10 Tips For Getting An ADHD Diagnosis That Are Unexpected
Getting an ADHD Diagnosis
Being diagnosed with an ADHD diagnosis can be a life-changing experience. It is the reason why some people struggle with staying in control in their work, following directions or staying focused.
Ask your family physician or therapist to refer you to an expert. Contact your insurance company to see if it covers ADHD assessments for adults.
The Diagnosis Process
For adults, a proper diagnosis requires an evaluation by a psychiatrist, psychologist or specialist nurse. They are the only healthcare experts who can diagnose ADHD in adults.
A typical initial evaluation will start with a thorough interview about your lifestyle and symptoms. The healthcare professional may also ask how long you've had symptoms and how they impact you. They might ask you to talk to a family member or friend about your symptoms.
The process of evaluation could also include questions about your childhood. Because current guidelines do not allow a physician to diagnose ADHD in adults without evidence of the disorder being present in childhood, your healthcare provider might be able to examine your school records or talk with teachers or other people who knew you as a kid. They may also inquire if you have experienced any other mental health issues like anxiety or depression.
In some cases, an evaluator may recommend cognitive tests, like IQ tests or assessments for learning or memory problems. They might also suggest different types of medical tests to rule out physical ailments that could be creating your symptoms, like thyroid disorders or seizure problems.
If your healthcare provider believes that your symptoms are caused by ADHD, they will recommend further diagnostic tests to confirm the diagnosis and determine its severity. These tests may include blood and urine testing and a medical exam and perhaps educational or psychological tests.
Tests will be used to measure levels of certain chemicals that may be associated with ADHD in your body, like dopamine, serotonin and norepinephrine. They will also assess your heart rate and blood pressure. You could also receive a spirometry, which measures lung capacity. They might also suggest a brain imaging scan to check for any functional or structural problems. In some cases the evaluator might recommend that you or your child be examined for other conditions that may have similar symptoms similar to ADHD, such as depression and anxiety, or mood and personality disorders.
The Interview
There are many ADHD questions and quizzes which can serve as a screening tool prior to you schedule an appointment with a physician. These tests could help you recognize that you suffer from ADHD, but the clinical interview with your doctor is the only method to confirm the diagnosis.
The process can last from 2 to 3 hours and includes time explaining to the patient what we know about ADHD and how it may affect his or her symptoms. It may also include the doctor asking about a history of depression or abuse of substances 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. Additionally, the therapist will be required to review school records and interview teachers. If undiagnosed adult adhd is an older adult, they might also interview a spouse or a family member. The personal perspective of a person can provide details that are not available through questionnaires.
Some doctors are overloaded and don't bother with this step or they might insist on seeing a patient only one time, rather than carrying out a full assessment. This can cause a doctor to make a wrong diagnosis. This is a red flag in the event that the physician is too rigid in their criteria to diagnose ADHD.
For adults, the evaluator could request that the patient complete scores for each symptom on an ADHD checklist and provide examples of how those symptoms have affected the patient's life. The assessor will then compare the ratings against the checklist and evaluate the severity of ADHD.
For some adults, it could be a relief to receive a diagnosis of ADHD. The sub-conscious emotions, like guilt or sadness for not meeting expectations or that the disorder wasn't noticed until later in the life, may be complicated. The inattention and impulsivity that are typical of ADHD can have a significant impact in many areas of a person's life, including relationships, work, and health.
The Tests
Finding an ADHD diagnosis can be a difficult and complicated process. It requires a lot of paperwork as well as interviews and tests. The best way to prepare is to ask for recommendations from friends, family and doctors you are confident with. Check out the credentials of the specialist and ensure that they're a good match for your requirements. It is important to locate a specialist that specializes in ADHD diagnosis. This is to ensure you or your child receives an accurate diagnosis and the best treatment possible.
The initial step of an ADHD assessment is an interview with an evaluation expert. The evaluator might ask you or your child questions in order to know more about your symptoms. The evaluator would like to know how the symptoms affect you and if they impact your schoolwork, work or social relationships. The evaluator might also employ rating scales to assess your ADHD symptoms. These are usually checklists where you or someone you know is asked a series questions. You might be asked whether you are prone to forgetting appointments or how often you interrupt others.
Many evaluators will also ask those who know you or your child well to fill out questionnaires based on their observations of your behavior. Adults could be asked to complete questionnaires by their spouses, children, or parents. Children might be asked to fill out questionnaires from coaches, teachers, daycare workers or parents. Personal experience can reveal facts that cannot be gleaned from a survey.
The evaluators can also conduct cognitive tests to determine if learning or mental impairments contribute to your symptoms. They might also screen for mood disorders like bipolar disorder or depression and incipient psychosis, or substance abuse. They might also test for underlying conditions such as seizure disorders and hypothyroidism.
Certain evaluators will offer you or your child an ADHD screening test that tests how you respond to targeted and non-target stimuli. For instance, the TOVA (Timed On-Only Visual Attention) is an FDA-cleared computer-based test that tests your ability to pay attention and remember geometric shapes. The examiner will look at how often you respond non-target stimuli and the time it takes you to respond to targeted stimuli. This will help the evaluators determine if you suffer from an impulsive ADHD or inattentive ADHD.
Follow-up
A variety of mental health professionals are able to provide ADHD evaluations and make a diagnosis. This could be a psychiatrist or psychologist, neurotherapist or psychotherapist. The specialist will ask you what your concerns are, and how long they have been affecting you for. He will also ask if there any family history of ADHD. It is thought that the disorder is about 70%-80% heritable and that genetics play a significant role in determining whether you or your child will suffer from symptoms.
The expert will be interested in how your your child's ADHD impacts your daily life, including home, work, and school. He will ask you or your child about their behavior in different situations because ADHD symptoms vary in different situations. To be eligible for a diagnosis of ADHD the parent or child must have six or more documented signs of hyperactivity, inattention or an impulsiveness that hinder daily functioning for at least 6 months.
To aid the doctor in making an accurate diagnosis, he will need to exclude other conditions. These could include other psychiatric disorders, mood and anxiety disorders, intellectual disabilities and certain medical disorders that affect the brain, like thyroid disorders. In addition, the doctor will inquire about your child's sleeping patterns as well as any accidents or injuries that may have affected the development of your or your child's brain.
The doctor will also consider whether the symptoms of ADHD in your child or you are connected to any health issues or medications that you or your child take. The side effects of stimulant medication like those used to treat ADHD can include stomachaches and difficulty sleeping. These side effects could also be caused by other medications like antidepressants, sleep medications, and some sleep aids.
The specialist will also need to determine if there is an underlying comorbidity. This means you or your child might have a different condition that can cause symptoms of ADHD. This can include bipolar disorder, depression, or anxiety disorder. The psychiatrist or psychologist will examine the data and determine a diagnosis.