A The Complete Guide To Getting An ADHD Diagnosis From Start To Finish
Getting an ADHD Diagnosis
A diagnosis of ADHD can transform your life. It is the reason why people struggle with issues like staying focused on their task, following directions and staying organized.
Ask your family doctor or therapist for a referral to an expert. Check with your insurance company to determine if it covers ADHD assessments for adults.
Diagnosis Process
For adults, a valid diagnosis requires an evaluation by a psychiatrist, psychologist or specialist nurse. They are the only healthcare professionals who can diagnose ADHD in adults.
A typical initial evaluation will start with a thorough interview about your life and symptoms. The healthcare professional will also want to know how long it has been present and how they impact you. They may ask you to talk to a friend or family member about your symptoms.
The process of evaluation will also include questions about your childhood. The current guidelines do allow doctors to diagnose ADHD without evidence that the disorder existed in the early years of childhood. Therefore the healthcare professional will need to examine your school records and talk to people who knew you as a child. They may also inquire if you have ever had any mental health issues such as anxiety or depression.
In certain situations, the evaluator will recommend cognitive testing like IQ tests or tests for memory or learning issues. They may also recommend other medical exams to rule out physical conditions that might be creating your symptoms, for instance thyroid disorders or seizure problems.
If your healthcare professional is convinced that your symptoms are caused by ADHD, they may recommend additional diagnostic tests to confirm and determine the severity of the condition. These tests may include blood and urine tests, medical examinations and, possibly, educational or psychological testing.
The tests are designed to determine the levels of certain chemicals in your body that might be linked to ADHD like dopamine, norepinephrine and serotonin. They will also assess your blood pressure and heart rate. You could also receive an spirometry test, which measures lung capacity. They may also suggest an imaging scan of your brain to look for functional or structural problems. In some cases your evaluator could suggest that you or your child be tested for disorders that have similar symptoms with ADHD such as anxiety and depression or mood and personality disorders.
The Interview
There are numerous ADHD questions and tests that can be used as a screening tool, before making an appointment with your doctor. These tests may provide you with the information that you may have ADHD however a doctor's clinical interview is the only method to confirm the diagnosis.
The process can last from 2 to 3 hours and includes explaining to the patient what we know about ADHD and how it may affect their symptoms. It may also include the doctor asking about a past history of depression or substance abuse since these conditions may co-exist with ADHD.
A good diagnostic interview will involve a discussion of the patient's symptoms and their impact, and the psychologist or psychiatrist will use a checklist designed to evaluate hyperactivity/impulsivity and inattentiveness. The clinician will also want to review the patient's school records as well as talk to teachers. If the patient is an adult spouse or family member might also be interviewed. Personal insight can uncover details that aren't possible to obtain from questionnaires.
Some doctors rush through this procedure or insist on visiting a patient once rather than completing a complete examination. This can cause doctors to make a wrong diagnosis. This is a red flag if the clinician is too rigid about the criteria to diagnose ADHD.
The evaluator may ask adults to rate each symptom on an ADHD checklist and then give examples of how these afflictions have affected their lives. The evaluator will then compare the scores with the checklist and assess the severity of ADHD.
It can be a relief for some adults to receive an ADHD diagnosis. However, the underlying emotions- such as guilt for not living up to expectations, or grief that the disorder was not noticed until later in life -it can be a challenge. The impulsivity and inattention that characterize ADHD can have serious implications in a variety of areas of an individual's life, such as relationships, work, and health.
The Tests
It can be a challenge and confusing to get an ADHD diagnosis. It requires a lot of paperwork, interviews, and tests. You can prepare by getting recommendations from trusted doctors family members, friends and relatives. Check out the credentials of the specialist and make sure they're a good match for your requirements. It is crucial to find a specialist that specializes in ADHD diagnosis. This will ensure that you or your child gets an accurate evaluation and the best treatment possible.
The first step of an ADHD assessment is an interview with the evaluation expert. The evaluator will ask questions about your child or you to learn more about your symptoms. The evaluator will want to know how symptoms affect you and whether they affect your school, work, or relationships. The evaluator may also use ratings scales to gauge your ADHD symptoms. They usually comprise checklists that ask you or someone around you to answer a series of questions. For instance, you might be asked if it is common to miss appointments, or you might be asked how often you interrupt other people.
Many evaluators also ask people who are familiar with you or your child to fill out questionnaires regarding what they have observed. Adults might be asked to complete questionnaires by their spouses or children. Children might be asked to complete questionnaires by teachers, coaches, daycare workers, or nannies. Personal insights can provide information that isn't possible to gather through a questionnaire.
The evaluators can also perform cognitive tests to determine whether learning or intellectual impairments contribute to your symptoms. They might also screen for mood disorders such as bipolar disorder or depression and incipient psychosis, or substance abuse. They could also test for medical conditions that are underlying such as hypothyroidism and seizure disorders.
Some evaluators will give you or your child an ADHD screening test that evaluates how you respond to target and non-target stimuli. The TOVA (Timed On Only Visual Attention) is a computer-based test approved by the FDA that measures your ability to pay attention and retain a variety of geometric shapes. The test examines the frequency at which you respond to non-target stimuli, and how long it takes you to respond to the stimulus you want to respond. This will help the evaluators identify the type of ADHD you have whether you are Inattentive or impulsive.
Follow-up
Several kinds of mental health professionals are able to offer ADHD evaluations and make an assessment. It could be a psychologist or psychiatrist or a psychotherapist or neurologist. The specialist will inquire about what the issues you are facing and how long they have been occurring for. He will also inquire about any family history of ADHD. It is believed that the disorder is about 70%-80 percent inheritable and that genetics play a big role in determining whether you or your child will suffer from symptoms.
The professional will be interested in how your your child's ADHD impacts your daily life at home, work and school. adhd diagnoses will ask about your or your child's behavior in various environments, since the signs of ADHD are different when they are present in different settings. To be diagnosed with ADHD you or your child will also be required to show six or more symptoms of hyperactivity, inattention or impulsivity that affects everyday functioning. The symptoms must last for at minimum for six months.
To make an accurate diagnosis, the doctor will need to rule other conditions out. These may include psychiatric conditions that are not listed above including mood and anxiety disorders, intellectual disabilities and certain medical disorders that affect the brain, such as thyroid disorders. In addition, the doctor will ask about your or your child's sleeping patterns as well as any injuries or accidents that might have affected the development of your or your child's brain.
The doctor will also consider whether the signs of ADHD in you or your children are connected to any health issues or medications you or your child are taking. The side effects of stimulant medication, such as those used to treat ADHD may include stomachaches and trouble sleeping. Other drugs, such as antidepressants and some sleep medicines are also prone to these side effects.
The expert will also need to determine if there's a comorbidity, which means you or your child may be suffering from another illness that could cause symptoms of ADHD. This could include bipolar disorder, depression or anxiety disorder. The psychologist or psychiatrist will go through all the data and make an assessment.