental health support for adults in their area. An even larger number, 640, said they were worried about getting young patients the help they need.One GP called the state of mental health support “a national tragedy”. Another described the situation for children starkly: “A child literally needs to be holding a knife to be taken seriously and the second that knife is put down, services disengage.”The Pressure to PrescribeGPs were also asked whether they prescribe medication because they worry patients will not get other types of support, like talking therapies, quickly enough. The most common answer was yes, and that they do this routinely. One GP admitted they often reach for antidepressants even though they know it may only offer short-term relief and does little to prevent future episodes.Professor Victoria Tzortziou Brown, chair of the Royal College of GPs, said family doctors face a difficult balance. Patients increasingly expect a diagnosis, yet not every emotional difficulty meets the criteria for one. She added that society needs to be careful not to medicalize the full range of normal feelings but also must avoid dismissing genuine concerns.