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ADHD Diagnosis For Adults
Many adults struggle to receive an ADHD diagnosis because doctors use an entirely different set of clinical guidelines for the disorder than those for adolescents and children. The diagnosis requires at least five symptoms in the categories of hyperactivity, inattention and the tendency to be impulsive.
Professionals who conduct an assessment will ask you questions about your childhood, education work, family, and history. They might also want to speak with your spouse or a friend.
What is ADHD?
If you're constantly losing your keys, have trouble with school or work or are having trouble staying focused in conversations, getting an ADHD diagnosis as an adult can be a huge relief. "You know that you're not crazy, and this puts you in a better position to deal with it," says pediatrician Mary V. Solanto, Ph.D. is a professor of psychiatry and psychology at Hofstra-Northwell School of Medicine on Long Island, New York.
The American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders Fifth Edition Text Revision (DSM-5) offers the guidelines used by professionals to make an ADHD diagnosis. Adults need to meet a lower threshold of symptoms than children -- 5 out of 9 over the past 6 months -- to be diagnosed with either inattentive or hyperactive/impulsive ADHD, or a combination.
An ADHD evaluation typically starts with a face-to-face meeting with your healthcare provider who will discuss your symptoms and their impact on your daily life. Bring along getting a adhd diagnosis from your childhood to help the doctor understand your history of ADHD. Your provider may ask to talk to a family member, spouse, friend member or coworker who is familiar with you well. They may ask about your relationship, how they observe your behavior, and how it affects your life. They might also inquire what ADHD symptoms can be linked to other conditions, such as anxiety or depression.
The interview will likely be a discussion of your daily routine like the frequency you fail to pay your bills or attend appointments, or if you have trouble managing your time or organizational skills. It is crucial to be honest with your answers and take note of the impact these behaviors have on your daily life. Ask your healthcare professional for a referral to another doctor or therapist if you are unsure about the symptoms. You can find self-tests and rating scales online, but they're not as reliable and as valid as an appointment with a licensed professional. adhd diagnosed could even lead to the wrong diagnosis, so it's recommended to speak with your healthcare provider first.
Symptoms
Speak to your primary healthcare provider if suspect that you have ADHD. He or she might refer you to a mental health professional for assessment, such as a psychiatrist or psychologist. The American Psychiatric Association provides clinical guidelines for diagnosing in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition Text Revision (DSM-5). It's crucial to give your doctor as much detail as you can regarding your symptoms so that they can provide an accurate diagnosis.
The person doing the evaluation will examine your medical, psychological and psychiatric history, including past problems, and ask about how your symptoms impact your life. The person conducting the evaluation may also interview your spouse and children as well as coworkers, teachers, and other people who know you. Your test may include neuropsychological, behavioral, or learning disability tests. These tests can provide your provider with additional information regarding your ADHD symptoms and help rule out other conditions causing similar symptoms.
In addition to evaluating your current symptoms, the professional will determine whether you have predominantly inattentive, hyperactive-impulsive or combined type ADHD. To receive a diagnosis, you must show that you have at least six of the nine symptoms for either the inattentive or hyperactive-impulsive presentation.
The signs of a person who is inattention-deficient include difficulty paying attention, omitting details or making careless errors. The person conducting the assessment will also examine how these symptoms impact work, school and social activities. The impulsive/hyperactive/impulsive symptoms of ADHD include fidgeting, difficulty sitting still or squirming in the chair, excessive talking and interrupting others, frequent blurting out answers before questions are finished and difficulty playing or engaging in leisure activities quietly.
These symptoms typically manifest in childhood. However, they can be present in later life. Adults may recognize their own ADHD symptoms when their children have been diagnosed or due to changes in their lives such as an employment change or marriage or move to their own home. In other cases the condition is not recognized until the adult experiences significant difficulties at work or in their relationships. This could mean being fired, facing financial difficulties or getting in trouble with the law.
Diagnosis
If you suspect you may have ADHD An assessment is the first step towards finding treatment. A licensed mental health professional will meet with you and discuss your symptoms, medical history, and family history. The interview could also include questions regarding work and school performance, as well as how the symptoms affect your home life and in relationships. adhd diagnosed may wish to bring copies of report cards, teacher's comments and any other documentation that might be relevant.
The psychiatric practitioner uses the Diagnostic and Statistical Manual of Mental Disorders Fifth Edition (DSM-5), to establish the diagnosis. The symptoms of ADHD should be present for at least six months, and they must interfere with functioning or developmental progress in multiple environments, such as school or home. In addition, the symptoms cannot be explained better by another mental disorder like a mood disorder or anxiety disorder.
Many people suffering from ADHD continue to struggle into adulthood. These symptoms can impact work and school, lead to poor health in the financial or personal aspects, and cause strain in relationships. If diagnosed and treated, you can make a difference in your quality of life.
Some symptoms of ADHD alter with age, for example inattentive symptoms may be more apparent as you age and impulsivity and hyperactivity could diminish with age. Some other factors can contribute to difficulties like obstructive sleeping apnea is more frequent in adults with ADHD and sleep disorders are known to worsen ADHD symptoms.
People suffering from ADHD frequently have co-occurring disorders like anxiety, depression, bipolar disorder and learning disabilities. Sometimes, treating the root disorder can alleviate the symptoms of ADHD. It is important to inform your mental health professional if you have any other conditions. This can have an impact on the effectiveness of treatment.
It is crucial to speak to your primary physician who can refer to a health professional trained in ADHD assessments for adults. Find out if there are support groups for adults with ADHD in your area. They can provide you with resources and a list by specialty of professionals. You can also reach out to your insurance company to find out about the health care providers who are covered by your plan.
Treatment
A thorough evaluation by a health professional is the best method to determine the severity of adult ADHD. The evaluation should contain questions about your childhood, your current life and the screening for ADHD symptoms. You could be asked about any problems that your ADHD symptoms cause problems at school, at work or in your relationships.
Counseling and medication are two of the many options available for adults with ADHD. Counseling includes psychotherapy (also known as talk therapy) and cognitive behavioral therapy. These therapies help you learn how to manage your symptoms and how to change negative patterns of thinking into positive ones. They can also help with other mental health issues, such as anxiety and depression that often co-occur with ADHD.
Psychostimulants such as dextroamphetamine and methylphenidate are commonly utilized to treat adults suffering from ADHD. These medicines affect how certain brain chemicals communicate to regulate behavior. Your doctor will choose the right medication for you and your symptoms, and adjust the dosage and frequency to suit your needs. Nonstimulants are also available which do not act on the same brain pathways that psychostimulants do and can be beneficial for adults suffering from ADHD. Examples of nonstimulant medicines are atomoxetine and guanfacine.
Other options for treatment for adults with ADHD can include mentoring or coaching to teach strategies and coping abilities. You may learn to make use of a diary or planner, or be shown time management strategies. You can also modify your lifestyle to accommodate your ADHD symptoms. For instance you could work from home instead of at an office, use smartphone apps to track your tasks and schedule appointments at less busy times. You might also want to inquire about taking part in clinical studies that is a research endeavor designed to explore new methods to treat conditions and diseases. (NIMH provides information on clinical trials.)
Sometimes, your family physician will recommend you to a mental health specialist or another care professional for an evaluation of your ADHD. You could also ask a family member or friend for suggestions, or connect with a local support organization for those suffering from ADHD.
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