How to Get a Confirmed ADHD Diagnosis
Finding a confirmed ADHD diagnosis isn't as simple as taking an online test or rating scale. The process includes a medical and psychological evaluation.
Doctors examine family and medical history, including past tests and old school records. Teachers, parents, and kids are also interviewed about the symptoms. ADHD symptoms are typically passed down from parents.
Signs and symptoms
When a person has problems staying focused paying attention to specifics or even completing tasks that require a lot focus, it may be ADHD. Many people have other illnesses like depression or anxiety, that can produce similar symptoms. It is crucial to determine the correct diagnosis. A thorough assessment can help determine if the symptoms are caused by ADHD or another disorder.
A mental health professional who has had experience dealing with adult ADHD or a psychiatrist, psychologist, or neurologist with expertise in ADHD can conduct an assessment. They will ask the patient questions and discuss their symptoms. They will also discuss the severity of their symptoms and how long it's been since they started, and how often they happen. They will also ask about the person's family history and medical history, in addition to their work and school life.
It is essential that a doctor is aware of any issues that a patient may be experiencing, such as relationship or financial problems. The doctor might also want to talk to the person's employer or teacher about any issues they've had with the person's performance in school or at work. For children, the doctor will interview parents and may also need to speak with other adults, such as teachers, coaches, or nannies.
During the exam the provider will ask the patient about their medical history, and perform a physical. The physical will look for conditions that can cause symptoms that look like ADHD, such as seizures or thyroid issues. They will also look over any relevant documents, like the person's employment and education history.
The provider will also conduct a psychological or behavioral test. This could be a checklist of symptoms, or a rating system that determines how an individual feels about certain behavior. They can also use tests for cognitive or learning disabilities to determine if a person is suffering from a disorder that resembles ADHD like an issue with learning. They will also ask about the person's life and lifestyle, for example, if they are in a stressful situation or have any other illnesses that could make ADHD symptoms worse. They will also ask about the person's ability to follow directions and interact with others.
Diagnosis
Symptoms of ADHD affect many aspects of life for children as well as adults. The symptoms include trouble at school and at work and in extracurricular activities, and troubled relationships. These issues can also affect driving and finances. Finding a health professional who is knowledgeable about ADHD is the first step towards making an accurate diagnosis. Your child's doctor can perform an assessment, or you may want to find an expert psychiatrist who is specialized in mental illness.
The first thing that a doctor will do is to interview the patient about the behavior of the person. In general the doctor will inquire about symptoms for at least six months. This will ensure that the symptoms are consistent and that they have persisted throughout the time. The examiner will employ an assessment scale to determine the symptoms of ADHD. This could be the ASRS (Adult Self-Report Scale) or the DSM-5.
The specialist will also ask about any current issues and review the patient's medical history including any family history of ADHD. They will also look at the individual's academic and driving records and family and relationship problems. The examiner will also want to be aware of the person's lifestyle, including whether he or she has any issues with alcohol or drugs.
To determine if you have ADHD, the specialist must be convinced that the symptoms can't be better explained by another disorder. The symptoms must be evident at least twice, and for a minimum of six months. The symptoms must also be debilitating and not caused by another disease.
To confirm the diagnosis, the doctor can administer one or more tests of attention, such as the TOVA continuous performance test. The TOVA test is performed on a computer and involves watching a series of visual stimuli, for example letters or shapes that appear on the screen. The user is able to watch the stimuli and then presses the button when they spot the correct letter. The TOVA program then calculates scores to determine the degree of difficulty that the person has in focusing on attention-related tasks.
Treatment
A mental health professional will examine the symptoms of ADHD. This will include a physical examination as well as a review of medical and family histories and a mental assessment. The evaluation will include questions about symptoms and their impact on an individual's functioning and functioning, as well as standardized ADHD behavior rating scales, and other psychological tests.
The doctor will also talk to the patient and his significant other, if necessary. This is not a test for honesty, but rather to find out more about a patient's experiences and behavior. It is common for people who suffer from ADHD to have difficulty remembering details about their childhood. It may be beneficial to interview adults who have known them for a lengthy period of time. This can help the clinician identify other conditions which may trigger similar symptoms.
For children the evaluator may interview the child's teachers and parents. This is especially important when a child is having issues at school. In addition, the evaluator will likely ask about the child's relationships with others and how his or her home and school environments are organized. This is crucial, since the social setting is a major stressor for those with ADHD.
The doctor will employ the same rating scale with adult patients. However,
adhd tests for adults is more sophisticated. It is used to collect research data on symptoms. In certain instances, the examiner may also employ computerized testing to test for signs of ADHD. The Adult ADHD Self-Report Scale, or ADHD-RS, is the most commonly used test. It was developed by the National Institute of Mental Health. Another type of computer test, the continuous performance test (CPT) is a test that measures the capacity of an individual to maintain concentration for a specified amount of time.
The evaluator will decide whether the person meets the ADHD diagnostic criteria in the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5). This means that the individual has had six or more established symptoms of inattention and/or hyperactivity/impulsivity for at least six months and the symptoms have significantly impacted their social, academic and occupational functioning.
Medication
If your child or teenager is diagnosed with ADHD medications will likely be a part of the treatment program. The stimulant medicine is absorbed quickly into the bloodstream and offers quick relief of symptoms. However, these drugs must be administered with care. A high dose of stimulants could lead to heart issues or addiction. Medications that release into the body in time, such as the atomoxetine and guanfacine are safer but don't work in the same way as stimulants do. These medications may also not be available for children suffering from certain medical conditions such as Tourette Syndrome or congenital heart disease.
Psychotherapy is an important part of the treatment program for adults suffering from ADHD. Therapists can assist people to better organize themselves and devise strategies to improve their relationships and work. A therapist can show the patient how to use reminders like alarms or daily planners in order to stay on track. Therapists can help adults with ADHD manage their emotions and find ways to manage stressors.
A psychiatrist or psychologist can administer tests to adults with ADHD that test for anxiety and depression as well as learning disabilities and other disorders which may look similar to ADHD or coexist with it, such as seizures or thyroid disorders. Psychologists can also conduct a physical exam and examine the patient's medical history, family history and behavior.
Some therapists employ a computer test to help test adults for ADHD symptoms. The test assesses a person's ability to maintain attention and resist impulsive impulses by presenting visual targets on the screen of a computer. The test is designed to gauge the person's cognitive function and can be used in combination with self-report questions to provide the clinician with an objective measurement of a patient's response to therapy.
A newer genetic test method can be used to determine how a body will process medication. The test can help doctors select the right medication for each individual and help avoid harmful side effects. This kind of test can be expensive and is not widely available. A medical professional is the most reliable way to diagnose ADHD in an individual.