A How-To Guide For ADHD Diagnosis From Start To Finish
Getting an ADHD Diagnosis
A diagnosis of ADHD is often the first thing that can be done to control symptoms that hinder daily life. Many people are hesitant about seeking a diagnosis. However, it can be a relief.
A clinical interview is usually the first step in an ADHD assessment. Experts can also conduct screening tests to determine if there are co-existing disorders like learning disabilities or mood disorders.
Symptoms
The disorder was first documented in medical science in 1902, and has been referred to by several names, most recently attention-deficit/hyperactivity disorder with or without hyperactivity (DSM-5). ADHD can be caused by a chemical imbalance in the brain. Adults suffering from ADHD often have trouble organizing tasks, paying attention in work or school and remembering important events. They are prone impulsive behavior such as cutting in line, interrupting others, or not following rules. They may also have trouble completing projects, keeping appointments or paying bills.
It is essential to seek out a clinician who is trained in ADHD when trying to diagnose the condition. Check with how to get an adult adhd diagnosis of mental health organizations, a local support group, or seek a referral from another trusted source. It's recommended to contact your insurance provider to see whether they have providers in their the network who specialize in ADHD.
A thorough psychiatric assessment will include a thorough description of symptoms experienced by the patient, a review of personal and family history including past medical, psychiatric and educational problems, taking neuropsychological or psychoeducational tests, and a physical examination. In addition, the therapist will also interview significant others, such as spouses or partners to assess how ADHD symptoms affect their lives. Many adults suffering from ADHD have poor memories of their childhood, and it is helpful to have parents or other relatives complete questionnaires that describe the child's symptoms.
Adults suffering from ADHD may have a difficult to admit that their issues are caused by their attention deficit disorder. They may feel angry or embarrassed by their inability to remain focused and organized at home as well as at the office. They might also believe their problems are due to their own fault or imperfections in their character. A diagnosis of ADHD can bring hope and relief for the future, and help them realize that their issues aren't the fault.
Diagnosis
There isn't a single physical or medical test to diagnose ADHD (previously known as ADD). However, a qualified mental healthcare specialist will collect information from many sources regarding your child's or adult's symptoms. These include ADHD symptoms lists, standardized behavioral rating scales and a thorough history of the person's previous and present functioning.
A thorough evaluation may also include a psychological exam like a personality inventory or neuropsychological tests. A health care provider will also evaluate the medical background of the patient, including current or past injuries, illnesses, as well as medications, like the mood-stabilizing drug steroids.
Other conditions and disorders may cause ADHD symptoms. This includes anxiety disorders, learning disabilities and mood disorders, as in addition to other medical conditions such a thyroid condition and sleep apnea. A thorough psychiatric evaluation will help identify the root cause and determine effective treatments.
A person's symptoms require significant impairment in two or more major settings, such as at home and in school, to be considered for ADHD diagnosis. This is particularly relevant for children and young people. They might struggle to succeed at school, have difficulty maintaining jobs, and are having trouble maintaining friendships and relationships without treatment.
It's important to seek a diagnosis from a medical professional who specializes in working with children and adolescents. Many primary care doctors and mental health professionals routinely diagnose ADHD however, you must seek out a specialist who is able to do a thorough evaluation. During the consultation your doctor will inquire with you questions about your child's condition and your family history. The doctor will also review the criteria established by the American Psychiatric Association for diagnosing ADHD in the Diagnostic and Statistical Manual of Mental Disorders Fifth Edition.
Treatment
Many psychiatric disorders are similar to ADHD in adults and children, and a complete psychiatric evaluation is required to rule out other disorders. These include mood disorders, anxiety disorders, head injuries, learning disabilities thyroid issues, and use of drugs. These alternative explanations can have a significant impact on quality of life.
A complete mental health assessment includes an interview with the person who is being assessed, as well as questionnaires and checklists filled out by others in their life. This may include spouses, parents, siblings and teachers for children; co-workers, friends and therapists for adults. Personal insights can reveal information that is not gained from checklists or questions. It also assists the clinician understand how ADHD symptoms have affected a person's relationships with others.
In addition to examining symptoms, a psychologist or psychiatrist can also review the medical history of a patient. A physical exam is typically conducted as well, which may include hearing and vision tests. An electroencephalograph or EEG scan, which measures brain waves and can help identify the presence of ADHD, is available in some offices.
Some patients opt to participate in a clinical trial to see if the new medication they're taking will improve their symptoms. Participants must be aware that the primary purpose of a clinical trial is to increase knowledge and not to treat a specific health condition.
Based on the findings of the assessment The doctor will then suggest treatment options that could include psychotherapy, medication or other interventions. In some cases the combination of treatments is the most effective. The medication is generally safe for both adults and children and can help alleviate certain symptoms. Other methods that can be beneficial include behavior therapy, lifestyle changes and parenting strategies.
Medication
Certain people can increase their functioning by taking medication to lessen the symptoms of ADHD. It can be difficult to find the best dosage and medication and it may take a while to adjust to side effects. It is essential to talk to your doctor if feel sleepy or drowsy after taking certain medications.
Psychiatrists can prescribe stimulants, which increase the levels of certain neurotransmitters in the brain, which reduces the symptoms of ADHD. They may also prescribe non-stimulant medications, which can improve attention and impulsivity however they are not as effective as stimulants. They can prescribe mood stabilizers or antidepressants to people suffering from depression, and other disorders that could be present alongside ADHD.
Family therapy, psychotherapy and educational or training programmes for children and adults are other treatments that can help those with ADHD. These interventions can help people develop strategies and skills to cope with the symptoms and improve their performance at home and school.
A medical or mental health professional may be able detect ADHD in a young child by reviewing the school records of the child and discussing the child's behavior with teachers and caregivers. They may interview the child, conduct psychological testing, and screen to determine if there are any problems with learning or any other condition that have similar symptoms.
In order for a child to be identified with ADHD, they must show at least six of the nine symptoms outlined in the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV TR) and the symptoms must be significantly affecting adaptive functioning at home and in the classroom. They should also not be explained by any other condition.
Counseling
If you require treatment or medication management for ADHD, find a licensed professional with experience in treating the disorder. Your primary care doctor will be able to give you a recommendation or recommend specialists in the area. Some professionals specializing in ADHD also offer telemedicine online making appointments simple and convenient. Many insurance companies let you make appointments using their system.
In children, doctors and specialists in ADHD can diagnose the disorder based on discussing symptoms at length with teachers and parents as well as observing the child an adolescent in various settings including interviewing family members, and conducting an evaluation of learning disabilities. They also look over school records and questionnaires filled out by teachers and caregivers. The adolescent or adult needs to demonstrate at least five of the following symptoms to qualify for diagnosis:
A complete medical history is crucial to diagnose ADHD. Since adults typically have weak or spotty memories of childhood, clinicians may ask for information from outside sources like spouses or other family members. They should also evaluate for other possible causes of symptoms resembling ADHD, like developmental disorders, brain injuries or other health issues.
During the initial consultation the doctor should determine how the patient copes with the symptoms of ADHD and consider the impact of those symptoms on their daily life. They should also discuss previous ADHD assessments or treatments. It's also helpful to identify other conditions that exhibit similar symptoms to ADHD like anxiety disorders and mood disorders. When conducting an assessment of an person as a mental health professional, they must also be able to listen to the person openly and without judgment. This is especially important if the person has a history of depression or abuse.