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ADHD Evaluations and Diagnoses

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

The specialist will conduct an organized interview to review your past. They may ask to see old reports and talk to family members, teachers or friends to learn about your childhood behavior.

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 interfere with learning and relationships at school, home and at work. Consult your GP in the event that you or your child is showing these signs. They are not able to diagnose ADHD in a formal way, but they can discuss your concerns and recommend you to specialists if needed.

A GP can help you determine if your symptoms are related to ADHD by asking questions, looking over your medical and health records, and performing physical examination. You may also provide the background of ADHD in your family to aid in the diagnosis. The GP will then refer you to a psychologist or psychiatrist to conduct a psychiatric examination. The evaluation could include a description of your symptoms as well as questionnaires and scales filled out by your caregivers, you and teachers, a psychiatric history and physical exam and lab tests.

Psychologists and psychiatrists are able to diagnose ADHD in children and adolescents with the help of established guidelines from the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. They look for hyperactivity, inattention and impulsivity patterns that last for at least six months, and evaluate whether these symptoms interfere with your life, at home, at work, and in school.

Adults can be diagnosed with ADHD however their symptoms are likely to manifest differently as they age. They can have a predominantly inattentive presentation of the disorder, a predominantly hyperactive/impulsive presentation or a combination of both.

If you meet the criteria for diagnosis and your symptoms are adult-specific You may be prescribed medication. Psychostimulants, which affect neurotransmitters in the brain, are typically prescribed to treat ADHD in adults. These medications improve concentration and focus, as well as increasing alertness and energy. They can be prescribed in extended-release forms to lessen the risk of adverse effects. Adults with inattentive ADHD might be treated with antidepressants. These medications, including Wellbutrin (bupropion) and Effexor (venlafaxine) alter neurotransmitters in the brain and improve focus and mood.

Diagnosis

A diagnosis of ADHD can help you take control of the symptoms that could affect your personal and professional life. A licensed mental health professional (psychiatrists or neurologists, as well as family physicians) can conduct a psychiatric evaluation. A person who is diagnosed with an underlying symptom-based diagnosis like ADHD must adhere to 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 an ADHD assessment Your healthcare provider will ask questions about your child's behavior at home, school and social settings. They will also review your child's developmental, medical and family history. They will then assess your child's behavior to the behaviors of other children who are of similar age. They may use standardized ratings scales to measure the frequency of certain behavior issues, such as the inability to pay attention, forgetting about things, or interrupting other people.

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 occur in two or more settings that affect your child's behavior and cause problems and be present for at least six months.

If your child does not meet the criteria to qualify for a diagnosis of inattentive ADHD Your healthcare provider will assign them an 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 may include tests for psychological and cognitive abilities that are computer-based and psychological and neuropsychological testing. Your healthcare provider will also assess your child's blood pressure, and perform an examination to rule out any medical conditions that may mimic ADHD symptoms like thyroid disorders or head injuries (Austerman 2015). They might also request a detailed history of the problem from parents and teachers and conduct a thorough interview with your child as well as family members. They will also consider whether there is any history of ADHD in the family, as it is highly genetically inherited.

Treatment

If a person has been diagnosed as having ADHD it is possible that they will require treatment or medication for their behavior. Behavioral therapy includes family and individual counseling, as well as group therapy such as dialectical behavior therapy and cognitive therapy. The first step to get treatment is to locate an specialist in the field of diagnosing ADHD who is covered by your insurance. Start by contacting your insurance company or a local mental health support group like the National Alliance on Mental Illness (NAMI) or CHADD to find professionals who specialize in ADHD in your area. Certain doctors utilize computer programs, such as continuous tests for performance, to look for attention and impulsivity problems. Others use brain scans, like single-photon emission computed tomography (SPECT), to look for signs of abnormalities. Experts agree that the interview with the patient is the most important component of an evaluation.

During the interview, the therapist will go over the symptoms that led to the appointment. The clinician may also request someone 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 clinician will prepare the report, and then discuss the results with the patient.

It is essential to remember that the diagnosis of ADHD is based on the degree to which the symptoms impact the person's daily life. The symptoms have to be significant in two major settings such as at work and at home. In order for ADHD to be diagnosed the condition must have been present at minimum six months.

During the interview, the doctor will discuss with the patient their medical and psychiatric history and determine if they satisfy the diagnostic criteria laid out by the American Psychiatric Association's 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 or omissions, difficulty staying focused on work or other activities, and difficulty listening to someone when they speak.

Prevention

Often, people with inattentive ADHD symptoms don't get diagnosed. They're not as disruptive or as impulsive as hyperactive ADHD and are often dismissed. But their problems do have consequences: they could underperform at school, clash with classmates or find it difficult to find an occupation. They must be treated as well.

Attention deficit hyperactivity disorder is the official term used to describe the condition. The term ADD may still be occasionally used but it's not the most common. The newer definition takes into account that children can have symptoms of inattention.

There are some differences in the way the disorder is exhibited by boys and girls. 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 will go undiagnosed and receive less treatment.

A reliable diagnosis requires a thorough evaluation by a medical professional. This involves an examination of the medical history along with a medical interview and a physical exam. It is also a matter of reviewing reports from teachers parents, teachers or other people who know the patient well as well as standard rating scales completed by loved ones and educators. These are useful in determining whether the symptoms are serious enough to affect functioning.





A thorough examination is essential to determine if symptoms are caused by another medical or psychiatric condition such as anxiety or depression. In some instances treating these other disorders will help relieve or eliminate the ADHD symptoms.

People who are who have been diagnosed with the disorder should be aware of the potential side effects and treatment. They should also stay in contact with their physician to make sure that the medication is functioning exactly as it should.

The most common treatment for inattentive ADHD is stimulant medications which can help improve concentration and decrease impulsive behavior. Adults and children with ADHD with inattentiveness may benefit from other treatment options like cognitive behavior therapy or parent training. It is essential to remind people who are prescribed ADHD medication to visit their doctor on a regular basis, as some patients may require adjustments in dosages or alternative treatment options.