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ADHD Diagnosis
Adults are more difficult to identify than children. A good diagnosis starts with a consultation with an expert in ADHD.
You must bring any medical or academic documents to your appointment. You may also bring questionnaires and rating scales to provide information about your symptoms.
Symptoms
A thorough ADHD diagnosis involves physical examination and a discussion with a medical professional. The examiner may inquire about a person's family history and childhood, and use checklists to note symptoms. The evaluator may also review the person's work and school documents, and may want to talk with teachers or other people who are close to them.
The evaluator will use the official lists of symptoms for inattention and hyperactivity-impulsivity to determine whether the person meets diagnostic criteria. The criteria are that the person must have been suffering from multiple symptoms for at least six months and that they occur in multiple settings, for example, at school and at home. The evaluator can also look for other conditions which can cause similar symptoms, such as anxiety or depression.
Adults will be assessed to determine the severity of symptoms and their impact on work or social life. The evaluator may also ask the individual what their feelings are about their symptoms and if they interfere with their daily life.
assessed for adhd who have ADHD struggle to remember if their problems began in the beginning or later. A specialist will typically interview people who are familiar with the person, such as their spouse, sibling or parent for an adult or a teacher parent for children. The examiner can use checklists to examine adults, as well as a list with child-related behaviors.
In contrast to the past, the current diagnostic guidelines indicate that an adult shouldn't be diagnosed with ADHD unless symptoms were present prior to the age of 12. This change is intended to stop people who experienced ADHD as children from being misdiagnosed as having other disorders like anxiety or depression.
Medical History
If you suspect that your or your child suffers from ADHD The first step is to locate an expert who can provide an extensive assessment. Contact your doctor or an area mental health specialist for recommendations, or look in the phone book for "psychiatry" or "psychology." You can also reach out to an adult support group with ADHD because many of them have worked with local experts who can offer referrals.
During the ADHD diagnostic evaluation, a healthcare professional will look over the patient's medical and family history. They will ask what the symptoms hinder functioning in different situations, including at home, at work or in relationships. It is crucial to determine the severity of the symptoms, as the APA's guidelines for ADHD stipulate that the symptoms must cause significant impairment in order to be diagnosed.
The healthcare professional will generally interview the person, but they may also talk to his or her parents, siblings and friends who are familiar with him. Some professionals ask people to complete questionnaires or scales. These may include ADHD symptoms checklists and rating of behavior. Teachers and other caregivers are often helpful sources of information as well.
The APA's Diagnostic Guidelines stipulate that symptoms should be frequent and affect performance. This is important, as other conditions like mood disorders or learning disabilities can present in a similar way as ADHD (Austerman 2015). A medical examination can be done to determine if there are other possible reasons for the symptoms. This could be thyroid issues, vision or hearing issues, or prescription medications such as stimulants and sedatives.
Family History
In certain cases there is a history of ADHD within the family may be a significant factor in the determination of the diagnosis. It is a highly heritable condition, and a thorough examination of the patient's and relatives' histories can help establish if there is a familial pattern.
It is important that providers have a complete picture of the symptoms of their patients, such as whether or not they occur at work, in school, or social situations. A physician should also consider the extent of how symptoms impact the patient's daily activities. This is a more accurate test than simply looking at the number of symptoms or examining the patient's intelligence.
A doctor can interview teens or children, as well as the parents. In many cases, a pediatrician psychiatrist specializes in the evaluation and treatment of ADHD. A mental health professional who has extensive experience in ADHD is required to conduct a thorough interview for adults.
A comprehensive evaluation usually includes a physical exam which can rule out specific medical conditions that could cause similar symptoms as ADHD. A complete medical history is also taken. For children, this may include previous medical and school records as well as an evaluation of the psychological state by school counselors or psychologists. For adults the old school records are often useful in establishing whether symptoms began in the early years of childhood.
When diagnosing adults it is important to consider how symptoms affect your daily life. A thorough psychiatric exam could be required, involving the use of questionnaires and rating scales by the patient and their caregivers, a medical interview and referral for medical examination. In addition assessment of neuropsychological or psychometric factors is sometimes used for adults in order to see how the symptoms are linked to learning disorders and other cognitive impairments.
Interviews
A professional will talk to you or your child about their issues at home, at school, and in the community. The provider will also ask about your or your child's previous medical or personal history, including family and friends and will review any records you bring along, such as old school report cards. This information will assist the doctor to determine if you or your child should take a test to diagnose ADHD.

Your provider will use rating scales to identify if you or your child meets criteria for ADHD, including six established symptoms in the two main categories of the disorder -- inattention and hyperactivity/impulsivity. The ratings are typically conducted over a six-month time period and cover both at school and home. The rating must be performed by those who are familiar with your your child's behavior, such as teachers as well as religious and scout leaders, coaches and parents.
To be diagnosed with ADHD, children and adults must have symptomatic behavior that is debilitating and interferes with everyday functioning in multiple settings, such as at school, at work or playing. The symptoms must manifest in the early years, typically before the age of 12. They cannot be caused by any other mental health condition.
The sensitivity and precision of ADHD assessments can be enhanced by using neuropsychological and psychometric tests that test IQ and cognitive performance. However, they should be utilized as part of an assessment process that includes a clinical interview and rating scales. These assessments can include the administration of a standardized test like the ADHD Diagnostic Interview for Adults or a computerized test method that tests executive functions, short-term memories, and response speed. In the near future, digital technology such as virtual reality for continuous performance tests and sensors for head movement may help to improve ecological validity of these ADHD assessment tools by giving the person being assessed to be immersed in their environment rather than in an office for clinical evaluation.
Tests
Your doctor or mental health specialist may recommend you to specialists if he/she suspects ADHD. A complete evaluation should include an extensive interview, details from independent sources such as your spouse or significant others, and standardized behavior rating scales for ADHD. Based on the clinical findings the evaluator could also request tests to check for any other conditions that could have an impact on your symptoms, including depression, learning disabilities, or a medical condition.
In order to conduct a thorough ADHD assessment, the evaluator must determine whether your symptoms affect your life and performance. It can happen in a variety settings that include your work, home or school, and social relationships. The evaluator will ask you how your condition affected you in every situation. This will help the evaluator make a diagnosis and develop treatment recommendations.
A comprehensive assessment will comprise in addition to rating of symptoms and standard performance tests for ADHD. These tests are based on research and compare the behavior of those with ADHD to those without it. They can improve the limitations of a clinical interview by focusing on specific behavior instead of assessing a person's overall performance. These tests can help evaluators detect when an individual is lying or trying to cheat a test. This problem has been recognized in the field for years.
In addition to the standard test and the symptom-rating scales and symptom rating scales, a thorough ADHD assessment should include brain scans or other imaging techniques for the brain. These tests are not utilized in clinical settings because they are costly and expose patients to ionizing radioactivity.