Why We Why We Diagnosing Adult ADHD And You Should Also
Diagnosing Adult ADHD
Adult ADHD is more difficult to identify than ADHD in children. Most symptom checklists used in children are not suitable for adults.
A thorough evaluation with a psychologist, therapist or psychiatrist is often required. It is possible to go through past school or work records. Friends, coworkers and family members can also benefit from counseling.
Signs and symptoms
ADHD can cause problems at school as well as at work. They are unable to keep track of deadlines and assignments. They lose things, forget appointments and medical instructions. They can also be impulsive, risking their health by not eating or avoiding medications they require. They also have a tendency to react too strongly to stress and have difficulty paying attention to conversations or "reading" the moods and behaviors of other people.
Those with ADHD may have trouble staying focused and may become bored easily with monotonous tasks. They are able to "zone out" or daydream and not even realize it that they are talking. They tend to be inactive and do not respond to questions, which makes them appear disinterested or uninterested. They may have difficulty remembering instructions and specifics. This could lead to errors or work that is not completed. They also become bored quickly with their work and are likely to look for new tasks or new challenges.
Adults with ADHD have difficulty in relationships and often feel like they're not keeping up with their family and friends. They may have trouble managing their finances and this can lead to make impulsive purchases or incur debt. Their job may suffer because of their inability to adhere to rules, complete paperwork and meet deadlines. They may also be unable to manage their time effectively and often leave work before they're finished. They might have a difficult time getting along with co-workers or supervisors due to their short temper and inability to pay attention to others' concerns.
Contrary to the rambunctious hyperactive children that are often seen in classrooms, adults suffering from ADHD rarely exhibit obvious physical indicators of activity, such as fidgeting or tapping their feet. Their restlessness may be more subtle like constantly checking their watches or having trouble sitting still during a meeting. Their unorganized and unprofessional performance could cause financial problems and loss of jobs.
Anyone who is experiencing symptoms of ADHD is advised to consult their primary care provider. The doctor will evaluate the symptoms and refer them to a mental health professional. The doctor will also inquire about the patient's medical history as well as if they are taking any medication 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 a long time and haven't been able to take control of their lives. They may have suffered through embarrassing situations, been called "lazy," "irresponsible" or "stupid," or been blamed for problems they couldn't help. The symptoms could have led them to have issues in their relationships, careers, or education.
A qualified mental health care professional or physician can diagnose adult adhd after conducting a thorough examination of the patient and taking a thorough history. This should include observation of the person's behavior in various environments and gathering information from relatives, including family members and friends. The practitioner must also consider the medical and family history of the individual.
Many women are misdiagnosed as having ADHD because the symptoms of ADHD for women are different than those in males. Women with ADHD tend to exhibit inattention symptoms, such as difficulty keeping track of information or staying focused. They are less likely than men to display an impulsive and hyperactive behavior. Women diagnosed with ADHD typically have more difficulty than men with navigating the work world and their relationships because of these differences.
It is crucial to collect a complete family history when diagnosing ADHD in adults, since the symptoms usually persist throughout life. The history of the person must show that the symptoms have been present consistently from childhood and have had an impact on their functioning at work, school in relationships, and in various other areas.
If the symptoms of a patient are not severe enough to warrant diagnosis, the physician will need to investigate other conditions that may cause similar symptoms, like learning disorders and mood disorders. In addition to a psychiatric evaluation and a thorough medical examination should be conducted.
There isn't a routine blood test or imaging test to detect adhd in adults. However, the medical professional may offer the person a screening test in the office to test attention, concentration, distractibility and short-term memory. Or, request that they perform tests to measure executive functions, such as organizing, planning and time management abilities.
Medical History
Some adults never get diagnosed with ADHD because their parents and teachers didn't recognize the signs as children, and they were misdiagnosed or they managed with ease until they reached adulthood, at which point academic or occupational demands increased. A few adults are diagnosed with ADHD later in life, after they realize that their issues are interfering with their relationships or work. Or they seek help to manage their difficulties at the workplace or at home. A doctor will look over the medical history of the patient to look for an individual or family history of anxiety, depression or other mental health problems. A health care professional may also look for head injuries, thyroid disorders as well as alcohol and drug use or other physical ailments that can trigger similar symptoms.
In adults, the core symptoms of ADHD include inattention, impulsivity, and hyperactivity. These problems can manifest at home, at work or at school, as well in social settings. Adults are more likely than children to suffer symptoms of hyperactivity versus inattention. The symptoms of inattention can cause problems keeping track of appointments, not remembering them or having difficulty keeping track of multiple tasks at home and at work. The hyperactive and impulsive behavior can cause problems controlling anger or frustration, and can result in being impatient waiting in line or driving in traffic, or taking rapid decisions.
Studies have shown that a person's genetics play a role in the development of ADHD. Many non-genetic causes are also linked to ADHD. These include low birth weight, premature birth, exposure to toxins such as alcohol or tobacco during pregnancy, diagnosing ADHD in adults and stress in the early years of childhood.
The majority of times, the symptoms are treated with medication like stimulants. It is essential for the health care professional to know the other medications the patient is taking, as certain medications may interact with certain stimulants. A psychiatric or behavioral health professional will go over the available medication options with the patient. Anyone suffering from ADHD should tell their doctor about any other medical or psychological treatment they are receiving, such as self-help methods and talk therapy. They can also ask about taking part in a clinical trial for new treatment options for ADHD.
Psychological Evaluation
To determine if an adult suffers from ADHD A professional psychologist will conduct a psychological assessment. This includes a clinical interview and a review of relevant documents. The evaluator asks the person to describe their behavior, symptoms, and functioning in various situations, including at school, home, and at work. It is essential that the person being assessed discusses these issues honestly and does not hide out of fear or embarrassment. This will help the doctor gain a complete understanding of the individual's functioning and problems.
The evaluator can also speak to people in the person's life who are familiar with them, such as their spouse, significant others or parents or siblings. These individuals are asked how they would rate the person based on standardized ratings scales that are based on research and compare the behaviors of people with ADHD with those without ADHD. These ratings aren't diagnostic by themselves however they can provide useful information regarding a person's difficulties.
The evaluator also reviews other relevant documents, including reports and old grades or copies of evaluations of performance at work. These are used to identify areas where the person is struggling, such as academic performance, work performance and social interactions. In most cases they are the areas where the symptoms of ADHD most impact an individual's functioning.
Depending on the problem being assessed, the evaluator might decide to conduct additional psychological, neuropsychological or testing for learning disabilities. These tests will not directly diagnose ADHD however they can provide the evaluator with additional valuable information that can be used to determine the existence and severity of any co-existing conditions such as depression or anxiety.
If a person is looking to hire a psychologist conduct a psychological examination, it is helpful for the person to find one who specializes in adults with ADHD. It is also a good idea to ask the patient's primary doctor for a referral or call the local mental health clinic that offers ADHD services, a university-based hospital or a graduate school in psychology to get suggestions. Many insurance plans have a list of providers organized by specialty. Qualified professionals are more than willing to share details about their experience and training in evaluating adult diagnosis of adhd ADHD. Refusal to share this information should be viewed as a red flag and the person should find another source.