ADHD Diagnosis
Diagnosing ADHD in adults can be more difficult than diagnosing ADHD in children. A consultation with an ADHD expert is the first step to getting a reliable diagnosis.
It is recommended to bring any medical or academic documents to your appointment. You can also bring questionnaires or rating scales that provide details about your symptoms.
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A doctor will conduct a physical examination and interview you to determine whether ADHD is present. The examiner will ask questions about the person's life and childhood, and may employ checklists to record the symptoms of the individual. The evaluator will also review school and work records and may also want to speak with teachers or others who spend time with the person.
The evaluator will use the official lists of symptoms for inattention and hyperactivity-impulsivity to determine whether the person meets diagnostic criteria. Those criteria are that the person suffers from multiple symptoms for at least six months, and that the symptoms occur in more than one location like at home and at work or school. The evaluator will also be looking for other conditions that can cause similar symptoms, such as anxiety, depression or a thyroid problem.
Adults will be evaluated to determine the severity of their symptoms and the impact they have on work or social life. The evaluator will also inquire about how the person feels about the symptoms and how much they interfere with daily functioning.
Many people with ADHD have trouble remembering whether their issues began in the early years or later. This is why the specialist will usually interview someone who is familiar with the person for example, a spouse or sibling for an adult; parents or teachers for children. The evaluator might use checklists to assess adults and a list of child-related behaviors.
In contrast to the past, the current diagnostic guidelines stipulate that an adult cannot be diagnosed with ADHD in the event that symptoms appeared prior to the age of 12. adhd assessments near me is intended to stop people who experienced ADHD as children from being misdiagnosed as having other disorders, such as anxiety or depression.
Medical History
If you suspect that your child or yourself has ADHD, your first step is to consult an expert who will conduct an exhaustive assessment. Contact your doctor or an experienced local mental health professional for recommendations, or look in the phone book for "psychiatry" or "psychology." You can also reach out to an adult support group with ADHD because they've worked with local experts who can provide referrals.
A healthcare professional will go over the medical history of a patient and family history during the ADHD diagnostic assessment. They will inquire about how the symptoms affect the person's performance in various settings, like at work, at home or in relationships. It is important to determine the severity of the symptoms since the APA's guidelines for ADHD state that symptoms have to cause significant impairment in order to be diagnosed.
The healthcare professional will generally interview the patient, however, they may also ask to speak to the person's parents, siblings and friends who know him well. Some healthcare professionals will ask people to fill out questionnaires or rating scales, including ADHD symptom checklists and standardized behavior ratings. Teachers and other caregivers can be valuable sources of information.
The APA's Diagnostic Guidelines say that symptoms must be frequent and affect performance. This is important due to the fact that other conditions like mood disorders and learning disabilities, may present similar to ADHD (Austerman 2015). Additionally an exam by a doctor could be conducted to determine other causes that could be causing the symptoms, such as thyroid issues, vision or hearing issues, or the use of certain drugs such as stimulants or sedatives.
Family History
In some instances, an ancestor's history of ADHD is a crucial factor in getting a diagnosis. It is highly genetically inherited, and a review of the patient's and relatives' histories can aid in determining if there is any family-related pattern.
It is important that providers have a complete picture of the symptoms of their patients, including whether or not they happen in work, school or in social settings. A provider should also determine the degree to which symptoms interfere with a person's daily functioning. This is more important than merely counting symptoms or examining the intelligence of a patient.
A doctor may conduct an interview with the child or teen as well as the parents. In most cases, a pediatrician or psychiatrist specializes in the evaluation and treatment of ADHD. For adults, a detailed interview is required by a mental health professional who has extensive knowledge of ADHD and is able to examine each patient's presentation.
A thorough assessment includes a physical examination, which can help determine certain conditions that may cause symptoms similar to ADHD. A complete medical history is also gathered. This may include school and medical records, as along with a psychologist's or school counselor's psychological assessment. For adults, old school records can be helpful in determining the cause of symptoms that began in the early years of childhood.
When diagnosing adults it is crucial to look at how the symptoms affect daily functioning. A thorough psychiatric exam is also possible, involving questionnaires and rating scales for the patient and caregivers, a medical interview and a referral to medical examination. Adults may also undergo a neuropsychological or psychometric test to determine the connection between their symptoms and learning disorders.
Interviews
A professional will ask you or your child about their issues at school, home and in the community. The provider will ask about your or child's medical personal, family, and medical background, and will look over any records that you may bring with you, such as old school report cards. This information will help the provider to decide if you or your child needs to take an assessment for ADHD.

Your provider will use rating scales to identify if you or your child meets criteria for ADHD, including six established symptoms in the two main categories of the disorder -- inattention and hyperactivity/impulsivity. The ratings are typically conducted over a period of six months, which includes both at school and home. The ratings must be done by people who are familiar with your or your child's behavior like teachers as well as religious and scout leaders, coaches and parents.
Children and adults who are diagnosed with ADHD are likely to exhibit symptoms that are debilitating and affect their daily activities, whether at work, school, or play. The symptoms must manifest in childhood, typically before age 12. They can't be caused by another mental health issue.
Psychometric and neuropsychological tests that test IQ, brain function and cognitive functioning can increase the sensitivity and specificity of ADHD assessments. However, they should be used as part of an assessment strategy that includes a clinical interview and rating scales. These assessments could involve the administration of a standardized questionnaire like the ADHD Diagnostic Interview for Adults (DIVA) or a computer-based adaptive testing method that measures response speed short-term memory, executive functions. In the near future, digital technology like virtual reality and head movement sensors for continuous performance tests, may help improve ecological validity by allowing people to be immersed into their surroundings instead of being in a clinic.
Tests
Your physician or mental health care specialist may refer you to a specialist if he or they suspect ADHD. A thorough evaluation will consist of an in-depth interview, information from other sources like your spouse or significant others, as well as standardized behavior ratings scales for ADHD. Based on the clinical impression the evaluator could also order tests to screen for any other conditions that could have an impact on your symptoms, including depression, learning disabilities or a medical illness.
In order to conduct an exhaustive ADHD evaluation, the evaluator must determine if your symptoms significantly impact your life and performance. The impairment can occur in a variety of settings such as at home at work, at school, or with your social connections. The evaluator needs to know what the impact of your condition has been on you in each situation. This will enable the evaluator make an assessment and formulate treatment suggestions.
In addition to the symptom ratings The comprehensive assessment usually includes one or more tests that are standardized for ADHD. These testing instruments are based on research comparing the behavior of those with ADHD to those who do not. These instruments improve on the limitations of a traditional clinical interview by focusing more on specific behaviors than an individual's overall performance. These measures can assist assessors identify when a person is lying or trying to cheat a test. This issue has been recognized by experts in the field for a long time.
A thorough ADHD evaluation will include a brain scan or other neuroimaging tests in addition to the standard test and symptom rating scales. These tests aren't used in clinical settings since they cost a lot of money and expose patients to radioactivity ionizing.