Adult Diagnosis of ADHD
For adults who struggle with ADHD, a diagnosis can be life-changing. It can help people to discover the reason for their struggles at work, with their families and in their relationships.
It can be difficult to diagnose because symptoms often overlap. A mental health specialist or health care professional will evaluate the individual and conduct tests.
Symptoms
It is possible that a person does not realize they have ADHD until they reach the age of adulthood. This could be due to teachers and parents failed to detect the signs at an earlier time or due to the demands of college or work brought out the disorder. Adults with ADHD who are not treated are affected in their academic, social and work lives. Many people who have not been diagnosed with ADHD have a range of issues, including relationship issues and financial difficulties.
A mental health professional will interview and review the patient's medical, psychiatric and personal history, paying special attention to the symptoms in different settings. The patient will be asked to describe how these symptoms impact his or her daily functioning and relationships. It is crucial that the patient be honest about these symptoms and not hold back due to feelings of embarrassment or shame.
The mental health professional must also determine if these symptoms are connected to comorbid conditions such as anxiety and depression, which often coexist with ADHD. These conditions typically make the symptoms of ADHD worse, and they can also hinder effective treatment for the disorder.
If the psychologist or psychiatrist feels that the symptoms of ADHD are influenced by comorbid conditions, additional cognitive, neuropsychological, or learning disabilities tests could be utilized to establish an accurate diagnosis. These tests can also be used to determine the extent of impairment to function that these conditions cause. The mental health professional may also conduct interviews with others who are significant, such as spouses or siblings to get a complete picture of how the person is performing.
Diagnosis
Adults are diagnosed with ADHD by a mental health specialist or physician following a thorough examination. This involves a thorough discussion of the symptoms and how they affect the daily activities. It also considers the presence of other mental disorders that may co-exist alongside ADHD, such depression and anxiety. The doctor might also ask to speak with significant others like the spouse or a close family friend to collect more information.
Finding a reliable diagnosis of ADHD in adulthood can be a life-changing moment. For many adults, the diagnosis finally provides an explanation for what has always seemed to be "normal" behavior. It's often a relief learn that their problems aren't simply due to lazyness or forgetfulness.
The American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, Fifth edition (DSM-5) requires that adults meet specific criteria for symptoms of inattention and hyperactivity-impulsivity. This standard is designed to ensure that individuals receive the help and treatment they require. To be eligible for an ADHD diagnoses the person must be suffering from symptoms for at minimum a year and be a significant handicap in multiple settings, such as home, school or at work with family members or friends or other activities. The number of symptoms that are required for adults older than 17 has been reduced from six to five.
Having a good relationship with your primary care provider can be beneficial in identifying ADHD. Many doctors regularly diagnose and treat ADHD in children. They may refer you to an expert in mental health who is able to perform an evaluation in adults.
Treatment
If people suffering from ADHD are diagnosed their lives can alter drastically. They may finally discover solutions to their problems at the classroom, as well as in establishing a career, or in relationships. A diagnosis can relieve shame that has been accumulating for some people throughout their lives.
The first step in getting an diagnosis is speaking to a health care provider or mental health professional. They can ask questions about family history and do an examination to rule out any conditions that can cause symptoms that are similar to ADHD, such as sleep disorders, learning disabilities or alcohol/drug use. They can also request the person to complete a checklist of symptoms.
During the assessment process, a doctor may ask to speak with the spouse or partner. This helps the non-ADHD spouse or partner develop an accurate understanding and empathetic attitude toward their loved one's ADHD symptoms which is crucial in improving relationships after the diagnosis. If this is not possible the clinician may interview colleagues or friends who are familiar with the person.
Adults suffering from ADHD are treated primarily with medication. Stimulants such as methylphenidate (Ritalin(r)) and dextroamphetamine (Adderall(r)) are the most effective and commonly used medications to treat adult ADHD. Other medications, such as Atomoxetine (Strattera(r)) and guanfacine (Intuniv(r), Tenex(r)) increase the amount of norepinephrine found in the brain, and can help improve symptoms of ADHD.
Psychotherapy is also an alternative. Cognitive-behavioral therapy can teach patients techniques for managing their ADHD symptoms, including time management and self-regulation of behavior and emotions, and coping with self-criticism and negative feelings. Other therapies, like Acceptance and Commitment Therapy (ACT), help adults recognize the automatic thoughts or irrational thoughts that cause negative behavior, and also develop positive self-talk.
Medication
Many people have found that ADHD medication helps to alleviate their symptoms. The medication is usually in the form a stimulant, and it is effective by increasing brain activity in areas that regulate behaviour and attention. Methylphenidate is the most commonly used medication for adults with ADHD, and it is available in a variety of forms. It can be taken as immediate-release tablets, or as modified-release tablets that release the medication throughout the day. Clonidine is another kind of medication is a drug that works by reducing brain activity and can be taken in pill form or liquid.
The therapist or psychiatrist will review the medical and family background of the adult patient in order to determine factors that could cause similar symptoms. This is crucial as certain medical conditions such as thyroid problems and seizures can trigger symptoms similar to ADHD. Some medications and dietary supplement may also cause similar symptoms.
During the evaluation the individual will likely to talk about the ADHD symptoms. They will be asked to fill in the standardized ADHD rating scales and check lists, as well as full psychological tests that assess executive functioning, working memory, (abilities like making decisions and planning), visual and spatial capabilities, as well as reasoning skills.
If the therapist believes ADHD symptoms affect the quality of life of a person, he or she will recommend treatment. In https://www.iampsychiatry.com/private-adhd-assessment , a therapist may ask the spouse or partner of the patient to talk with them about the impact of their ADHD symptoms on their relationship. This step can help to reduce blame between people and can lead to healthier, more productive relationships.
Counseling
Receiving a diagnosis is a huge relief for many adults suffering from ADHD. It allows them to recognize the reason for their issues at school or at work and to discover ways to overcome these issues. It's also an opportunity to change negative behaviors and build confidence in themselves.
A solid support system is essential for success and counseling can be a great help. Counseling for ADHD can include psychotherapy (or psychological therapy) and a variety behavioral treatments. For example the therapist could create a reward chart which rewards positive behavior and enforces consequences for bad behavior. The therapist could also guide the patient in skills to manage their symptoms, such as relaxation techniques such as deep breathing or meditative yoga postures.
Counseling can help people accept and comprehend their ADHD. It can be difficult to admit you have trouble with paying attention or planning and organizing. It is embarrassing to admit that you have ADHD to your supervisors or coworkers. However, the majority of bosses and teachers will be willing to make accommodations for your situation. For instance, they could permit you to use a computer for writing assignments instead of writing on paper and give more in-depth explanations of classroom material.
In addition, the therapist can help you cope with your ADHD through cognitive behavioral therapy which is a type of therapy that helps to change negative thoughts and behavior into positive ones. Counseling for ADHD may also include marital or family therapy. This helps loved ones learn to better communicate and solve problems with someone who has ADHD. People who suffer from ADHD frequently suffer from mental health disorders like anxiety or depression and may struggle with substance misuse, which can also make their symptoms worse.