ADHD Evaluation - What Happens in the First Step?
A healthcare professional who's evaluating ADHD will ask you and those closest to you (your spouse or sibling in the case of an adult- about your symptoms. This can provide insight that questionnaires are not able to provide.
It's more difficult to determine ADHD in adults, because the guidelines for diagnosis are designed for children. It is important to find a specialist with the field who takes their time in evaluating your case.
Signs and symptoms
For an ADHD assessment, the first step is to have the patient be honest and open about his symptoms and how they impact his life. Some adults are reluctant to admit that they are having trouble paying attention to directions, or organising tasks, but obtaining an accurate diagnosis is the best method to take control of the symptoms and live a happier and healthier lives.
The evaluator will ask the person to tell them about their personal and medical history from childhood up to now. The evaluator will also go over the American Psychiatric Association's clinical guidelines for the condition 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 impairment in at minimum two major situations, like school or at work. The examiner should also rule out other disorders that can trigger similar symptoms as ADHD like anxiety, depression or intellectual disabilities.
In addition to an interview, a doctor might employ behavioral rating scales or ADHD symptoms checklists to gather information regarding the severity of symptoms. Psychological tests that measure working memory, executive functioning skills and visual and spatial reasoning can be helpful in identifying ADHD symptoms in adults. Depending on the situation doctors will often request permission to speak with people close to the person who can provide valuable insight and help. For instance, they could request the names of parents, spouses or siblings to speak with them about the person's struggles at home and at work.
A physical exam is often part of an ADHD evaluation, as it can help rule out other disorders that can cause similar symptoms. For instance, thyroid issues and seizures can trigger symptoms that resemble like ADHD. The evaluator could also perform a neurological examination to determine if there are any symptoms of brain damage or injury that could be the cause of the symptoms. The evaluator could also recommend blood and urinary tests to determine if there are any other conditions that might affect treatment. For instance depression, depression, or alcohol or drug abuse.
Diagnosis
When diagnosing ADHD, your doctor will look for signs that can be observed in various settings, like at school, home or at work. They should be present for a long amount of time. https://www.iampsychiatry.com/private-adhd-assessment will determine how much 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.
To diagnose children, doctors follow guidelines from the Diagnostic and Statistical Manual of Mental Disorders - Fifth Edition (DSM-V). They will assess the child's symptoms and how they impact their lives. They may also conduct an interview for a clinical nature. The interview will include an overview of your child's medical family, psychiatric, or medical history. They will also inquire about how your child's behavior impacts their mood, behavior and productivity.
For adults, it's difficult to determine a diagnosis. The DSM-V is designed to diagnose children. There is some debate as to 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 time and must interfere with the daily activities at school, work or at home.
Your doctor may also order other tests in addition an interview with you to determine the nature and severity of your symptoms or that of your child. This could include a blood test or an EEG. Other tests can help identify the cause of similar symptoms, such as depression or learning disabilities.
To find an expert to evaluate your your child's ADHD, you can start by asking your doctor for a referral. 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. You can also reach out to an organization in your area and request recommendations. You can also call an academic medical center or university hospital to obtain a list of professionals that provide ADHD assessments.
Treatment
The symptoms of ADHD can cause serious problems at school and at work and can affect relationships. Getting a diagnosis and taking medication can improve functioning and decrease symptoms. People suffering from ADHD may also need to adjust their lifestyle like altering their sleep schedules using daily planners or increasing exercise.
A person suffering from ADHD should consult with the primary care physician, an expert in mental health or both for an assessment. In this in-person consultation the professional will discuss topics including development as well as family and lifestyle history as well as current symptoms and issues. The practitioner will ask about the person's performance productivity, as well as if they are struggling with impulsive or focused actions. They will inquire about the duration of the symptoms, when and where they began and the amount of distress they cause.
The evaluator may be looking to speak to other people in the patient's life, like parents, spouses, or siblings for adults as well as coaches, teachers, daycare providers or friends for children. These people often provide insight that questionnaires can't provide for example, the reasons why a person might stop tasks mid-way or forgets things, or what circumstances trigger symptoms.
ADHD is treated using the use of a variety of treatments and medications. The medications may include stimulants such as amphetamine or nonstimulant drugs such as atomoxetine (Serenade) and dexamfetamine (Vyvanse). These drugs increase blood flow to the brain and suppress actions that are impulsive, allowing people to be attentive and follow instructions. They can be administered either orally or intravenously and are generally well-tolerated.
Therapy can help people with ADHD come up with strategies to overcome the challenges they encounter. Therapists can help people learn how to manage their lives, keep track of appointments, and offer support and guidance when dealing with the effect ADHD symptoms can have on work and family life. Family therapy and marriage therapy is a fantastic way to tackle the issues caused by ADHD in relationships. It can also teach strategies for dealing with stress and assist in resolving conflicts that might occur.
Medication
To diagnose ADHD A health care professional must consider many factors. They will ask your child about his or her symptoms at school, home and other places. They will also use scales or questionnaires that are specific for ADHD. They may also ask about the family history. They will also look for other conditions that could be the cause of the symptoms, like mood disorders and learning disabilities. They will also determine the severity of the symptoms and if they are affecting your child's daily life.
There is no physical test that can confirm ADHD. This includes X-rays and blood tests. The healthcare provider for your child follows guidelines set by the American Psychiatric Association to diagnose ADHD. These guidelines are intended for children aged between 4 and 18. Adults are more difficult to diagnose. The symptoms of ADHD may change as time passes. People who have ADHD can be diagnosed as predominately inattentive, predominately hyperactive-impulsive or a combination of the two.
To be diagnosed with ADHD the child must have more than 6 symptoms that are listed in the diagnostic guidelines. The guidelines also state the symptoms must be present for a minimum of six months. If your child is being evaluated for ADHD, it's important that someone familiar with them interviews them. Included in this are their teachers, coaches, religious leaders, and other caregivers. They should also be informed about the effects of their symptoms on their daily lives and how they compare to other children of their age.
Medication is the most popular form of treatment for ADHD. Both nonstimulant and stimulant medications can be prescribed to treat ADHD. The most commonly prescribed stimulants are amphetamine, methylphenidate, and other stimulants. These drugs balance and increase levels of certain brain chemical. Antipsychotics and Atomoxetine are medications that can help treat ADHD. They work slower than stimulants, but they can be helpful for people who are unable to use stimulant drugs due to health issues or severe adverse effects. Medications can be used in conjunction with other treatments, such as cognitive behavioral therapy.