Diagnosing Adult ADHD
Adult ADHD is more difficult to identify than ADHD in children. The majority of the checklists for symptom identification used by children are useless for adults.
A thorough assessment with a psychologist, therapist or psychiatrist is typically required. The records from previous school or work can be examined as well. Friends, coworkers and family members can also benefit from counseling.
Symptoms
ADHD can cause problems at school and at work. They have trouble keeping track of deadlines and assignments. They often lose things and forget appointments and medical instructions. They might be impulsive and endanger their health by skipping meals or not taking medication they require. They are also more likely to react to stress and have trouble focusing on conversations or "reading" the moods and behaviors of others.
Those with ADHD are prone to having difficulty staying focused and can become bored easily with monotonous tasks. They are prone to daydreaming or "zoning out" without realizing it, especially when others are talking. They tend to be inactive and do not answer questions, making them appear indifferent or aloof. They have trouble following instructions and recalling specifics which can result in mistakes and incomplete work. They may also become bored quickly and look for new tasks or challenges.
Adults who suffer from ADHD struggle with relationships and often feel that they aren't keeping up with friends and family. They may struggle with managing their finances which could lead them to impulsive purchases and debt. Their job may suffer because of their inability to adhere to rules and complete paperwork, as well as meet deadlines. They may also not be able to effectively manage their time and frequently leave work before they're completed. They may have difficulty getting together with their coworkers and supervisors because of their short tempers and inability listen to others.
Adults suffering from ADHD don't show the same physical signs as children with ADHD, such as fidgeting and tapping their feet. Their restlessness may be more subtle and include checking their watches repeatedly or having difficulty sitting still during the course of a meeting. Their inept and unorganized work habits can lead to job loss and financial difficulties.
Anyone who is who is suffering from symptoms of ADHD is advised to speak with their primary care provider. The doctor will assess their symptoms and refer them to a mental health professional to conduct a further assessment. The doctor will also inquire about the patient's medical history and whether they are taking any medication that could affect stimulants.
Family History
When people are diagnosed with ADHD as adults it can be a devastating experience to realize that they've been living with the condition for years and haven't been able manage their lives. They might have been in embarrassing situations, been called "lazy," "irresponsible" or "stupid," or been blamed for problems they couldn't help. They may have had difficulty maintaining relationships or had difficulties in their work or education due to the symptoms.
After a thorough exam and a detailed medical history A qualified mental health professional or physician can determine if the patient has adult adhd. This involves observing the patient's behavior in various settings and getting information from family members and close friends. The physician should also consider the medical and family history of the person.
Many women are misdiagnosed since the symptoms of ADHD for women are different than the symptoms experienced by men. Women with ADHD tend to exhibit inattention symptoms, such as difficulty staying focused or remembering details. They're less likely than men to exhibit an impulsive and hyperactive behavior. These characteristics can make it difficult for women with ADHD to navigate their work and their relationships.
It is important to obtain a complete family history when diagnosing ADHD in adults, because the symptoms usually persist throughout life. The past of the individual should show that symptoms have been present from childhood and have affected their performance at work, school, in relationships, and in other areas.
If the symptoms of a patient aren't severe enough to warrant an assessment of ADHD the doctor should investigate the presence of other conditions that often coexist with ADHD and cause similar problems like mood disorders and learning disorders, or check here substance use disorders (Austerman 2015). In addition to a psychiatric evaluation and a thorough medical examination must be conducted.
Generally, there is no routine imaging test or blood test that can be used to diagnose adults with adhd. However, the healthcare professional could give the patient a screening test in the office to assess the level of concentration, attention, distraction and short-term memory. Or, request that they take tests to assess executive functions like planning, organization, and time management skills.
Medical History
Some adults never get diagnosed with ADHD because their parents and teachers didn't recognize the signs as children, they were misdiagnosed or managed well until adulthood, when academic or occupational demands increased. Others are diagnosed later in life when they see their problems becoming in the way of relationships or work or they seek assistance in managing their problems at home or at work. A doctor will go over the medical history of the patient to look for an individual or family history of depression, anxiety, or other mental health issues. A health care professional might also check for head injury, thyroid disorders, drug and alcohol use or other physical ailments that can trigger similar symptoms.
For adults, the primary symptoms of ADHD include inattention, impulsivity, and hyperactivity. The person who suffers from these issues is at the workplace, at home or at school, and in social situations. Adults are more likely than children to suffer symptoms of hyperactivity, as opposed to inattention. Inattentive symptoms can cause difficulties in staying organized, ignoring important appointments, and having difficulty managing multiple tasks at home and at work. The hyperactive and impulsive behavior may cause difficulty controlling anger or frustration, becoming impatient waiting in line or driving in traffic, or making rapid decisions.
Research has shown that genetics influence the development of ADHD. Additionally, a variety of non-genetic factors are linked to the development of ADHD. These include low birth weight, premature birth and exposure to toxins like tobacco or alcohol during pregnancy, as well as stress during early childhood.
The majority of times, the symptoms are treated with medication like stimulants. It is essential for the health professional to know what other medications a patient is taking, as certain medications can interact with certain stimulants. A psychiatrist or behavioral health professional will discuss the various options available to the patient. People with ADHD should inform their physician of any other medical or mental treatment they receive, for example talk therapy or self-help techniques. They can also ask whether they are interested in participating in a clinical trial of new treatment options for ADHD.
Psychological Evaluation
A professional psychologist will conduct a psychological evaluation to diagnose adult ADHD. This will involve a psychotherapy interview and review of relevant documents. The examiner will inquire of the person about their behavior, symptoms, and how they function in different settings like home, school and work. It is important that the person being evaluated discusses these issues honestly and does not shy away out of fear or embarrassment. This will allow the doctor to get the complete picture of how the patient is doing and what issues they are facing.
The evaluator may also speak to close family members or friends who are familiar with the person, for example, spouse, significant other, parents, or siblings. These individuals are asked to assess the person's behavior using standardized rating scales based on research into how the behavior of people suffering from ADHD compare with those of people without ADHD. These ratings are not diagnostic, but they do provide useful information regarding a person's challenges.
In addition to the patient interview and supplemental questionnaires The evaluator will typically review relevant documents such as old report cards, grades or copies of performance reviews in the workplace. These are used to determine areas where the person struggles, such as academic achievement, work performance and social interactions. Most often, these are the areas where the symptoms of ADHD most impact the functioning of an individual.
Based on the issue being evaluated, the evaluator may decide to do additional psychological, neuropsychological or testing for learning disabilities. These tests are not able to diagnose ADHD however they do provide valuable information to the evaluator that can help determine whether or not there are any co-existing conditions like anxiety or depression.
When seeking a psychologist to do a psychological evaluation It is recommended for the client to seek out one who is specifically trained to treat people with ADHD. Contacting the primary doctor of the patient for a recommendation is another beneficial idea. You can also reach out to the local mental clinic that offers ADHD services or a university-based graduate school of psychology to get recommendations. There are many insurance plans that have lists of providers based on specialty. Professionals with the right qualifications are more than willing to provide information on their training and experience in assessing adults with ADHD. Refusal to provide this information should be seen as a red-flag and the patient should seek another provider.
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