Introduction To The Intermediate Guide In Diagnosing Adult ADHD
Diagnosing Adult ADHDDiagnosing adult ADHD is trickier than diagnosing ADHD in children. The majority of the symptoms checklists used for children are not appropriate for adults.
A thorough evaluation with an therapist, psychologist or psychiatrist is typically required. Past school or work records can be examined as well. Counseling can be beneficial for co-workers, family members and friends.
Signs and symptoms
ADHD can cause issues at school and at work. They have difficulty keeping on top of deadlines and assignments. They are prone to losing things, miss appointments and medical instructions. They may even be impulsive, putting at risk their health by avoiding meals or avoiding medication they need. They also tend to overreact to stress and have difficulty focusing on conversations or "reading" the behavior and moods of other people.
Those with ADHD are prone to having difficulty staying focused and get bored easily by boring tasks. They are prone to daydreaming or "zoning out" without even realizing it and especially when other people are talking. They are inattentive, and don't respond to questions. This makes them appear bored or uninterested. They may have trouble following instructions and remembering particulars. This can lead to mistakes or work that is not completed. They may also become bored quickly and want to try new challenges or activities.
Adults with ADHD struggle with relationships, and often feel they can't keep up with their family and friends. They are troubled managing their money, which can lead to an impulsive spending habit and the accumulation of debt. Their job may suffer because of their inability to follow the rules and complete paperwork, as well as meet deadlines. They might also be unable to effectively manage their time and often leave work before they're finished. They may be unable to get to get along with their coworkers and supervisors due to their tempers that are short and their inability to listen to other people.
Contrary to the boisterous, hyperactive children seen in classrooms, adults who suffer from ADHD do not exhibit obvious physical indications of activity, like tapping their feet or fidgeting. Their restlessness could be more subtle, for example, by repeatedly checking their watch, or they might have trouble sitting still in a meeting. Their disorganized and sloppy work performance can lead to financial problems and job loss.
Anyone experiencing symptoms of ADHD is advised to consult their primary care physician. They will review the symptoms and refer them to a mental health professional for further evaluation. In addition, the professional will ask about their medical history as well as whether they are taking any medications that could interact with stimulants.
Family History
When people are diagnosed with ADHD as adults it can be a devastating experience to discover that they've lived with the condition for years and have been unable to gain control of their lives. They may have been in embarrassing situations, labelled "lazy", "irresponsible" or "stupid", or blamed for things that they couldn't control. These issues could have led them to face difficulties in their relationships, career or education.
A trained mental health specialist or doctor can identify adult adhd by conducting a thorough exam of the patient and taking a comprehensive history. This includes observing the patient's behaviour in different settings, and getting information from family members and close friends. The physician should also consider the medical and family histories of the individual.
Many women are misdiagnosed as having ADHD because the symptoms of ADHD for women are different from the symptoms experienced by men. Women who suffer from ADHD are more likely to display inattention symptoms such as trouble staying focused and remembering details as well as being less likely to exhibit excessive impulsivity or hyperactivity. These characteristics could make it more difficult for women with ADHD to navigate their work and their relationships.
It is essential to get an entire family history when diagnosing ADHD in adults, as the symptoms usually persist throughout life. The person's past should prove that the symptoms have been consistently present since childhood and have had a an impact on their performance at work, in school, in their relationships and in other areas of his or her life.
If a person's symptoms are not sufficient to meet the criteria for a diagnosis of ADHD, the clinician should investigate the presence of other conditions that can coexist with ADHD and can cause similar issues, such as mood disorders as well as learning disorders and substance use disorders (Austerman, 2015). In addition to a psychiatric assessment, a complete medical examination should be conducted.
Generally, there is no blood or routine imaging test that can be used to diagnose adults with adhd. However, the medical professional may offer the patient a screening test in the office to test the ability to focus, attention, distractibility and short-term memory. Or, request that they perform tests to measure executive functions, like planning, organization, and time management skills.
Medical Histories
Many adults don't get diagnosed with ADHD because their parents and teachers did not recognize the signs as children, they were misdiagnosed, or they adapted well until adulthood, when the demands on their academic or work life increased. Certain adults are diagnosed with ADHD later in life, after they realize that their problems are interfering with their relationships or work. Or they seek assistance to manage their issues at work or at home. A doctor will review the medical history of the patient in order to determine whether there is a family history or personal history that suggests anxiety, depression or other mental health issues. A health care professional might also examine for head injuries thyroid disorders, head injury, drug and alcohol use, or other physical illnesses that may cause similar symptoms.
Adults with ADHD are characterized by impulsivity, hyperactivity and inattention. These issues can manifest at home, in the workplace or at school, as well in social settings. For adults, the signs are more likely to be recognizable as inattentive rather than hyperactive. The symptoms of inattention could cause problems organizing, forgetting appointments, or having trouble managing multiple tasks at work and home. Hyperactive and involuntary behaviors can cause difficulty controlling anger, frustration, or irritability while waiting in line, driving in traffic taking quick decisions, or being impatient.
Research has shown that genetics of a person influence the development of ADHD. A number of non-genetic causes are also associated with ADHD. This includes an infant's weight that is too low, a premature birth as well as exposure to toxic substances such as smoking or drinking alcohol during pregnancy, and stress during the early years of childhood.
Often, a person's symptoms are treated by medication like stimulants. It is crucial that the health care professional knows the other medications that the patient is taking because some medicines interact with certain stimulants. A psychiatric specialist or behavioral health professional will talk to the patient about the various options for treatment. The person suffering from ADHD should inform their doctor about any other psychological or medical treatment they are receiving, such as talk therapy and self-help techniques. They can also inquire whether they are interested in participating in a clinical study for new medication treatments.
Psychological Evaluation
For diagnosing adult ADHD, a psychologist who is a professional will conduct a psychological assessment. This involves a clinical interview and a review of pertinent documents. The examiner will inquire of the individual about their behavior, symptoms and functioning in different settings such as home, school and work. It is important that the person being evaluated talks about these issues in a candid manner and does not hold back from embarrassment or fear. This will enable the doctor to get the complete picture of how the individual is functioning and what problems they are having.
The evaluator is also able to interview close family members or friends who are familiar with the person, for example, spouses, significant others parents, siblings, or parents. They are asked how they would rate the person using standard ratings scales that are which are based upon research that compares the behaviors of people with ADHD and those who do not suffer from ADHD. These ratings aren't considered diagnostic in themselves, but they can provide valuable information about the person and their issues.
In addition to the interview with the patient and additional questionnaires, the evaluator will usually look over relevant documents like old report cards and grades or copies of performance evaluations in the workplace. These are used to determine areas where the person read more struggles, such as academic performance, work performance and social interactions. In most cases, these are the areas where the symptoms of ADHD are most detrimental to the performance of a person.
Depending on the issue that is being evaluated an evaluation expert may choose to take additional neuropsychological, psychosocial or tests for learning disabilities. These tests won't directly diagnose ADHD but they can give the evaluator valuable information that can be used to determine the severity and presence of any co-existing issues such as depression or anxiety.
If you are looking for a psychologist to conduct a psychological assessment It is recommended for the person to find one who is specialized in people with ADHD. The primary physician of the patient for a recommendation is another excellent idea. You can also contact a local mental clinic that provides ADHD services or a university-based graduate school of psychology to get recommendations. A lot of insurance plans offer the list of providers arranged by specialty. Professionals with the right qualifications will be more than happy to provide information on their training and expertise in assessing adults with ADHD. Refusal to share the information is viewed as a red flag, and the patient should seek another source.