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ADHD Evaluations and Diagnoses

The first step in managing symptoms is to receive a diagnosis. Find an accredited mental health professional or physician (psychiatrist or neurologist, family doctor) who is skilled in ADHD evaluations and diagnoses.

The specialist will conduct an interview structured to examine your past. They may want to see old report cards and speak to family members, teachers or classmates about childhood behaviors.

Symptoms

Children and adults who have symptoms of attention-deficit/hyperactivity disorder (ADHD) often have trouble with paying close attention, listening attentively and following directions--things that come naturally to others. These symptoms can also cause problems with relationships and learning at school, at home and at work. If you or your child is suffering from these symptoms, speak to an GP. They cannot diagnose ADHD formally, but can discuss your concerns and recommend you to specialists when needed.

A GP can help you determine whether your symptoms are related to ADHD by asking questions, reviewing your medical and health records and completing physical examination. You may also mention your family's history of ADHD to aid in determining the cause. The GP will then refer you to a psychologist or psychiatrist to complete a psychiatric evaluation. The evaluation may include an explanation of your symptoms as well as questionnaires and scales filled out by your caregivers, you and teachers along with a psychiatric assessment, physical exam and lab tests.

Psychologists and psychiatrists can diagnose ADHD in adolescents and children by using established guidelines from the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders Fifth Edition. This includes looking for patterns of inattention or hyperactivity that lasts for a period of six months or more and determining whether these symptoms have a significant impact on your life at home, work and school.

Adults may be diagnosed with ADHD in the same way but their symptoms tend to manifest differently as they get older. They can have a predominantly inattentive presentation of the disorder, a predominantly hyperactive/impulsive presentation or a combination of both.

If you meet the requirements for diagnosis and your symptoms are specific to adults You may be prescribed medication. Adults suffering from ADHD are often prescribed psychostimulants that affect neurotransmitters. These medications help improve concentration and focus, while improving alertness and energy. These medications can be administered in extended-release form to reduce the risk of adverse effects. Adults with inattention ADHD can be treated with antidepressants. These drugs, like Wellbutrin and Effexor, affect neurotransmitters and can improve mood and concentration.

Diagnosis

Being diagnosed with ADHD is the first step in controlling the symptoms that could be affecting your life both personally and professionally. A licensed mental health professional (psychiatrists or neurologists, as well as family physicians) can conduct a psychiatric examination. A person who is diagnosed with a diagnosis based on symptoms, such as ADHD must follow certain guidelines set forth in the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders Fifth Edition, to receive treatment for ADHD.

During the ADHD evaluation, you'll be asked questions about your child's behavior at home, in school and in social settings. They will also review your child's development, medical and family history. Then, they will evaluate your child's behavior against those of children who are his age. They could use standardized rating scales that measure the frequency of certain behavioral problems such as difficulty paying attention, ignoring things and interrupting others.

There are three presentations of ADHD - predominately inattentive, hyperactive-impulsive and combined. To be diagnosed with ADHD, your child must meet six of the nine symptoms that fall under either the inattentive or the hyperactive-impulsive categories. They must be present in at least two different settings and make your child perform poorly, and last for six months.

If your child doesn't meet the criteria for an inattentive ADHD diagnosis, your healthcare provider may diagnose them with unspecified ADHD. They might also decide that your child does not have a hyperactive-impulsive presentation of the condition and not give them an official ADHD diagnosis.

A complete psychiatric examination can include computer-based cognitive and psychological tests as well as psychological and neuropsychological tests. Your healthcare provider will perform a physical examination and assess your child's heart rate to eliminate medical issues like thyroid disorders and head injuries that may be similar to ADHD symptoms. They can also ask teachers and caregivers to provide a full history and conduct a thorough interview with your child as well as your family. They will consider whether there is an ancestral history of ADHD, as the condition is highly genetically inherited.

Treatment

If a person has been diagnosed with ADHD, he or she might require medication and/or therapy for behavioral issues. Behavioral therapy may include individual and family counseling as well as group therapy such as dialectical behavior therapy and cognitive therapy. The first step to receive treatment is to find an specialist in diagnosing ADHD who is covered by your insurance. Start by contacting your insurance company or your local mental health support group, such as the National Alliance on Mental Illness or CHADD for the names of professionals in your area who specialize in ADHD. Some doctors use computer-based tests, like continuous performance tests, to check for issues with impulse control and attention. Others utilize brain scans, like single-photon emission computed tomography (SPECT) to search for abnormalities. But experts agree that the most important element of an examination is an interview with the patient.

During an interview, the doctor will discuss the symptoms that prompted the appointment. The doctor might also ask anyone who is familiar with the patient, such as their spouse, parent or sibling, for information. The clinician will also talk to teachers or coaches, nannies, and other adults who spend considerable time with the patient. It is a long process that can take up to an hour. The physician will then write a report and discuss the results of the examination with the patient.

It is essential to remember that a diagnosis of ADHD will depend on the extent to which the symptoms impact the person's everyday life. This means that the individual's symptoms must cause significant impairment in at least two major settings, such as the workplace and at home. The impairment must have been present for at least six months in order to be considered an appropriate diagnosis of ADHD.

During the interview, the doctor will discuss the person's medical and mental health history and determine if the person meets the diagnostic criteria set by the American Psychiatric Association in the Diagnostic and Statistical Manual of Mental Disorders Fifth Edition Text Revision (DSM-5). A valid diagnosis of ADHD requires at least three of the following five symptoms that include difficulty paying attention to particulars, making mistakes, difficulty staying focused on work or other activities, and difficulty listening to someone when they speak.

Prevention

People with inattentive ADHD are typically not diagnosed. They aren't as disruptive or impulsive as those with hyperactive ADHD and are often dismissed. But their problems do result in consequences: they might not perform well at school, get into trouble with peers or find it difficult to hold their job. They must be treated as well.

The term ADD is still used occasionally however the latest version of the Diagnostic and Statistical Manual of Mental Disorders (DSM) defines the condition as an attention deficit hyperactivity disorder. The newer name is based on the fact that children may only suffer from inattentive symptom.

While many of the symptoms are present in all cases, there are some variations in the way that the disorder manifests itself between girls and boys. Girls and children assigned female at birth (AFAB) tend to show more inattentive symptoms, which are less noticeable, than the hyperactive/impulsive symptoms. This increases the likelihood that they go undiagnosed and receive less treatment.

A thorough evaluation by a healthcare professional is essential to arrive at an accurate diagnosis. This may include an assessment of medical history , a clinical interview, and a physical exam. It involves examining reports from teachers, parents or other adults with an knowledge of the individual, as well as normative rating scales that are completed by loved ones as well as teachers. These can be helpful in determining if the symptoms are present in a way that they affect the way you function.





A thorough examination is important to determine if the symptoms are caused by a different psychiatric or medical condition like anxiety or depression. In some cases treatment of other disorders can aid in reducing or eliminating ADHD symptoms.

People who have been diagnosed with the disorder must be aware of what to expect from the treatment they receive and potential side effects. They should also stay in contact with their doctor or nurse to ensure that the medication is working in the way they should.

Stimulant drugs are the most commonly used treatment of inattentive ADHD. They can help improve concentration and reduce impulsive behavior. Adults and children with ADHD with inattentiveness may benefit from other treatment options like cognitive behavior therapy or parent training. Those who are prescribed ADHD medications should also be advised to seek regular checks with their healthcare providers since some patients may require adjustments in dosage or other treatment options.