ADHD Evaluation – What Happens in the First Step?
A healthcare professional conducting an ADHD evaluation will ask you and your family members close to you, such as a spouse, sibling or a friend for adults — about their symptoms. This often provides insights that questionnaires don’t.
Diagnosing ADHD in adulthood can be a challenge because the diagnostic guidelines are targeted at children. It’s important to find a doctor who specializes in the condition who takes his or her time in evaluating your case.
Signs and symptoms
The first step in the process of conducting an ADHD assessment is to have the patient talk honestly and openly about his symptoms and how they affect his life. Adults might not want to admit they have trouble paying attention, following directions or organizing tasks. However, getting diagnosed for adhd an accurate diagnosis will help you control symptoms and lead a more enjoyable life.
The evaluator will ask the person to share their medical history and personal life from childhood to the present. The evaluator will also review the American Psychiatric Association’s guidelines for treating this disorder in the Diagnostic and Statistical Manual of Mental Disorders Fifth Edition (DSM-5).
To meet criteria for a diagnosis of ADHD, an adult must have a history of at least six established symptoms in one or both of two main categories–inattention or hyperactivity/impulsivity–for six months. The symptoms must have caused significant impairment in at least two major environments, such as work or school. In addition, the person evaluating must rule out other disorders that can cause similar symptoms to ADHD like depression, anxiety, or an intellectual impairment.
A doctor could also utilize ADHD symptom checklists or behavioral rating scales in addition to an interview to gather data on the severity of the symptoms. Psychological tests that test executive functioning, working memory skills and visual and spatial reasoning can be useful in identifying ADHD symptoms in adults. Based on the circumstances doctors will often request permission to talk with those close to the person who could offer valuable advice and support. For example, they might ask for the names of parents, spouses or siblings to interview them about the person’s struggles at home and at work.
A physical exam is typically part of an ADHD assessment, since it can help rule out other conditions that could cause similar symptoms. For instance, thyroid problems and seizures can trigger symptoms that look a lot like ADHD. The evaluator could also perform an examination of the brain to determine if there are signs of injury or damage to the brain that could be the cause of the symptoms. The evaluator could also recommend urine and blood tests to determine if there are other conditions that could affect treatment. For instance depression, addiction to alcohol or drugs.
Diagnosis
Your doctor will look at symptoms that are present in various settings, like at home, work or at school. The symptoms must last for a long period of time. The doctor will assess how much these symptoms impact your daily routine. If they cause a lot of trouble, it’s likely that you or your child will meet the criteria for a diagnosis of either inattentive or hyperactive-impulsive ADHD.
To diagnose children, doctors adhere to guidelines in the Diagnostic and Statistical Manual of Mental Disorders – Fifth Edition (DSM-V). They will examine your child’s symptoms and how they impact their lives. They may also conduct a clinical interview. The interview will cover your child’s medical background, family history and psychiatric history. They will also inquire about the impact of your child’s behavior on their mood, behavior and productivity.
For adults, it’s more difficult to establish a diagnosis. The DSM-V symptom guide is geared toward diagnosing children, and there is some controversy over whether these criteria apply to adulthood. To meet the criteria for a diagnosis, an adult adhd diagnosis criteria must have 6 or more symptoms of inattentive ADHD or 7 or more symptoms of hyperactive-impulsive ADHD. These symptoms must be present for a prolonged period of time and interfere with the daily activities at work, school or home.
Your doctor might also recommend other tests in addition a clinical interview to determine the extent and severity of your symptoms or the child’s. This could include a blood or EEG test. Other tests can help identify conditions that could be causing the same symptoms like depressive or learning disabilities.
To find an expert to evaluate your your child’s ADHD begin by asking your family physician for an appointment. You can also call your insurance provider to inquire whether there are any specialists that are covered by your plan and who specialize in ADHD evaluations for adults. You can also reach out to an organization in your area and request recommendations. You can also call a medical school or university-based hospital to get a list of professionals that perform ADHD evaluations.
Treatment
ADHD symptoms can cause serious problems at work and at school, and can cause problems with relationships. If you’re diagnosed with ADHD, taking medication and improving your performance can help decrease symptoms. Patients with ADHD might also need to make lifestyle changes for example, adjusting sleeping schedules, using a daily planner, or increasing their exercise.
A person suffering from ADHD should be evaluated by their primary healthcare provider or a mental health professional. During this in-person interview the professional will discuss issues such as the development of the disorder, family and lifestyle history and present symptoms and problems. The doctor will inquire about the individual’s performance, behavior, and productivity and whether they have issues with impulsive actions or focus. They will inquire about the duration of the symptoms, their frequency, when and where they started, and the amount of distress they cause.
The evaluator may need to talk to other people who are in the patient’s life like parents, spouses, or siblings for adults as well as coaches, teachers, daycare providers or friends for children. They can provide insights that questionnaires can’t provide like how the person often stops tasks halfway or forgets things, or what circumstances trigger symptoms.
Many behavioral therapies and medications treat ADHD. The medications may include stimulants like amphetamine or nonstimulant drugs like atomoxetine and dexamfetamine. These drugs boost the flow of blood to the brain and decrease actions that are impulsive that allow people to concentrate and follow directions. These drugs can be taken either orally or intravenously and are generally well-tolerated.
Therapy can help people with ADHD create strategies to overcome the challenges they face. Therapists can help individuals learn how do i get diagnosed with adhd to organize their lives, keep track of appointments, and provide assistance and guidance in dealing with the impact adhd diagnosis in adulthood symptoms can have on work and home life. Therapy for families and marriage is a great method to address the problems caused by ADHD in relationships. It can also teach strategies for dealing with stress and assist in resolving conflict that may occur.
Medication
To diagnose ADHD the health care professional must consider various factors. They will inquire with your child about his or her symptoms at school, home and other places. They may also utilize questionnaires or scales that are specific for ADHD. They might also request an information about the family history. They will also check for other conditions which could cause the symptoms, such as mood disorders and learning disabilities. They will also evaluate the severity of the symptoms and if they impact your child’s daily life.
There is no physical test that can diagnose ADHD. This includes blood tests and X-rays. The doctor treating your child is following guidelines set by the American Psychiatric Association to diagnose ADHD. These guidelines are for children between the ages of 4 and 18. It is more difficult to identify ADHD in adults. The symptoms of ADHD can change with time. People who have ADHD can be diagnosed as predominately inattentive, predominately hyperactive-impulsive or a combination of the two.
To be diagnosed with ADHD, a child must exhibit more than 6 symptoms as described in the add diagnostic criteria adults guidelines. The guidelines also stipulate that the symptoms must have been present for a minimum of six months. If your child is being evaluated for ADHD it is recommended that they be questioned by a person who knows them well. This includes their teachers and religious leaders, coaches and other caregivers. They should also be informed about how their symptoms affect their daily lives and how they compare to other children of their age.
The most commonly used treatment for ADHD is medication. Both stimulant and nonstimulant medication are available to treat ADHD. The stimulants, such as amphetamine and methylphenidate, are the most frequently prescribed. These medications help to increase and balance levels of specific brain chemicals. Other drugs that can be used to treat ADHD include the antidepressant atomoxetine as well as some antipsychotics. They are not as potent as stimulants, but are useful for people who are unable to take stimulants due too severe side effects or health issues. These medications can be utilized in conjunction with other treatments like cognitive behavioral therapy.