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ADHD Evaluation - What Happens in the First Step?

A healthcare professional conducting an ADHD evaluation will ask you and people close to you -- such as your spouse, sibling or friend for adults -- about the symptoms. This may provide information that questionnaires are not able to provide.

Finding out if you have ADHD in adulthood can be a challenge because the diagnostic guidelines are geared toward children. It is crucial to find an ADHD professional who is willing to evaluate you.

Signs and symptoms

To conduct an ADHD assessment, the first step is for the patient to discuss openly and honestly about symptoms and how they affect his life. Adults might not want to admit they have trouble paying attention, following instructions or organizing tasks. However, getting an accurate diagnosis will help you control symptoms and live a happier life.

The examiner will inquire of the person about their medical history and personal life 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. The symptoms must have caused significant impairments in at minimum two crucial settings, such as work or school. The evaluator should also rule out any other conditions that can trigger similar symptoms to ADHD, such as anxiety, depression or intellectual disability.

A doctor can also employ ADHD symptom checklists or behavioral rating scales in conjunction with an interview to collect information about the severity of the symptoms. Psychological tests that assess executive functioning, spatial and visual reasoning, and working memory may help in identifying ADHD symptoms in adults. Doctors may ask for permission based on the circumstances to contact family members or friends who may offer valuable advice and support. For instance, they could ask for the names of parents, spouses, or siblings to talk with them about the individual's issues at home and at work.

A physical exam is usually part of an ADHD evaluation. It can help rule other disorders out that may cause similar symptoms. In certain instances thyroid issues and seizures can be a cause of ADHD. The evaluator may also conduct an examination of the neurological system to determine if there are symptoms of brain damage or injury which could cause the symptoms. The evaluator can also recommend urine and blood tests to determine if there is other conditions that could interfere with treatment. For example depression, depression, or alcohol or drug abuse.

Diagnosis

Your doctor will be able to examine symptoms that can be seen in different settings, like at work, at home, or school. The symptoms should also last for a long time. The doctor will evaluate how these symptoms impact your everyday 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.

Doctors utilize the Diagnostic Criteria For Adhd In Adults and Statistical Manual of Mental Disorders, Fifth Edition to determine if children have. They will evaluate the child's symptoms and how they impact their lives. They may also conduct an interview with a clinical psychologist. The interview will include a review of your child's medical family, psychiatric, and medical history. They will also ask you about how your child's behavior impacts their daily mood, behaviors, and productivity.

For adults, it's trickier to make a diagnosis. The DSM-V is designed to help diagnose children. There is some debate over whether the criteria are still applicable 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 long duration and affect daily functioning at school, work, or at home.

Besides conducting a clinical interview, your doctor may request additional tests to determine the extent of your your child's symptoms. This could include tests for blood or EEG test. Other tests can help identify a condition that is causing similar symptoms, for example, depression or learning disabilities.

Asking your family doctor to recommend you to a specialist who can assess your ADHD or the ADHD of your child is the best place to begin. You can also contact your insurance company to find out whether there are any specialists covered under your plan who specialize in ADHD evaluations for adults. Another option is to contact an organization that supports local residents and ask for suggestions. You can also call an academic medical center or university hospital to get the list of specialists who conduct ADHD assessments.

Treatment

ADHD symptoms can lead to serious problems at work or in school and may cause issues with relationships. Diagnosed with ADHD taking medication and enhancing your performance can reduce symptoms. Patients with ADHD may also need to adjust their lifestyle, such as changing their sleeping schedules, using daily planners, or increasing exercise.

A person suffering from ADHD must be assessed by their primary care physician or an expert in mental health. During the in-person consultation the practitioner will talk about topics such as development, family history, lifestyle and the current symptoms. The practitioner will ask about the person's performance productivity, as well as if they are having issues with impulsive or focus-focused actions. They will ask about the duration of the symptoms, when and where they began and the amount of distress they cause.

The evaluator will likely need to talk to other people in the life of the patient, like parents, spouses, or siblings for adults, as well as coaches, teachers, daycare providers or friends for children. These people can provide insights that questionnaires can't give, such as the fact that a person often forgets or stops work during the course of a task. They may also be able to reveal the triggers for symptoms.

Many behavioral therapies and medications are used to treat ADHD. Some medications include stimulants such as amphetamine as well as non-stimulant drugs like atomoxetine (Serenade) and dexamfetamine (Vyvanse). These drugs boost the flow of blood to the brain and suppress impulsive actions, allowing people to pay attention and follow directions. They can be administered by mouth or intravenously, and are usually well tolerated.

Alongside medication therapy can also help those with ADHD discover strategies to overcome their issues. Therapists can assist people in learning how to organize their lives, manage their appointments and provide support and guidance when dealing with the effects ADHD symptoms have on work and home life. Family and marriage therapy can help address problems caused by the disorder of relationships, as well as teaching how to handle conflict and disagreement that may occur in these situations.

Medication

In order for a health professional to diagnose ADHD the doctor must look at various aspects. They will ask about your child's symptoms at home, in school, and in other settings. They will also use questionnaires and scales that are specific to ADHD. They may also inquire about the family history. They may also search for other conditions which could be the cause of the symptoms, like learning disabilities and mood disorders. They will also evaluate the severity of the symptoms and whether they are affecting your child's daily life.

There is no physical test that can diagnose ADHD. This includes X-rays and blood tests. To determine if you have ADHD the healthcare provider for your child will be following the guidelines developed by the American Psychiatric Association. These guidelines were designed for children between 4 and 18 years of age. Adults are more difficult to identify. This is because the symptoms may 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 at least 6 of the symptoms as described in the guidelines for diagnosis. The guidelines also state that the symptoms must have been present for at least six months. If your child is being evaluated for ADHD It is crucial that someone who is familiar with them interviews them. This includes their teachers as well as coaches, religious leaders, and other caregivers. It is also important to inquire what their symptoms impact their daily life and how they perform to other children their age.

Medication is the most popular form of treatment for ADHD. There are stimulant and non-stimulant medications that are prescribed to treat ADHD symptoms. Stimulants, such as amphetamine and methylphenidate are the most frequently prescribed. These drugs aid in boosting and balance levels of specific brain chemicals. Antipsychotics and atomoxetine are two drugs that treat ADHD. They work slower than stimulants, however they can be beneficial for people who are unable to use stimulant medications due to health problems or severe side effects. The use of medications can be in combination with other treatments, such as cognitive behavioral therapy.