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ADHD Diagnosis For Adults
Many adults are unable to get an ADHD diagnosis, as doctors use different guidelines for diagnosing the disorder than they do for teenagers and children. The diagnosis requires a minimum of five symptoms that fall within the categories of inattention, hyperactivity and the tendency to be impulsive.
adult diagnosis of adhd who conduct an assessment will ask questions about your childhood, education, work, and family history. They may also talk to your spouse or family members.
What is ADHD?
If you're constantly losing your keys, have trouble with work or school, or have trouble staying focused during conversations, obtaining an ADHD diagnosis as an adult can be a great relief. You know you're normal, and you can deal with it better, says Mary V. Solanto Ph.D. Professor of Psychology at the Hofstra-Northwell School of Medicine in Long Island, New York.
The Diagnostic and Statistical Manual of Mental Disorders Fifth Edition Text Revision of the American Psychiatric Association (DSM-5) is a guideline for doctors to diagnose ADHD. 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 assessment usually starts with a face-to-face meeting with your doctor, who will review your symptoms and their impact on your life. Bring along any report cards from your childhood to help your doctor understand your history of ADHD. Your doctor may suggest that you speak with a close partner, spouse, family member, or a coworker who knows you well. They might inquire about your relationship, the way they view your behavior, and how it affects you. They could also inquire what ADHD symptoms are interacted with other conditions, such as anxiety or depression.
adhd diagnosis adult is likely to be a discussion of your daily routine, such as how often you forget to pay your bills or go to appointments, or if you struggle managing your time or organization skills. It's essential to be honest with your answers, and to think about how these behaviors affect your daily routine. If you're not sure about your symptoms, you should consider asking your healthcare professional to refer you to a different doctor or psychologist for an evaluation. Self-tests and rating systems are accessible on the internet, however they're not as reliable as an interview conducted by a qualified professional. Some of these tests may even lead to a wrong diagnosis, so you should always consult your healthcare provider before using them.
Signs and symptoms
Speak to your primary healthcare provider if you suspect that you be suffering from ADHD. He or she might refer you to a mental health specialist for an evaluation, such as psychologist or psychiatrist. The American Psychiatric Association provides clinical guidelines for diagnosis in the Diagnostic and Statistical Manual of Mental Disorders Fifth Edition Text Revision (DSM-5). It's important to provide as much detail about your symptoms as possible to enable your doctor to make a precise diagnosis.
The person conducting the assessment will examine your mental, psychological and medical history, including past problems and ask you about how the symptoms affect your life. The person conducting the evaluation will also interview your spouse, children, teachers, co-workers and other people who know you well. Your evaluation may include testing for behavior problems or neuropsychological disorders. These tests will provide your doctor with additional details about your ADHD symptoms and help determine if other conditions are 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.
Symptoms of the predominantly inattentive type include difficulty paying attention, ignoring details or making mistakes. The person who evaluates the child will also be able to determine the impact these symptoms have on school, work and even personal 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.
Often, these symptoms appear in the early years of childhood. However, they can be present in adulthood. Adults may notice their own ADHD symptoms after their children are diagnosed, or after a change in their life such as the marriage, job or moving into a new home. In some cases, the condition is not recognized until a person has serious issues at work or in their relationships. This could include being dismissed from a job and having financial problems, or being in trouble with the law.
Diagnosis
A screening is the first thing you should do if you suspect you have ADHD. A licensed mental health professional meets with you and examines your symptoms, medical history and family history. The interview could also include questions about your work and school performance, as well as how the symptoms affect your home life and in your relationships. You may be required to bring copies of report cards, teacher's comments and any other documents that may be relevant.
The psychiatric professional employs the Diagnostic and Statistical Manual of Mental Disorders Fifth Edition (DSM-5), to make the diagnosis. The symptoms of ADHD should be present for at least six months, and they must interfere with the development of a child or their functioning in more than one setting, such as school or at home. The symptoms of ADHD should not be explained by any other mental disorder such as anxiety or mood disorders.
Many people with ADHD continue to have problems throughout their lives. The symptoms of ADHD can impact both school and work. They can also cause poor health or financial problems, and strain relationships. If diagnosed and treated, you can enjoy your quality of life.
Some ADHD symptoms may change as you the passage of time. For example, inattentiveness may become more apparent as you age, and the ability to control impulses and hyperactivity may diminish with age. Other factors can cause problems. For instance, obstructive sleeping apnea is more common among adults with ADHD. Poor sleeping habits can also exacerbate ADHD symptoms.
People with ADHD often suffer from co-occurring illnesses like anxiety, depression bipolar disorder, anxiety and learning disabilities. Sometimes, treating the underlying disorder can eliminate ADHD symptoms. If you suffer from other conditions, it is important to inform your mental health professional as this can have a significant effect on the effectiveness of your treatment.
It is crucial to talk to your primary doctor who can refer you to an experienced health professional who is trained in ADHD assessments for adults. Ask if there are support groups for adults who have ADHD in your area. They can provide resources and a list by specialty of specialists. You can also contact your insurance company to find out about the health care providers who are covered by your plan.
Treatment
The most effective method for diagnosing adult ADHD is to have a thorough assessment by a health professional. The evaluation should include questions regarding your childhood, as well as questions about your current life, and a check for ADHD symptoms. You may be asked about any issues that your ADHD symptoms are causing at school, at work or in your relationships.
There are a myriad of treatment options for adults suffering from ADHD, including counseling and medication. Counseling can be described as psychotherapy (also known as talk therapy) and cognitive behavioral therapy. These therapies help you learn how to manage your symptoms, and how to transform negative patterns of thinking into positive ones. They can also assist with other mental health issues, such as anxiety and depression that often co-occur with ADHD.
Adults who suffer from ADHD usually involves psychostimulants such as methylphenidate (Ritalin) and dextroamphetamine (Dexedrine). These medicines affect how certain chemicals in the brain communicate to regulate behavior. Your doctor will choose a medication that fits your body and symptoms and alters the dose and frequency as required. Nonstimulants are also available, that do not affect the same brain pathways like psychostimulants, and they can be beneficial for adults suffering from ADHD. Nonstimulant drugs include atomoxetine Guanfacine and Guanfacine.
Other treatment options for adults suffering from ADHD may include mentoring or coaching to teach strategies and coping skills. You may be taught how to utilize a diary or planner, or you may be taught techniques for managing your time. You could also alter your living environment to accommodate your ADHD symptoms. For instance, you could work at home instead of an office, use smartphone apps to monitor your activities and schedule appointments at less busy times. You might also inquire about joining clinical studies, which is a research-based project that aims to explore new methods to treat diseases and conditions. (NIMH has information about clinical trials.)
You could be referred to an expert in mental health or another health care professional by your family doctor to assess your ADHD. You may also ask your family member or a friend for recommendations, or you can join a local support group for people suffering from ADHD.
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