Diagnosing Adult ADHD
Adult ADHD is more difficult to diagnose than ADHD in children. The majority of symptom checklists for children do not work for adults.
A thorough evaluation with an therapist, psychologist or psychiatrist is typically required. Work or school records can be examined as well. Counseling can be beneficial for co-workers, family members and friends.
Symptoms
ADHD can cause problems at school as well as at work. They struggle to keep the track of their assignments and completing their deadlines. They lose things, miss appointments and medical instructions. They might be impulsive and put at risk their health by skipping meals, or avoiding medications they need. They are more likely to react to stress in an overly emotional way and may have difficulty being able to focus or reading the moods and behavior of others.
Those suffering from ADHD may have trouble staying focused and can become bored easily with monotonous tasks. They are prone to daydreaming or "zoning out" without realizing particularly when people are talking. They are unresponsive, and don't respond to questions. This makes them appear uninterested or aloof. They may have difficulty keeping track of instructions and retaining details. This can lead to mistakes or incomplete work. They may also get bored with a task quickly and look for new challenges or activities.
Adults with ADHD frequently have issues in relationships and feel that they aren't able to keep up with their family and friends. They are troubled managing their money, which can result in excessive spending and a growing debt. Inability to adhere to rules, complete paperwork, and meet deadlines can affect their jobs. They may be unable manage their time well and leave work frequently before they've finished. They may be unable to get together with their coworkers and supervisors due to their short tempers and inability listen to others.
Contrary to the rambunctious hyperactive children in classrooms, adults suffering from ADHD seldom show obvious physical signs of activity, such as fidgeting or tapping their feet. Their restlessness may be more subtle, such as checking their watches repeatedly or having trouble sitting still during the course of a meeting. Their disorganized and sloppy work habits can lead to financial problems and loss of jobs.
A person who is experiencing symptoms of ADHD should consult an primary care physician. The doctor will evaluate the symptoms and refer them on to a mental health professional. In addition, the provider will ask about their medical history and whether they are taking any medications that interact with stimulants.
Family History
When people are diagnosed with ADHD as adults, it can be devastating to realize that they've been living with the condition for years and haven't been able manage their lives. They may have experienced embarrassing situations, have been labelled "lazy," "irresponsible" or "stupid," or been blamed for issues they could not help. They might have had trouble maintaining relationships or had difficulties in their education or careers due to the signs.
A licensed mental health care doctor or professional can diagnose adult adhd after conducting a thorough exam of the patient and taking a thorough history. This should include observation of the person's behavior in various settings and getting information from relatives such as family members and friends. The doctor should also take into account a medical and family history of the individual.
Since the symptoms of ADHD are different in women than men, many women are left undiagnosed or misdiagnosed. Women with ADHD tend to exhibit inattention signs such as trouble keeping track of information or staying focused. They're less likely than men to exhibit an impulsive and hyperactive behavior. Women diagnosed with ADHD generally have more difficulties than men when it comes to managing their work and their relationships due to these differences.
It is essential to get a complete family history when diagnosing ADHD in adults, because the symptoms usually persist throughout life. The history of the person should demonstrate that the symptoms have been consistently present since childhood and have had an impact on the individual's functioning at work, in school as well as in relationships in other aspects of their life.
If the symptoms of a patient aren't severe enough for a diagnosis, the clinician will need to investigate other conditions that may cause similar symptoms, for example mood disorders or learning disorders. In addition to a psychiatric assessment as well as a thorough medical exam is required.
Generally, there is no blood or routine imaging test that can be used to diagnose adult adhd. A healthcare professional can offer the person who is in their office a screening test to assess attention to distraction and short-term memory as well as concentration. They may also ask them to perform tests that measure executive functions like planning, organizing and time management skills.
Medical History
Many adults don't get diagnosed with ADHD because their teachers and parents didn't recognize the signs when they were children, so they were misdiagnosed or managed with ease until they reached adulthood, at which point the demands of their jobs or academics increased. A few adults are diagnosed with ADHD later in life when they realize that their problems interfere with their work or relationships or they seek help to deal with their problems at work or at home. A doctor will go over the medical history of the patient to look for any family or personal history of depression, anxiety, or other mental health problems. A health professional will also be looking for head injuries, thyroid disorders as well as alcohol or drug abuse and other physical ailments which can trigger similar symptoms.
Adults suffering from ADHD are identified by impulsivity, hyperactivity, and inattention. The person is affected at the workplace, at home or at school, as well as in social situations. Adults are more likely than children to suffer symptoms of hyperactivity as opposed to inattention. The symptoms of inattention can result in difficulty staying organized, forgetting appointments, or having trouble keeping track of various tasks at home and work. Hyperactive and impulsive behaviors could cause difficulties in managing anger or frustration, being impatient waiting in line or driving in traffic, or taking rapid decisions.
Studies show that genetics of a person influence the development of ADHD. Many non-genetic causes are also linked to ADHD. This includes low birthweight and premature births as well as exposure to toxins such smoking or drinking alcohol while pregnant and stress during the early years of childhood.
Symptoms are usually treated with stimulants. It is important that the health professional is aware of any other medications the patient is taking since some medicines interact with certain stimulants. A psychiatric or behavioral health professional will go over the options for medication with the patient. Patients suffering from ADHD should inform their physician of any other mental or medical treatment they receive, such as self-help or talk therapy. They can ask about participating in a clinical study for new treatment options for ADHD.
Psychological Evaluation
For diagnosing adult ADHD, a psychologist who is a professional will conduct a psychological assessment. This is a formal interview and a review of pertinent documents. The evaluator asks the individual to describe their behavior, symptoms, and functioning in different settings, such as at school, home, and at work. It is crucial that a person being evaluated discuss these issues candidly without hiding because of embarrassment or fear. This will allow the doctor to obtain the complete picture of how the individual is functioning and what problems they are facing.
how to get an adult adhd diagnosis can also interview close family members or acquaintances with the person, like spouses, significant others parents, siblings, or parents. These individuals are asked how they would rate the person on standard ratings scales that are that are based on research and compare the behavior of people suffering from ADHD as compared to those without ADHD. These ratings are not considered diagnostic in their own right, but they provide valuable information about the person and their difficulties.
In addition to the patient interview and additional questionnaires, the evaluator will usually review relevant documents such as old report cards and grades or copies of performance evaluations in the workplace. These are used to determine areas where the person struggles, such as academic achievement as well as performance at work and social interactions. These are typically the areas in which the symptoms of ADHD have the greatest impact on an individual's functioning.
Depending on the problem that is being evaluated an evaluation expert may choose to take additional psychological, neuropsychological or tests for learning disabilities. These tests are not able to diagnose ADHD however they do provide valuable information to the evaluator that can help determine whether or not there are any co-existing conditions such as depression or anxiety.
It is important to find a psychologist with experience working with adults with ADHD when seeking the help of a psychologist for a psychological assessment. It is recommended to ask the person's primary doctor for a referral or visit an area mental health clinic offering ADHD services, a university-based hospital or a graduate school of psychology for suggestions. Many insurance plans also have lists of providers based on specialization. Professionals with the right qualifications are more than willing to share information about their education and experience in evaluating adults suffering from ADHD. Refusal to share this information should be viewed as a red-flag and the patient should seek an alternative provider.