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How to Diagnose and Treat ADHD

Many people believe that ADHD is only a condition of children, but it can affect adults too. If diagnosed and treated for ADHD, a person can improve their life.

Interviewing the individual and their family members can be a part of a diagnostic for ADHD. The specialist might review the school records from the past to determine if symptoms started in the early years of childhood.

Symptoms

ADHD is a disorder that impacts school, work, and home life. Everyone struggles with concentration and staying organized from time to time. To be diagnosed with the disorder, a person must have major symptoms in at least two of these areas and show that the symptoms significantly impair everyday functioning. The symptoms must also have been present for at least six months.

A doctor will inquire with the patient about their symptoms, and also about any medical issues and family history. They may also use rating systems to measure symptoms in adults and children. These questionnaires are based on the Diagnostic and Statistical Manual of Mental Disorders Fifth Edition (DSM-5). These include questions about symptoms such as inattention, hyperactivity, and an impulsive nature.

Adults might be asked to talk with their spouse or someone they know well. This is not meant to challenge the patient's honesty, but rather to gain a better understanding of their behavior that can't be obtained from the answers to a questionnaire. You can also inquire about childhood behavior and use old school records to determine whether the symptoms began before age 12.

Before making a diagnosis the doctor will conduct a thorough physical examination and run tests in order to rule other conditions, such as thyroid problems or head injuries that can cause similar symptoms. The provider will also review a person's medication list. Certain medications for depression or high blood pressure, as well as other ailments can interact with stimulants, so the doctor will take these into account when recommending treatments. It is essential that adults talk to their primary health care providers if they suspect they may be suffering from ADHD.

Diagnosis

To be diagnosed with ADHD, symptoms must occur in at least two or more environments (like home, school and work) and significantly interfere with functioning. They must also have started at the age of 12 and the impairment cannot be caused by a different disorder, like anxiety or depression.

A doctor or mental health professional will use a variety of tools during the assessment, including ADHD symptoms checklists and standardized scales for assessing behavior and a detailed history. They can also speak with family members or friends to find out what the symptoms have done to them. They'll ask whether the symptoms are similar to those of other mental health conditions or physical conditions.

The evaluators will consider whether the symptoms are severe or mild. They will also review the person's medical history as well as family history to ensure there isn't any underlying reason for their symptoms, such as thyroid disorders or head injuries, or medications.

In certain instances an evaluator might decide to conduct a cognitive test or request an imaging test to rule out any other possible causes for their symptoms, such as mood disorders, learning disabilities, personality disorders or substance abuse. People with these disorders often show different symptoms than those without these problems. Boys tend to show hyperactive symptoms, while girls show inattentive ones.

Many people with ADHD are interested in taking part in a clinical trial to try out new treatments. While this is a fantastic method to aid in further research, it is crucial for participants to understand that the primary purpose of these studies is to gain knowledge in the field of science and cannot necessarily ensure that they will receive treatment. Visit the NIMH's Clinical Trials Fact Sheet for more details about clinical trials.

Treatment

For a person who suspects they have ADHD, it's important to find an expert trained in diagnosing the disorder. Contact your health insurance company to inquire if ADHD specialists are covered. You can also ask family doctors or other health professionals for recommendations. Word-of-mouth recommendations are a good option.

A doctor will ask the patient - or parents in the case of children - about their symptoms. She might use checklists with standardized criteria or ADHD symptoms, and ask other people in a person's life for details like their spouses and their families. Personal insights can reveal more than what can be gleaned from questionnaires.

get diagnosed with adhd will also want to look over any documents that the individual may have, particularly old school reports. The diagnosis of ADHD is determined by the history of a person, and in order to be diagnosed with the condition, symptoms must be present from childhood (technically before age 12).

A physical exam is also conducted. It checks for other medical issues that could be the cause of symptoms, like seizure disorders or thyroid problems. The expert will often conduct a neurological exam, that checks for motor control and coordination. Psychological tests that measure the level of intelligence and ability can be utilized. In addition the person could be asked to perform simple computer tasks that evaluate memory and attention. This can help an expert determine if a person is hyperactive or inattentional. The specialist will determine the treatment plan and provide an appropriate diagnosis. The typical treatment plan includes therapy and medication. Talk therapy or psychotherapy can help adults and children learn healthy coping techniques and change destructive thought patterns. This therapy is offered by a primary physician or a mental health professional who is a specialist in adult ADHD.

Medication

Many people suffering from ADHD are helped by medication, though it's not the only method to treat the condition. Adults, teens and children can also benefit from behavioral therapy, psychotherapy or the combination of both. These therapies help them cope with their ADHD symptoms and learn how to live with these symptoms. Psychoeducation, or education about ADHD and how to manage it, could be included. They can also include family members, teachers and professionals.

It is essential to find a medical professional or mental health professional with experience treating ADHD. You can ask other people with ADHD for recommendations or a mental healthcare provider you know. You can also conduct an internet search. It's important to find a doctor who is familiar with your insurance.


The health professional will inquire with you or your child about the symptoms and problems caused by ADHD. They will do a physical exam and check for other health issues that could cause similar symptoms. They will look over your or your child's medical history and family history, school records and other reports.

Diagnosing ADHD in adults can be a bit more difficult due to the fact that the symptoms Guidelines of the American Psychiatric Association (DSM-V) are primarily designed to diagnose children. Your doctor will talk to you or your child about the signs and may also request others who spend long periods of time with them to complete questionnaires and checklists. They will use these to help them decide whether you or your child has inattentive ADHD, hyperactive-impulsive ADHD, combined ADHD or unspecified ADHD. ADHD medications include stimulants like methylphenidate, lisdexamfetamine and atomoxetine and nonstimulants like atomoxetine as well as certain antidepressants. They function by boosting levels of brain chemicals referred to as neurotransmitters.

Counseling

Many people with ADHD also suffer from comorbid disorders, such as depression or anxiety. Because of this, treatment should be based on therapy that targets these issues. Some patients can benefit from cognitive behavioral treatment, which teaches skills like managing time and tasks and emotional self-regulation.

Therapists can help patients manage their symptoms by changing their lifestyle. For instance an exercise routine that is regularly practiced can help reduce hyperactivity and improve concentration. A healthy diet is essential as well. People who suffer from ADHD tend to consume more fat and sugar, and less fruit and vegetables. In addition making relationships with family and friends prioritizing relationships can reduce stress levels and help individuals feel more in control of their lives.

A diagnosis of ADHD can help children and adults better understand their challenges. For instance, a child with ADHD may have trouble communicating his or her needs to teachers and peers, but once a teacher understands that it's not due to personal issues or to laziness accommodations can be made.

A professional evaluating ADHD will ask questions geared towards the person's specific age, interview family and teachers, look over medical records, and check for any comorbidities. If ADHD symptoms started before adulthood school records could be useful for adults.

The doctor will also look for any hearing or vision issues with hearing or vision. The doctor may also perform an analysis of blood to check for certain hormones and other health conditions that can cause symptoms of ADHD.

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