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ADHD Diagnosing
It can be tempting not to seek a diagnosis for you or your child. A professional evaluation can aid in determining the extent of the symptoms and pinpoint their cause.
Your provider will use standardized ADHD ratings scales to review your history. They'll also conduct interviews with you and those in your life -- such as your spouse, family members or friends to get a personal perspective that self-tests or checklists can't provide.
Symptoms
If you suspect your child might have ADHD Get an appointment with your health medical professional. He could refer you to more detailed testing or an evaluation to a specialist, such as a pediatrician or psychiatrist. Bring the school records with you to your appointment as the doctor will want to see how your child's performance compares to his peers with similar age. The provider will employ standard ratings scales to determine the severity of symptoms and how long they've been present.
A thorough assessment will examine your child's growth, family history of mental health issues and medical history. getting a adhd diagnosis will also speak to you and other important adults in your child's life, like coaches or teachers. Discuss any issues you've noticed in your child's behavior, such as difficulties with homework or failure to finish tasks at school or at home.
It's common for kids and teens to have short attention spans and lose focus during games or activities. However if your child appears to be prone to forgetting things or is unable to follow instructions, or makes mistakes when it comes to homework, chores or schoolwork, it could be an indication of ADHD.
Hyperactivity is also an indication of ADHD. It's not unusual for children to fidget and move around during class or playing with their friends. At home, they might climb or run in inappropriate places or struggle to sit for a long period of period of time. They may mutter answers or interrupt conversations, and they're not able to wait their turn.
Inattentional ADHD can be mistaken for daydreaming among adults who don't show signs of hyperactivity. Adults with this form of the disorder often don't meet symptom criteria for either the hyperactive/impulsive or combined type of ADHD, so providers assign an unspecified diagnosis.
Diagnosis
ADHD symptoms can affect the ability of a person to perform in everyday life, whether at school, work, or home. They can also cause issues with relationships and socialization. Many people who experience these symptoms are unaware that they may have an identifiable disorder and may not seek treatment. Screening for ADHD can reveal the problem and allow a doctor to suggest treatment options.
Screening for ADHD involves a medical exam and a thorough interview with the patient, and several other tests and questionnaires. The screening is conducted by a psychologist, psychiatrist or psychotherapist, or a neuroologist or physician who is experienced in diagnosing ADHD. If you suspect that your child has ADHD discuss it with your GP who will refer them to an assessment by a specialist.
The healthcare provider will examine the patient's symptoms and history and any previous treatment. They will then perform physical examinations, hearing and vision screenings, and determine if there are any medical conditions that could be the cause of the patient's symptoms. They will make use of a mix of ADHD symptoms checklists and standardized behavioral rating scales as well conducting a thorough interview. The patient will be asked about their history of symptoms and how they impact their lives at home, at school, and at work. The patient will be asked for details from family members and friends.
A doctor can diagnose ADHD in children if they observe at least six symptoms of inattention, and/or at least five indicators of impulsivity or hyperactivity listed in the diagnostic criteria of ADHD. These symptoms must be present for at least six months. They must be visible in at least two places such as home, school or workplace, and exhibit significant impairment. The symptoms cannot be caused by any other mental health disorders or physical ailments.
Adults are more difficult to recognize as having ADHD, as the ADHD diagnostic tools that are utilized for adolescents and children are not applicable to adults. Certain doctors will interview the patient and an immediate family member or friend while other doctors prefer special psychological tests and computerized continuous performance tests designed for adults suffering from ADHD.
Medication
If someone with ADHD is not treated, their symptoms could interfere significantly with work, family or school, as well as social relationships. The medications can reduce the impulsivity and hyperactivity. This improves functioning. There are many different medications available, and sometimes it takes many attempts to discover the one that is effective for a particular individual. Psychotherapy and behavior modification can also be crucial elements of treatment.
A specialist in diagnosing ADHD will perform an extensive assessment. Based on the results, she may refer the patient to a different health care specialist, such as a psychologist or psychiatrist. The doctor will look over a patient's medical history and psychiatric condition, and then use standardized ratings scales to assess ADHD. The doctor may also inquire about those who are close to the patientfor example, a teacher, parent, or sibling in the case of adults; or a spouse or a sibling in the case children to fill out an interview form that includes questions regarding ADHD symptoms and impact.
Different types of medications are available to treat ADHD. The doctor will discuss the best medication with the patient. Stimulants are the most effective treatment for some people. They boost activity in the brain areas that regulate attention and behavior. The most frequently prescribed medication is methylphenidate. It is available in immediate-release tablets or modified-release once daily preparations.
Many children with ADHD also have other health issues that need to be evaluated and treated for anxiety, depression or mood disorders. It is crucial that parents and children discuss these issues with their healthcare professional. Ideally, a person suffering from ADHD will see specialists for all of these issues at the same time to ensure that they are working in tandem to improve their performance.
When beginning treatment it is essential to seek out a healthcare provider with experience in treating ADHD. Find a doctor whose practice is covered by your insurance company to recommend a specialist or contact the National Resource Center on ADHD for a list of specialized specialists. You can also connect with your local chapter of National Alliance on Mental Illness (CHADD) to find professionals in your area.
Treatment options
When a doctor suspects someone of having ADHD the doctor will ask them to describe their symptoms in full detail. The evaluator will also review the patient's medical and family history. During the interview, the evaluator will look for symptoms that are similar to those listed in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). A physical exam is suggested to rule out medical reasons for the symptoms, such as seizure disorders or thyroid problems.
It is important for the evaluator information from people who know the person well, including teachers and family members. The evaluator may use questionnaires to ask about the behavior of the person and how it affects their work and personal life. The evaluator can also ask for the review of performance or other evidence. The evaluator could also speak with the spouse or close family members of the person.
The evaluator should also know how the ADHD symptoms of the person affect their daily functioning in the context of relationships school, work, and relationships. The evaluator may suggest some behavioral therapy like cognitive behavior therapy or family or marital therapy. Therapy for behavioral issues can teach the person practical skills for managing their symptoms and improving their daily functioning. A therapist could for instance, show the patient how to organize their belongings and schedule regular activities in order to improve their time-management.
Depending on the situation the assessor may suggest a variety of psychological or neuropsychological tests in order to get more complete information about the individual's capabilities. These tests might include cognitive testing, such as IQ or academic achievement tests, as well as brain wave measurements using a device called an electroencephalograph (EEG).
The evaluator will decide if the symptoms meet the criteria for ADHD and whether they fall under the inattentive, hyperactive/impulsive or combined type of ADHD. The evaluator could prescribe medication to manage symptoms. The treatment plan could also include psychotherapy and/or other lifestyle changes, such as altering the way the person conducts themselves or using accommodations (tools or changes in a workplace that allow those with disabilities to be a part of a job). The National Resource Center on ADHD offers additional information on treatment options for adults.