Blog entry by Kerstin Pruett

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ADHD Evaluation - What Happens in the First Step?

A healthcare professional evaluating ADHD will ask you, and those closest to you (your spouse or sibling if you're an adult -about your symptoms. This may provide information that questionnaires can't.

top-doctors-logo.pngIt is more difficult to determine ADHD in adults, since diagnostic guidelines are designed for children. It is crucial to find an ADHD specialist who will take the time to evaluate you.

Signs and symptoms

For an ADHD evaluation, the first step is to have the patient talk openly and honestly about the symptoms and how they impact his life. Some adults are reluctant to admit that they struggle with paying attention, following directions or organizing tasks, but getting diagnosed with adhd as an adult an accurate diagnosis is the best way to gain control of symptoms and live an enjoyable life.

The evaluator will ask the person to provide details about their medical and personal history from childhood to the present. 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. Symptoms must have caused significant impairment in at minimum two major situations, like school or work. Additionally, the examiner must rule out any other conditions that can cause similar symptoms to ADHD like anxiety, depression or an intellectual impairment.

A doctor may also use ADHD symptom checklists or behavioral rating scales in conjunction with an interview to gather information about the severity of symptoms. Psychological tests that assess working memory, executive functioning abilities, and spatial and visual reasoning can be useful in identifying ADHD symptoms in adults. Doctors may request permission depending on the situation to contact family members or friends who can provide valuable information and help. For example, they might request the names of parents, spouses or siblings to speak with them about the person's problems at home and at work.

A physical exam is usually part of an ADHD evaluation, as it can help identify other disorders that may cause similar symptoms. In some cases thyroid issues and seizures can mimic symptoms of ADHD. The evaluator may also conduct a neurological examination to see whether there is any evidence of damage or injury to the brain that would explain the symptoms. The evaluator may also recommend blood and urine tests to determine the presence of other medical conditions that may hinder treatment, like depression or alcohol and substance abuse.

Diagnosis

Your doctor will be able to examine symptoms that can be seen in different settings, like at work, at home or at school. The symptoms must also persist for a prolonged period of time. The doctor will then determine how much your symptoms impact your everyday activities. 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 must follow guidelines from the Diagnostic and Statistical Manual of Mental Disorders - Fifth Edition (DSM-V). They will examine the symptoms of your child and how they affect their lives. They may also conduct a clinical interview. The interview will include your child's medical background, family history and psychiatric history. You will be asked about your child's daily mood and behavior, as well as productivity.

It is more difficult to identify adults. The DSM-V is designed to help diagnose children. There is some debate over 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. These symptoms must be present for a prolonged duration and affect daily functioning at school, work, or at home.

In addition to conducting a clinical interview, your doctor may request other tests to determine the extent of your your child's symptoms. This could include the blood test or an EEG test. Other tests can help to determine if a condition is similar to learning disabilities or depressive disorders.

A request to your family doctor to refer you to an expert who can assess your ADHD or the ADHD of your child is an excellent place to begin. You can also reach out to your insurance provider to inquire if experts who specialize in ADHD assessments for adults are covered by your plan. Another option is to contact an organization that supports local residents and request suggestions. You could also call a university-based hospital or a medical or graduate school for a list of professionals who conduct ADHD assessments.

Treatment

Symptoms of ADHD can cause serious problems in work and school, and interfere with relationships. getting diagnosed with adhd a diagnosis and taking medication can improve performance and lessen symptoms. People with ADHD may also have to make lifestyle changes, such as adjusting the time of their sleep, using a daily planner or increasing exercise.

A person suffering from ADHD must be assessed by their primary care physician or an expert in mental health. In this interview the professional will discuss topics including development of the person's family and lifestyle and present symptoms and issues. The doctor will ask questions about the person's performance, behavior, and productivity, and if they have issues with impulsive actions or focus. They will be interested in finding out how the symptoms have lasted on, when and where they started and how much distress or problems they cause.

The evaluator will likely need to talk to other people who are in the patient's life for example, parents, spouses or siblings for adults, as well as coaches, teachers, daycare providers or friends for children. They can provide information that questionnaires cannot give, such as the fact that the person frequently forgets or stops tasks during the course of a task. They may also be able to reveal the triggers for symptoms.

ADHD is treated using the use of a variety of behavioral therapies and drugs. The medication may contain stimulants like amphetamine or nonstimulant medicines such as dexamfetamine and atomoxetine. These drugs increase blood flow to the brain and decrease the impulse to act that allow people to pay attention and follow directions. They can be administered by mouth or intravenously, and are generally well-tolerated.

In addition to medications Therapy can help those with ADHD develop strategies to compensate for their difficulties. Therapists can help people learn how to organize their lives, track their appointments, and provide assistance and guidance in dealing with the impact ADHD symptoms have on work and home life. Marriage and family therapy is a great way to tackle the issues caused by ADHD in relationships. It can also teach coping skills and help resolve conflict that may arise.

Medication

To determine if your child has ADHD the medical professional needs to consider various factors. They will inquire with your child about their symptoms at school, at home and in other locations. They may also use questionnaires and scales specifically designed for ADHD. They may also inquire about the family history. They will also look for other conditions that may cause the symptoms, like mood disorders or learning disabilities. They will also determine the severity of the symptoms and if they interfere with your child's life.

There is no physical test to determine ADHD. This includes blood tests and X-rays. To diagnose ADHD, your child's healthcare provider will adhere to the guidelines developed by the American Psychiatric Association. These guidelines are for children between the ages of 4 and 18. Adults are more difficult to recognize. This is due to the fact that a person's symptoms can change over 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 display 6 or more of the symptoms that why are so many adults being diagnosed with adhd listed in the guidelines for diagnosis. The guidelines also stipulate that the symptoms must be present for a minimum of 6 months. If your child is being diagnosed with adhd in adulthood diagnosed with adhd as an adult; experienced, evaluated for ADHD the child should be questioned by a person who knows them well. This includes their teachers and religious leaders, coaches and other caregivers. They should also be questioned about the effects of their symptoms on their daily lives and how they compare to other children their age.

The most commonly used medication is a method of treating ADHD. There are stimulant as well as non-stimulant medications that are prescribed to decrease ADHD symptoms. The most common stimulants prescribed are amphetamine, methylphenidate, and other stimulants. These drugs balance and increase levels of certain brain chemicals. Antipsychotics and Atomoxetine are medications that can help treat ADHD. They are less effective than stimulants, but they can be helpful for people who cannot take stimulant medication because of health issues or serious side effects. These medications can be utilized in conjunction with other treatments like cognitive behavioral therapy.