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ADHD Diagnosis For Adults
Adults often struggle to receive an ADHD diagnosis because doctors follow different clinical guidelines than they do for teenagers and children. The diagnosis requires at least five symptoms in the categories of inattention, hyperactivity and the tendency to be impulsive.
Evaluations by professionals will ask you questions about your childhood, academic and work life, alcohol and drug use, and the family history. They may also ask to speak with your spouse or friend.
What is ADHD?
If you're constantly losing your keys, have trouble with school or work or struggle to stay engaged in conversations, getting an ADHD diagnosis as an adult can be a huge relief. "You know you're not crazy, and this puts you in an ideal position to manage it," says pediatrician Mary V. Solanto, Ph.D. who is an associate professor of psychiatry and psychology at the Hofstra-Northwell School of Medicine on Long Island, New York.
The Diagnostic and Statistical Manual of Mental Disorders Fifth Edition Text Revision of the American Psychiatric Association (DSM-5) offers guidelines for healthcare professionals 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.
A face-to-face appointment with your doctor is usually the first step in an ADHD assessment. They will discuss your symptoms and how they affect your life. Bring along any report cards from your childhood to help the provider determine the cause of your ADHD. Your doctor may also request to speak with a spouse or a family member, coworker or close friend who knows you well. They may inquire about your relationship, how they observe your behavior, and how it affects you. They might also inquire what ADHD symptoms can be linked to other conditions, such as anxiety or depression.
The interview may include questions about your life such as how often you don't remember to pay your bills or go to appointments, or if you struggle with time management or organization abilities. It is important to be honest with your answers and consider the impact these behaviors have on your daily life. Ask your healthcare provider for a referral to a different doctor or therapist if you are unsure about the symptoms. Self-tests and rating systems are accessible online, but these are not as reliable as an interview conducted by a trained professional. Certain tests could even lead to a wrong diagnosis, so it is recommended to always consult with your doctor prior to using them.
Symptoms
If you suspect that you may have ADHD begin by speaking to your primary healthcare provider. They may recommend you to a mental health specialist for an evaluation, such as a psychiatrist or psychologist. The Diagnostic and Statistical Manual of Mental Disorders Fifth Edition Text Revision DSM-5 offers guidelines for clinical care for diagnosing mental disorders. It's crucial to give your provider as much information as possible about your symptoms, so they can make an accurate diagnosis.
The person evaluating you will ask questions about your symptoms and how they impact your life. He or she will also interview your spouse, children teachers, colleagues, and others who know you well. Your evaluation may include testing for learning disabilities, neuropsychological disorders or behavioral problems. These tests may provide your physician with additional information about your ADHD symptoms and help to rule out other conditions that cause 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 symptoms of the primarily inattentional type include trouble paying attention, missing details or making careless mistakes. The person who is evaluating the child will also assess how these symptoms affect 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.
These symptoms typically manifest in childhood. They can also develop in later life. Adults may notice their own ADHD symptoms when their children are diagnosed, or after an event in their lives such as the marriage, job or moving into a new home. In other instances the condition is not recognized until an adult is confronted with significant issues at work or with their relationships. This can include being dismissed, having financial difficulties or getting in trouble with the law.
Diagnosis
If you suspect you may have ADHD A test is the first step in finding a treatment. A licensed mental health professional will talk to you and review your symptoms, medical history, and family history. Interview questions may also be asked about your work and school performance, and how the symptoms affect you at home and with your relationships. You may wish to bring along copies of your reports, teacher's comments and any other documents pertinent.
The psychiatric practitioner utilizes the Diagnostic and Statistical Manual of Mental Disorders Fifth Edition (DSM-5), to establish the diagnosis. The symptoms of ADHD must be present in at least six months, and they should affect functioning or developmental progress in more than one setting, such as school or at home. In addition, the signs cannot be explained better by another mental disorder like a mood disorder or anxiety disorder.
Many people suffering from ADHD have problems well into adulthood. Symptoms can impact education and work, lead to poor health and financial issues and stress in relationships. If you are diagnosed and treated, you can improve your life.
Some signs of ADHD alter with age, for example attention deficit symptoms can be more apparent as you age and hyperactivity and impulsivity may decrease as you age. Other factors can contribute to the difficulties. For example sleep apnea, also known as obstructive, is more prevalent in adults with ADHD. Poor sleeping habits can also exacerbate ADHD symptoms.
People suffering from ADHD often suffer from co-occurring illnesses like depression, anxiety, bipolar disorder and learning disabilities. Sometimes, treating the underlying disorder can eliminate ADHD symptoms. If you suffer from other issues, it is essential to tell your mental health professional because this could influence the effectiveness of your treatment.
It is crucial to speak with your primary care doctor, who will refer you to a health specialist who is trained in ADHD evaluations for adults. It is also recommended to inquire whether there are any support groups specifically for adults with ADHD in your region. They can offer assistance and a list professionals by specialty. You can also reach out to your insurance company to learn about health care providers who are covered under your plan.
Treatment
The most effective method to diagnose adult ADHD is a thorough evaluation by a health professional. The evaluation should include questions about your childhood, as well as questions about your current life, and a check for ADHD symptoms. adhd diagnosis adult uk may be asked if your ADHD symptoms have caused problems at school, at work or with your relationships.
There are a variety of treatments available for adults with ADHD that include medication and counseling. Counseling is a combination of psychotherapy (also known as talk therapy) and cognitive behavioral therapy. These treatments teach you how to manage your symptoms and how to transform negative thought patterns to positive ones. They can also help in addressing other mental health issues such as anxiety and depression, which frequently co-occur with ADHD.
Treatment for adults suffering from ADHD often involves psychostimulants, such as the methylphenidate (Ritalin) and dextroamphetamine (Dexedrine). These medications affect the way certain chemicals within your brain communicate and regulate behavior. Your doctor will choose a medication that fits your body and symptoms and alters the dose and frequency as needed. Nonstimulants can also be used to treat adults with ADHD. They are not able to affect the same brain pathways as psychostimulants do. Examples of nonstimulant medicines are atomoxetine as well as guanfacine.
Other treatment options for adults suffering from ADHD can include coaching or mentoring to teach strategies and coping techniques. For example, you might be taught how to use a planner or a journal, or you might be taught strategies to improve your time management. You could also alter your living situation in order to accommodate your ADHD symptoms. For instance, you could work at home instead of an office, utilize smartphone apps to monitor your activities or schedule appointments for less busy times. You may also want to ask about participating in clinical trials, which is a research study designed to test new methods of treating diseases and conditions. (NIMH provides information on clinical trials.
You could be referred an expert in mental health or another health care specialist by your family doctor for a diagnosis of your ADHD. You may also ask your family member or a friend for suggestions, or join a local support group for those suffering from ADHD.