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ADHD Evaluation - What Happens in the First Step?

A healthcare professional who is conducting an ADHD evaluation will ask you and your family members close to you -- a spouse, sibling, or friend for adults -- about the symptoms. This can provide information that questionnaires cannot.

Diagnosing ADHD in adulthood is trickier since the diagnostic guidelines are targeted at children. It is important to find a doctor who specializes in the field who takes his or her time in evaluating your case.

Symptoms

The first step in the process of conducting an ADHD evaluation is to have the patient talk honestly and openly about his symptoms and how they impact his daily life. Adults may not want admit they have trouble paying attention, following directions or managing tasks. But getting a precise diagnosis will help you control symptoms and lead a healthier life.

The person being evaluated is asked to share their medical and personal history from childhood up to now. The evaluator will also go over the American Psychiatric Association’s clinical guidelines for 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 led to significant impairments in at least two important contexts, such as school or at work. In addition, the person evaluating must rule out any other conditions that can cause similar symptoms as ADHD, such as depression, anxiety, or an intellectual impairment.

A doctor can also employ ADHD symptom checklists or behavioral rating scales as well as an interview to gather data on the severity of the symptoms. Psychological tests that measure working memory, executive functioning skills and visual and spatial reasoning are useful in identifying ADHD symptoms in adults. Based on the circumstances, doctors often ask for permission to contact people close to the person who could provide valuable insight and help. They might ask for the names and contact information of the spouse, parents, or siblings in order to interview them regarding the person's challenges at home and at work.

A physical examination is typically part of an ADHD assessment. It helps rule other conditions that may cause similar symptoms. In certain instances thyroid issues and seizures can be a cause of ADHD. The evaluator could also conduct a neurological exam to see whether there is any indication of damage or injury to the brain that would explain the symptoms. The evaluator could also suggest blood and urine tests to evaluate for the presence of other conditions that could interfere with treatment, like depression or alcohol and drug abuse.

Diagnosis

In determining ADHD, your doctor will look for symptoms that can be observed in various environments, such as at school, home or at work. The symptoms must last for a long time. The doctor will then determine how much your symptoms affect your daily life. 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 follow guidelines in the Diagnostic and Statistical Manual of Mental Disorders-Fifth Edition (DSM-V). They will evaluate the symptoms of your child and how they impact their lives. They might also conduct a clinical interview. The interview will cover your child's medical history, family history, and psychiatric background. They will also ask questions about the impact of your child's behavior on their daily mood, behaviors and productivity.

It is more difficult to identify adults. The DSM-V is designed to diagnose children. There is some debate about whether the criteria still apply in adulthood. To meet the criteria for a diagnosis, an adult must have 6 or more symptoms of inattentive ADHD or 7 or more symptoms of hyperactive-impulsive ADHD. They must have these symptoms for an extended period of time and Add diagnosis as an adult have them significantly interfere with their daily functioning at school, home, or work.

Apart from conducting a medical interview, your doctor might request other tests to determine the extent of your or the child's symptoms. This could include a blood test or an EEG. Other tests may help identify conditions that could be similar to depression or learning disabilities.

A request to your family doctor to recommend you to a specialist who will evaluate your ADHD or that of your child is an excellent place to begin. You can also contact your insurance provider to see whether there are specialists covered under your plan who specialize in ADHD evaluations for adults. You can also contact a local support group and ask for recommendations. You could also call a university-based hospital or a medical or graduate school to get a list of professionals who conduct ADHD evaluations.

Treatment

Symptoms of ADHD can lead to serious issues in work and school and affect relationships. Finding a diagnosis and taking medication can help improve performance and lessen symptoms. People suffering from ADHD might also have to adjust their lifestyle like altering their sleep schedules using daily planners, or increasing exercise.

A person with adhd who can diagnose should be evaluated by their primary healthcare provider or a mental health professional. In this in-person consultation the professional will discuss topics including development of the person's family and lifestyle, and current symptoms and problems. The practitioner will ask about the person's performance productivity, as well as if they are struggling with impulsive or focused actions. They will ask about the duration of the symptoms, their frequency, when and where they started, and how much distress they cause.

The evaluator is likely to be looking to speak to other people who are in the patient's life like parents, spouses, or siblings for adults, as well as teachers, coaches, daycare providers or friends for children. They can provide insights that questionnaires can't provide like the reasons why are so many adults being diagnosed with adhd a person might stop tasks halfway or forgets things and what types of circumstances trigger symptoms.

Many different behavioral therapies and medications are used to treat ADHD. Some medications include stimulants such as amphetamine, or nonstimulant drugs such as atomoxetine (Serenade) and dexamfetamine (Vyvanse). These drugs improve blood flow to the brain, reducing the impulsive behavior of people and enable them to pay more attention and follow directions. These drugs can be taken either orally or intravenously and generally are well-tolerated.

Alongside medication Therapy can help those with ADHD discover strategies to deal with their difficulties. Therapists can assist people in learning how to manage their lives, keep track of appointments and provide support and guidance when dealing with the effects ADHD symptoms can have on work and home life. Family therapy and marriage therapy is a great method to address the problems caused by ADHD in relationships. It can also teach coping skills and help resolve conflicts that might arise.

Medication

To diagnose ADHD, a health care professional must consider several factors. They will ask about your child's symptoms at home, at school and in other places. They may also use scales or questionnaires specifically designed for ADHD. They may also ask about the family history. They may also search for other conditions which could explain the symptoms such as mood disorders or learning disabilities. They will also assess how severe the symptoms are and if they interfere with your child's life.

There is no physical test to confirm ADHD. This includes blood tests and X-rays. To diagnose ADHD the healthcare provider for your child will be following the guidelines developed by the American Psychiatric Association. These guidelines are for children aged 4 to 18. Adults are more difficult to recognize. The symptoms of ADHD may change with time. People who have adhd symptoms for diagnosis can be diagnosed as predominately inattentive, predominately hyperactive-impulsive or a combination of the two.

To be diagnosed with ADHD, a child must have at least 6 of the symptoms that are listed in the guidelines for add diagnosis as an adult. The guidelines also state that the symptoms must be present for a minimum of 6 months. If your child is being evaluated for ADHD, they should be evaluated by someone who is familiar with them. Included in this are their teachers, coaches, religious leaders, and other caregivers. They should also be informed about how the symptoms affect their daily lives and how they compare to other children of their age.

The most common treatment for ADHD is medication. There are both stimulant and nonstimulant medications that can be prescribed to decrease ADHD symptoms. Stimulants, such as amphetamine and methylphenidate, are the most commonly prescribed. These drugs balance and increase levels of certain brain chemicals. Antipsychotics and atomoxetine are two drugs that treat ADHD. They are not as potent as stimulants, but they can be beneficial for those who are unable to use stimulants due to serious side effects or health issues. Medications can be used in conjunction with other treatments such as cognitive behavioral therapy.