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ADHD Diagnosis - How an Expert Makes a Diagnosis
For adults diagnosing ADHD requires a thorough evaluation by a specialist who is trained in the disorder. They'll likely inquire about your medical history and conduct an examination. They'll also rule out conditions that may resemble ADHD, such as learning disorders, mood disorders, or thyroid problems.
The doctor will inquire about your childhood behaviors, because the American Psychiatric Assocation's guidelines state that ADHD in adults can't be diagnosed absent evidence of early signs. This could include getting school records and contacting former teachers, religious leaders, or coaches.
Symptoms
You may have ADHD in the event that you or someone you know is having trouble keeping up at work, school or home. If they're unable to remember important dates or appointments, or aren't able to keep track of important dates or appointments it is possible that they are suffering from ADHD. A health care provider's evaluation can help you determine if this is the case, and if so what your treatment options are.
The symptoms must be evident in at least two environments (school and at home, for example) and for at least six months to meet the criteria for an ADHD diagnoses. The symptoms must also be hindering your ability to function, for example in class, creating close relationships, or working in a group. It is important to recognize that everyone has difficulty staying organized and paying attention at times, but these problems are more prevalent in those with ADHD.
To determine a diagnosis, your physician will conduct an interview and ask questions about your behavior and how it's affected your life. The doctor will also look over your family history as well as any previous medical or psychological tests you've had. They will check for health issues, like thyroid disorders and seizures, which could cause similar symptoms as ADHD.
Your doctor will inquire if you have ever had symptoms during your childhood (technically before age 12). They'll also be interested in how your symptoms impact you today and how they've affected you in the past. They'll want to know whether you've been diagnosed with ADHD in the past.
Bring your own list of symptoms, especially if they are written down. This will help you to recall your symptoms and provide your doctor a complete picture about how they affect you. You can also bring records like the performance evaluations you receive from work or old school report cards. These records can help your provider determine whether ADHD is a recent issue or has been present for a long time. They can also assist your doctor to identify other conditions such as depression or anxiety, which often have similar symptoms to ADHD.
History
In the past, ADHD has been viewed as a character flaw. With advancements in diagnosis and treatment the number of children diagnosed with ADHD is increasing and the stigma around this disorder is diminishing.
In 1902, Sir George Frederick Still presented a series of lectures to the Royal College of Physicians. He described his observations about children who were inattentive or incapable of concentrating. He also pointed out that the symptoms were more common for boys than girls and were not related to intelligence or home environments. The report is often credited with the first official recognition of ADHD.
The first version of the APA's psychotherapy guideline, published in 1952, didn't include ADHD. In 1955, however, the US FDA approved stimulant medications which were prescribed as the primary treatment for ADHD. In 1968, the APA released its second edition, which listed a number of mental health issues. It included the symptoms of ADHD however they were still classified as hyperkinetic reaction of childhood.
With the release of the fourth edition of the psychiatric manual in 1994, there was an increase in acceptance and understanding of ADHD. Its name was changed to Attention Deficit Disorder with or without hyperactivity and the standard definition of three types of ADHD symptoms was established: mostly inattentive, mainly hyperactive-impulsive, and combined. The current DSM-5 considers these to be manifestations rather than distinct types and says that they may change throughout a person's lifetime.
In 2008, NICE (National Institute for Clinical Excellence) released guidelines on ADHD in adults. It was the first time that the UK as a whole officially recognized adults with ADHD, providing them with financial aid, healthcare support and guidance. SIGN (Scottish Intercollegiate Guidelines Network) has also issued a guideline on ADHD in children. These two documents are the only official NHS Scotland recommendations on the condition. Private organizations and charities have also developed guidelines. In recent times there has been an increase in interest in the biological causes of ADHD and researchers have begun to find the genes responsible for it. This knowledge will help in the future to develop more specific and effective treatments.
Physical Exam
A specialist in ADHD will conduct a thorough examination to diagnose the condition. Whether they are a physician who is specialized in mental health (such as a psychologist or psychiatrist) or an individual doctor who is trained in child and youth health (a paediatrician) They will want to collect a range of details about the patient's life that includes education, family, and social histories. They will go through old school records and may interview coaches, teachers and other professionals who know the person. They will inquire about symptoms and how they interfere with life. They will also look at how the symptoms have changed with time.
The Diagnostic and Statistical Manual of Mental Disorders Fifth Edition of the American Psychiatric Association defines the criteria to diagnose ADHD in adults and children. To meet these criteria, the symptoms of inattention and hyperactivity-impulsivity must be present in multiple settings, cause significant impairment and have started before age 12. A customized questionnaire to the situation will be used by the doctor to ask the patient about their symptoms. They will also use different rating scales to evaluate different aspects ADHD symptoms. Some of these ratings will be basing on the Brown Attention Deficit Disorder Symptom Assessment Scale For Adults, while others will be based on other criteria, including questions like "Do you find it difficult to sit still?" and "Do you have difficulty to organize your time or tasks?"
They will perform an examination of the body. They will determine if there are any medical conditions that may be creating the symptoms or making them worse, such a thyroid problem, vision or hearing issues. adhd diagnosis uk adult will also inquire with the patient about their diet and lifestyle habits to determine if these could be contributing to symptoms.
If a person is evaluated for ADHD in adulthood, they will be asked to complete an assessment with a partner or a trusted friend. This will help to gain personal insight that questionnaires and checklists are not able to provide. This can be particularly useful for people suffering from comorbid conditions such as depression or anxiety which are often associated with ADHD and make the symptoms more difficult to identify.
Psychological Evaluation
When a health care professional who is evaluating a child or adult for ADHD begins by interviewing them, they ask them a series of questions regarding how the symptoms impact their lives. They also go over the patient's mental health and family history.
They typically request that the person bring in their report cards and school records to review, especially those from kindergarten through high school. They can request copies of any previous psychological or neuropsychological tests which include IQ tests and results from learning disabilities assessments.
Typically an audiologist, psychiatrist, psychologist or social worker is the person who conducts the interview portion in an evaluation of the severity of adhd. In addition, they could interview friends, family members and teachers as well. It is essential to have thorough evaluations because those who are not treated for ADHD may have serious issues such as financial problems (impulsive spending) and marital problems, as well as failure at colleges or other educational institutions.
During an interview, the doctor may ask the patient to complete standardized behavior rating scales that are designed to identify ADHD symptoms. These tests are based on research that compared the behavior of people with ADHD and those without the disorder. These ratings do not constitute an official diagnosis of ADHD, but they are an important part in the assessment process.
It is also essential to examine the patient for any other medical conditions that may be similar to ADHD like sleep disorders, mood disorders, substance use and medical conditions, like head injuries or thyroid disease. These conditions are more likely to respond to specific treatments, so it is important that a proper diagnosis is made and the appropriate treatment is provided.
A person who is a child or an adult must meet certain criteria in the Diagnostic and Statistical Manual of Mental Disorders to be diagnosed with ADHD. They must display symptoms in two or more settings, like home, school and at work, and the symptoms must be affecting their life functioning. The symptoms must first be noticed in childhood, and a psychiatrist must verify that the disorder is not caused by mental illness or other co-occurring conditions.