Speak "Yes" To These 5 ADHD Diagnostic Tips
ADHD Diagnosis - How an Expert Makes a Diagnosis
For adults diagnosing ADHD requires a thorough assessment by a specialist who is trained in the disorder. They will likely ask you about your previous experiences and conduct physical examination. They will also look for conditions that may be similar to ADHD such as mood disorders, learning disorders or thyroid disorders.
The doctor will ask you about your childhood behaviors, because the American Psychiatric Assocation's guidelines state that ADHD in adults cannot be diagnosed unless there is evidence of childhood symptoms. This could mean finding your school records and contact with your former teachers and coaches or religious leaders.
Symptoms
You may have ADHD If you or someone you love has trouble keeping track of time at school, work or home. If they can't remember important dates or appointments or aren't able to keep track of important dates or appointments, then you might be suffering from ADHD. A health care provider's evaluation can help you determine whether this is the case and, if it is what the treatment options are.
The symptoms have to be present in at least two settings (school and at home, for example) and for at least six months to meet the criteria for an ADHD diagnoses. The symptoms should also be hindering your ability to function for example, in class, in developing close relationships or working in a team. It's important to realize that everyone has difficulty staying on track and paying attention at times, but these problems are more severe with ADHD.
Your provider will ask you questions about your behavior and how it has impacted your life. Providers will also review your family history as well as any previous medical or psychological tests you may have had. They will be looking for health issues such as thyroid issues and seizure disorders, that could cause the similar symptoms as ADHD.
Your provider will ask if you have ever had symptoms in your childhood (technically before age 12). They'll also want to know how your symptoms affect you today and how they've affected you in the past. They'll want to know whether you've been diagnosed with ADHD in the past.
Bring your own list of symptoms, especially if they are written down. This will allow you to keep track of your symptoms and give your doctor a complete picture about how they impact you. You may also bring other records like performance evaluations from your job or old school report cards. These documents can help your doctor determine whether ADHD is a recent issue or has been present for a long time. They can also assist your doctor to determine if you have other issues such as anxiety or depression which can have similar symptoms to ADHD.
History
In the past, ADHD has been viewed as a character flaw. With advances in diagnosis and treatment the number of children diagnosed with ADHD is increasing and the stigma associated with this disorder is fading.
Sir George Frederick Still gave a series of lectures in 1902 at the Royal College of Physicians. He outlined his observations regarding children who were unable to pay attention or incapable of concentrating. He also pointed out that the symptoms were more common in boys than girls, and that they were not related to the quality of education or home environments. Still's report is often associated with the first formal recognition of ADHD.
The first edition of APA's psychiatric guide, published in 1952, did not mention ADHD. In 1955, however, the US FDA approved the use of a stimulant drug, which was the most commonly used treatment for ADHD. The APA published its second edition in 1968, which listed a number of mental health conditions. It also included symptoms of ADHD even though they were still referred to as hyperkinetic reaction of childhood.
After the publication of the fourth edition of the psychiatric manual in 1994, there was an increase in acceptance and understanding of ADHD. Its name was changed to Attention Deficit Disorder with or without hyperactivity and the standard definition of three types of ADHD symptoms was established: mostly inattentive, mainly hyperactive-impulsive, and combined. The current DSM-5 considers these to be different types of presentations and states that they are able to change throughout a person's lifetime.
NICE (National Institute for Clinical Excellence) has released guidelines on ADHD in adults in 2008. It was the first occasion that the UK as an entire recognized adults suffering from ADHD, providing them with funding, healthcare support and guidance. SIGN (Scottish Intercollegiate Guidelines Network), has also released advice on ADHD among children. These two documents are the only official NHS recommendations on the condition in Scotland. Other guidance has been produced by charities and private organizations. In recent years, there has been a growing interest in the biological cause of ADHD. Researchers have started to discover the genes responsible. This knowledge may help to develop better targeted, more effective treatments in the future.
Physical Exam
A specialist in ADHD will conduct a thorough assessment to determine the severity of the condition. They will collect information from the patient's past, including their family, education and employment history as well as social and personal. They might look over old school records or talk to teachers, coaches, and other professionals that know the person. They will ask about the symptoms and how they interfere with life. They will also consider how the symptoms have changed over time.
The American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, outlines the criteria used to diagnose ADHD in both adults and children. To meet these criteria, the symptoms of inattention and hyperactivity-impulsivity must be present in multiple settings, cause significant impairment and have started before age 12. The specialist will usually interview the patient about their symptoms using an assessment that is adapted to the specific circumstance. They also employ various rating scales to evaluate different aspects ADHD symptoms. Some of these ratings are basing on the Brown Attention Deficit Disorder Symptom Assessment Scale for Adults, while others are based on a range of other criteria and include questions like "Do you have difficulty sitting down?" Do you struggle to organize your activities or work?
They will conduct a physical exam. They will determine if there are any medical conditions that could be creating the symptoms or making them worse, such a thyroid problem, vision or hearing issues. They will also inquire about the person's diet and lifestyle habits to determine if they could be contributing to the symptoms.
Anyone who is being assessed for ADHD as an adult is likely to be asked to fill out an assessment with their partner or close friend. This will help to gain the personal insights that questionnaires and checklists unable to provide. This is especially beneficial for those with multiple disorders like depression or anxiety. These are often associated with ADHD which makes it difficult to recognize the signs.
Psychological Evaluation
When a health care professional evaluating a child or adult for ADHD first interviews them, they ask them a series of questions regarding how the symptoms impact their daily lives. They also take a look at the history of the patient's family and their mental health.
They often request that the person bring in their report cards and school records to review, especially those from kindergarten to high school. They can also request copies of any previous psychological or neuropsychological testing, including results from IQ tests and learning disabilities assessments.
Typically the psychologist, psychiatrist or a social worker conducts the interview portion in an assessment of the diagnosis of adhd. They may also interview family members, friends as well as teachers or employers. It is crucial to have a an accurate assessment as people with ADHD who are not treated may face serious issues. These include financial issues (impulsive purchases), marital difficulties, or failure in college or other educational institutions.
During an interview, the doctor might ask the patient to complete standardized behavior rating scales which are designed to help identify ADHD symptoms. These questionnaires are based on research that compares the behavior of individuals with ADHD to those of individuals who do not suffer from the disorder. These ratings are not an indication of ADHD but they play an important part in the process of evaluating.
It is also crucial to evaluate the individual for other ailments that may have similar symptoms to ADHD, such as sleep disorders, mood disorders, substance use and medical conditions, like head injuries or thyroid disease. Those conditions are more likely to respond to specific treatments, therefore it is essential to make sure that a valid diagnosis is made and that the correct treatment is given.
A person of any age must meet certain criteria in the Diagnostic and Statistical Manual of Mental Disorders to be diagnosed with ADHD. Read Home must exhibit symptomatic behavior in two or more environments, like home, school and work, and the symptoms must be affecting their everyday functioning. The symptoms must first be noticed in childhood and a psychiatric professional must confirm that the disorder wasn't caused by mental illness or other comorbid conditions.