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ADHD Diagnosis For Adults
Adults often have trouble getting an ADHD diagnosis because doctors follow different guidelines for treating adults that they use for teenagers and children. The diagnosis requires a minimum of five symptoms that fall within the categories of inattention, hyperactivity and an impulsive nature.
The professionals conducting the evaluation will ask questions about your education, childhood, work, and family history. They might also want to speak to your spouse or a friend.
What is ADHD?
Whether you keep losing your keys, have difficulty with work or school, or have trouble staying focused in conversations, getting an ADHD diagnosis as an adult can be a great relief. "You know that you're not crazy, and this puts you in an ideal position to manage it," says pediatrician Mary V. Solanto, Ph.D. who is professor of psychiatry and psychology at the 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) provides the guidelines providers use to establish 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.
A face-to-face appointment with your healthcare professional is usually the first step in an ADHD assessment. They will discuss your symptoms and how they affect your daily life. Bring any report cards from your childhood to help the doctor to understand the history of your ADHD. Your provider may also ask to talk to your spouse, family member, co-worker or close friend who knows you well. They might inquire about your relationship, how they observe your behavior, and how it affects your life. They might also inquire what ADHD symptoms interact with other conditions, such as anxiety or depression.
The interview may be a discussion of your daily routine, such as the frequency you fail to pay bills or go to appointments, or if you struggle managing your time or organizational skills. It's essential to be honest in your answers and to consider how these habits affect your daily routine. If you're unsure about your symptoms, you should consider consulting your healthcare professional to refer you to a doctor or psychologist for an evaluation. Self-tests are available as well as rating scales online, but they're not as reliable and as valid as an appointment with a licensed professional. Some of these tests might result in a wrong diagnosis, so always consult your physician before using them.
Symptoms
If you suspect that you suffer from ADHD, start by talking to your primary healthcare provider. They may refer you to an expert in mental health such as psychiatrist or psychologist, for evaluation. The Diagnostic and Statistical Manual of Mental Disorders Fifth Edition Text Revision DSM-5 offers guidelines for clinical care to diagnose mental disorders. It is essential to provide your doctor as much detail as possible about your symptoms so that they can provide an accurate diagnosis.
The person conducting the assessment will examine your medical, psychological, and psychiatric history, including past problems, and ask about how the symptoms affect your life. adhd adults diagnosis conducting the evaluation will also interview your spouse, children teachers, friends, coworkers and others who know you well. Your assessment could include behavioral, neuropsychological or learning disability testing. These tests will provide your doctor with additional information regarding your ADHD symptoms and can 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 a lack of focus, omitting details or making mistakes. The person who is conducting the assessment will also examine the impact these symptoms have on work, school and social life. 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.
Usually, these symptoms manifest in the early years of childhood. They can also develop in later life. Adults may recognize their own ADHD symptoms after their children are diagnosed or because of life changes such as a new job, a marriage or a move into their own home. In some cases the condition isn't recognized until a person has serious issues at work or with their relationships. This can include being dismissed from a job and having financial problems, or getting into trouble with the law.
Diagnosis
If you suspect that you suffer from ADHD An assessment is the first step towards finding a treatment. A qualified mental health professional interviews you and reviews your symptoms, medical background and family history. The interview could also include questions about your work and school performance, as well as how your symptoms impact your home life and in relationships. how to get diagnosed with adhd as an adult may want to bring along copies of your reports, teacher's comments as well as any other documentation relevant.
The psychiatric practitioner uses the Diagnostic and Statistical Manual of Mental Disorders Fifth Edition (DSM-5) to determine the diagnosis. The symptoms of ADHD should be present for at least six months, and they must interfere with development or functioning in multiple environments like school or at home. In addition, the symptoms must not be better explained by another mental disorder like an anxiety disorder or mood disorder.
Many people with ADHD continue to struggle throughout their adulthood. The symptoms of ADHD can be detrimental to both school and work. They can also lead to poor health or financial problems and stress relationships. The treatment and diagnosis you receive can improve your quality of life.
Some symptoms of ADHD develop with age, for example the symptoms of inattention may become more noticeable as you get older and hyperactivity and impulsivity may diminish as you age. Some other factors can cause problems such as obstructive sleep apnea occurs more often in adults suffering from ADHD and sleep habits that are not optimal can exacerbate ADHD symptoms.
People with ADHD often have co-occurring conditions such as depression, anxiety bipolar disorder, anxiety and learning disabilities. Sometimes, treating the underlying disorder can help eliminate ADHD symptoms. If you have other issues, it is essential to tell your mental health professional as this could have a significant effect on the effectiveness of your treatment.
It is crucial to speak to your primary physician who can refer to a health professional trained in ADHD assessments for adults. It is also a good idea to ask if there are any support groups specifically for adults with ADHD in your region. They can offer resources and a list by specialty of specialists. You can also contact your insurance company to inquire about health care providers who are covered by your plan.
Treatment
A thorough evaluation by a healthcare professional is the best method to diagnose adult ADHD. The assessment should include questions about your childhood, questions about your present life and a check for ADHD symptoms. You may also be asked about any problems that your ADHD symptoms are causing at school, at work or in your relationships.
Counseling and medication are two of the many options that are available to adults suffering from ADHD. Psychotherapy is a form of counseling that can include also called talk therapy, and cognitive therapy for behavior. These treatments teach you how to manage your symptoms and how to transform negative patterns of thinking to positive ones. They can also assist with other mental health issues, like depression and anxiety, which often co-occur along with ADHD.
Adults who suffer from ADHD often involves psychostimulants, like methylphenidate (Ritalin) and dextroamphetamine (Dexedrine). These medications alter the way that certain chemicals in your brain communicate and regulate behavior. Your doctor will choose the right medication for you and your symptoms and will alter the dosage and frequency accordingly. Nonstimulants are also employed to treat people suffering from ADHD. They do not affect the same brain pathways as psychostimulants do. Examples of nonstimulant medicines include atomoxetine and guanfacine.
Other treatment options for adults suffering from ADHD can include coaching or mentoring to help you learn strategies and coping techniques. For instance, you could learn how to use a planner or journals, or you might be given strategies for improving your time management. You can also adjust your living situation in order to accommodate your ADHD symptoms. For example you could work from home instead of at an office, use smartphone apps to keep track of your tasks and schedule appointments at less busy times. You may also want to inquire about joining clinical trials which is a study trial designed to test new methods to treat illnesses and conditions. (NIMH has information about clinical trials.)
You could be referred an expert in mental health or another health care professional by your family physician for an assessment of your ADHD. You can also ask a family member or friend for suggestions, or contact a local support group for those suffering from ADHD.
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