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How ADHD Is Diagnosed
Your doctor will ask questions about your current symptoms and background with ADHD. He will also look over your family history.
Most often, people are diagnosed with ADHD later in life. A significant event like pregnancy or a relationship issues can trigger awareness of the problem. The first step in addressing ADHD symptoms and improving functioning is to get a diagnosis.
Characteristics
Children who meet the diagnostic criteria for ADHD have a lot of trouble being seated, waiting to be called, and paying attention at school or other situations. These problems can significantly impact their performance at work, at home, or school. The signs of hyperactivity, inattention, and impulsivity have to be present for at least six months and be more prominent than is normal for their age or developmental stage. Additionally, they should be causing significant pain and problems at school, at home or work, and also in relationships.
A qualified health care professional must conduct a medical evaluation to diagnose ADHD. This could include a thorough physical examination and a look for other conditions that could cause similar symptoms, such as thyroid disease or depression. The health professional will also review the person's family history and review medical, psychiatric, and academic records. In addition, the doctor will talk to the patient about the symptoms they are experiencing. Children are asked questions based on their age and parents can be interviewed.
The physician will follow the American Psychiatric Society's clinical guidelines for diagnosing ADHD for children and adults, which are outlined in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). The provider will examine the patient's behavior in the past and present and how it affects their professional, social and family life. If possible, he or will look at the person's past behavior as well as school experiences, too.
When evaluating adults, the provider will be able to determine whether they suffer from an underlying mental health condition that is co-occurring, and will ask whether the person has an ancestral history of ADHD. Family members of those who suffer from ADHD are more likely to suffer from it themselves.
If the health care provider suspects that a patient has ADHD, he or she will provide the patient with an extensive clinical assessment that includes a review of their current symptoms and asking them to keep a diary of their symptoms for several weeks. He or she will also inquire about any other issues that the person may have, and will use the DSM-5 symptoms guide to determine if they have any of the characteristics of ADHD.
Diagnosis
Many health professionals who are interested in ADHD or have a specialization in mental illness can test and diagnose the disorder. Clinical psychologists, nurse practitioners psychiatrists, physician assistants and psychologists are all qualified to identify ADHD. Certain family physicians diagnose ADHD in adolescents, children and adults. They might refer adults for a comprehensive evaluation.
A thorough medical examination that includes an evaluation of sight and hearing is the first step to diagnosing ADHD. Additionally, a doctor might suggest a brain scan called an EEG-Based Assessment Aid, or NEBA, to measure the relative concentration of the theta and beta waves in the brain. This type of scanning can be used to detect ADHD in a non-invasive, secure method.
The examiner will review the patient's medical history including his psychiatric and medical background that goes back to childhood. The doctor will also discuss the person's present symptoms and coping mechanisms. The doctor checks to see if the person meets the diagnostic criteria for either inattentive, hyperactive-impulsive or combined ADHD presentations as defined by the American Psychiatric Association in its Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5).
The doctor will ask teachers and other staff members who spend a great deal of time with children to fill out questionnaires or checklists. He or she might also ask parents to fill in these forms. Adults often talk to their spouses, coworkers, and other close family members. They might also wish to interview someone who has known the person since childhood.
During the diagnostic process, the mental health professional looks for signs that indicate whether the person is experiencing predominantly inattentive or primarily hyperactive-impulsive symptoms. They will also determine the length of time the symptoms have been present and whether they are causing difficulties at home, school and at work, or in other areas of life.
The mental health professional must also be able to detect other disorders which share symptoms with ADHD such as depression, anxiety or bipolar disorder. The professional should also check for physical causes for the person's symptoms like thyroid dysfunction or sleep issues. Additionally, a thorough screening will also look at the person's social, emotional and family history.
Treatment
Children suffering from ADHD must learn to manage their symptoms. Family members can aid them by encouraging the school staff to watch the child with a keen eye, giving positive feedback and being flexible and patient. They can also teach relaxation and calming methods such as yoga or meditation. Many children with ADHD can benefit from regular physical exercise and a healthy diet, which will improve their ability to focus and concentrate. Drinks and foods that are high in sugar can aggravate symptoms. adhd adults diagnosis should also make sure they sleep enough.
Symptoms of ADHD can persist throughout adolescence, and even into adulthood. In adults, they could manifest in the form of problems at work or in relationships. A health care provider will conduct an evaluation to determine if a person is suffering from ADHD and the severity of it. The evaluation includes an examination of the mind as well as a physical exam and interviews with the person and his or her parents and spouses or partners and others who are familiar with him or her. The doctor may ask the person to list their symptoms and how they affect them. They might also employ rating scales or other tests to verify that the person is in compliance with the standardized criteria for ADHD. They can inquire about medical conditions that can mimic ADHD symptoms, for example seizures and thyroid disorders.
If someone is diagnosed as having ADHD, medication is prescribed to manage symptoms. Stimulants are among the most commonly prescribed medicines used to treat ADHD in children and adults. These medications can trigger side effects. It is recommended that you use these drugs under the supervision of a doctor and with prescription. Tell your doctor about any medications you are taking. Certain drugs can interact with stimulants, causing dangerous adverse effects. Many people suffering from ADHD need to try a variety of types and dosages of medication before finding one that is suitable for him or her.
The following is a list of preventatives.
In some cases, reducing the exposure to environmental triggers can help prevent ADHD symptoms. These triggers can include sleeping and eating habits and family structure, as well as medication. A GP can help you in identifying ways to control triggers and suggest an dietitian for nutritional advice or additional support.
Consult your GP for more details. Avoid taking supplements that do not have scientific backing or that may be incompatible with certain medications.
Adults who suspect that they suffer from ADHD should visit an expert in mental health like psychiatrist or psychologist, to establish a diagnosis. The doctor will take a thorough history, do physical examination and review medical records to rule out any other possible causes for the symptoms. The therapist will discuss the symptoms with the patient, observe the patient's behavior and apply the standard ratings scales. He or she will also look at the severity and frequency of core ADHD symptoms, and whether they cause significant impairment in a person's life.
Often, a therapist will collaborate with the family member and patient to improve parenting skills, teach time management and other organizational strategies and instruct the patient in metacognitive techniques that involve identifying and modifying "thinking distortions" that can cause negative moods and perceptions about the lack of options. Psychologists may prescribe certain medications and work with mental health professionals to provide comprehensive treatment.
Parents can assist by offering a safe, loving home, establishing clear expectations and rewards, encouraging an appropriate sleep hygiene and avoiding stimulants. Parents should encourage their children to interact with others and develop a healthy relationship with their child's partner.
The staff at the school may provide valuable information about issues with learning and behavior in children, but they are not competent to diagnose ADHD or make treatment recommendations. Parents and the student's healthcare provider must make these decisions, with the assistance of the teacher.
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