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Getting an ADHD Diagnosis Finding a diagnosis for ADHD is often the first step toward managing symptoms that affect daily activities. Many people are hesitant to seek out a diagnosis, but doing so can be a great relief. A clinical interview is usually the first step in an ADHD evaluation. Experts can also conduct screening tests to determine if there are co-existing conditions like mood disorders or learning disabilities. Signs and symptoms The disorder was first documented in medical science in 1902, and has been referred to by several names, most recently attention-deficit/hyperactivity disorder with or without hyperactivity (DSM-5). ADHD is often caused by an imbalance of chemicals in the brain. Adults who suffer from ADHD often have trouble in completing tasks that require organization as well as paying attention in school or at work and retaining important information. They are susceptible to impulsive behaviors like disrupting others, or not following rules. They may also have trouble finishing projects, keeping appointments or paying their bills. It is crucial to seek out a clinician who has been certified in ADHD when looking for a diagnosis. Ask for a referral by an established source, such as an organization for mental health in your area or a support group. It is also a good idea to inquire with your insurance company to see if there are providers in network who specialize in ADHD. A comprehensive psychiatric assessment will include a detailed description of their symptoms, a review of the family and personal history, including past mental health, medical and educational problems and the taking psychoeducational or neuropsychological tests as well as a physical examination. In addition, the clinician will also interview significant others such as spouses or partners to determine the extent to which ADHD symptoms affect their lives. Many people with ADHD have a poor memory of their childhood, and it is beneficial to ask parents or other close relatives fill out questionnaires describing the child's symptoms. Adults suffering from ADHD might be hesitant to admit that their issues stem from their attention deficit disorder. They may be embarrassed, frustrated and ashamed for having trouble staying focused and organized at home and at work. They may also believe that their problems are their own shortcomings or personality flaws. Finding a diagnosis of ADHD can bring relief and hope for the future and help them understand that their difficulties are not their own fault. Diagnosis There isn't a single medical test or physical test to determine ADHD (previously called ADD). However, a qualified mental healthcare professional will collect information from a variety sources about your child's or adult's symptoms. These include ADHD symptoms lists and standardized scales for assessing behavior and a thorough history of the person's previous and present functioning. A thorough evaluation can also include a psycho-psychological exam, such a personality inventory or a neuropsychological test. In addition the health professional may evaluate the person's medical history, which includes recent or previous injuries, illnesses and the usage of medication, including those that stabilize moods, such as steroids. It's important to recognize that other conditions and disorders may be a source of symptoms similar to ADHD. This includes anxiety disorders, learning disabilities and mood disorders as and other medical conditions like thyroid condition and sleep apnea. A thorough psychiatric assessment will help identify the root of the problem and provide effective treatment options. A crucial aspect to consider when diagnosing ADHD is whether the person's symptoms result in significant impairments in at least two major settings, including school and at home. This is especially true for young people and children. Without treatment, these people may struggle to be successful in school, find it difficult to maintain jobs, and may have difficulty maintaining relationships and friendships. It is essential to seek an assessment from a health care provider who has worked with children and teens. A majority of primary care physicians and mental health professionals routinely diagnose ADHD however, you should choose an expert who takes the time to conduct a thorough assessment. During the interview, your doctor will ask you about your child's development and your family history. They will also go over the criteria set forth by the American Psychiatric Association for diagnosing ADHD in the Diagnostic and Statistical Manual of Mental Disorders Fifth Edition. Treatment There are a myriad of psychiatric issues that may mimic ADHD in both adults and children. A thorough psychiatric evaluation is essential to exclude any other medical disorders. These include mood disorders and anxiety disorders. They also include learning disabilities as well as head trauma, thyroid conditions, and drug use. These alternate explanations could have a significant impact on quality of life. A thorough mental health assessment usually includes an interview with the patient and also checklists or questionnaires that other people have completed in his or her life. This could include parents and spouses for children, as well as siblings, co-workers and friends for adults. Personal insight often uncovers details that aren't possible to extract from checklists or questions and also helps the doctor understand the ways in which a person's ADHD symptoms may have affected his or her relationships with other people. In addition to reviewing symptoms, the psychologist or psychiatrist can also review the medical history of the patient. A physical exam, including vision and audio tests, is also performed. An electroencephalograph or EEG scan, which measures brain waves and can help identify the presence of ADHD, is available in some offices. Some patients decide to participate in a clinical trial to determine whether the new medication can help alleviate their symptoms. Participants must be aware that the main goal of a clinical study is to learn new information and not to treat a specific health condition. Based on the findings of the evaluation, the doctor may recommend treatment options that may include psychotherapy, medications or other treatments. In certain instances, it is recommended to combine treatments as they are the most efficient. The medication is generally safe for children and adults and can help alleviate certain symptoms. Other treatments that are effective include the use of behavior therapy, lifestyle modifications and parenting strategies. Medication For some, medication can reduce symptoms of ADHD and improve their ability to function. It can be a challenge to determine the appropriate dose and type of medication that works best, and it may require time to adjust to any adverse effects. It is crucial to speak to your doctor if are feeling sleepy or drowsy after taking certain medicines. Psychiatrists may prescribe stimulants to lessen the symptoms of ADHD. These medications boost the levels in the brain of certain neurotransmitters. They can also prescribe nonstimulant medications that can improve attention, impulsivity and focus but aren't as efficient as stimulants. They can prescribe mood stabilizers or antidepressants for those suffering from depression, as well as other disorders that could be present in conjunction with ADHD. Other therapies that can benefit people suffering from ADHD include psychotherapy, family therapy, and training or education programs for children and adults. These treatments can help people learn strategies and skills to cope with the symptoms and improve their performance at school and at home. A mental or medical professional might be able to determine ADHD in a child by reviewing the school records of the child and discussing the child's behavior with caregivers and teachers. They may interview the child, conduct psychological tests and test for learning disabilities and other conditions with similar symptoms. For a child to be identified with ADHD the child must exhibit at least six of the nine symptoms outlined in the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV TR) and these symptoms must significantly impair the ability to function at home and in the classroom. In addition, they should not be better explained by a different condition. Counseling If you require therapy or medication management for ADHD it is essential to find a licensed professional who is experienced in treating the disorder. Your primary physician can offer a recommendation or guide you to specialists in your region. Some specialists who specialize in ADHD offer online telemedicine to make appointments easier and more convenient. Many insurance companies let you schedule appointments via their system. Doctors and ADHD specialists can diagnose ADHD in children by discussing their symptoms with parents and teachers in-depth and observing them in various environments, talking to the family and conducting a learning disability evaluation. They also look over the school records and fill out questionnaires by teachers and caregivers. To be eligible for a diagnosis, the adolescent/adult must show at least five of the following symptoms: A thorough medical history is important to diagnose ADHD. Because adults often have poor or blurry memories of childhood, therapists might seek information from outside sources like spouses or other family members. They should also be looking for other possible causes, such as brain injury, developmental disorder or other health issues, that could be causing symptoms reminiscent of ADHD. During the initial consultation the expert should evaluate the way in which the person deals with the symptoms of ADHD and evaluate the impact of these symptoms on their daily life. They should also discuss any previous ADHD assessments or treatments. It is also helpful to determine other conditions that have similar symptoms, like depression and anxiety. A mental health professional should not just evaluate an individual but also listen to them without judgement. This is particularly important if the person has an history of depression or abuse.