How to Diagnose and Treat ADHD
Many people believe that ADHD is a normal child's issue, but it can also affect adults. Diagnosed and treated for ADHD the patient can improve their life.
An assessment for ADHD could involve a conversation with the person and family members. The specialist might review the school records from the past to determine if symptoms started in childhood.
Signs and symptoms
ADHD is a condition that affects work, school as well as home life. Everyone has difficulty concentrating and staying organised at times. A person must exhibit major symptoms in two of these areas and have a significant impact on everyday functioning to be deemed to have ADHD. The symptoms must also have been present for at least six months.
To make a diagnosis, doctors will speak with the patient regarding their symptoms and ask about family medical history and any medical issues. They can also use rating scales to assess a adult's or a child's symptoms. These questionnaires are based off of the Diagnostic and Statistical Manual of Mental Disorders Fifth Edition (DSM-5). These include questions regarding symptoms like inattention, hyperactivity, and an impulsive nature.
Adults may be asked to talk to their significant other or someone they know well. This isn't meant to challenge honesty, but to gain a better understanding of a person's behavior that can't be obtained from a questionnaire. They might inquire about their childhood behaviors and consult old school records in order to determine if symptoms began before the age of 12.
Before determining a diagnosis, the doctor will conduct a thorough physical examination and run tests in the lab to rule out other conditions out for thyroid issues or head injuries, which could cause similar symptoms. The doctor will also look over the patient's medication list. Certain medications for depression, high blood pressure and other conditions can interact with stimulants, and the doctor will take these into account when suggesting treatment options. This is why it's essential for adults to consult their primary healthcare providers in the event that they suspect they have ADHD.
Diagnosis
To be diagnosed with ADHD, symptoms must manifest in at least two different settings (such as school, home, and work) and cause impairment to functioning. The symptoms must have appeared before the age of 12 and cannot be caused by a different disorder such as anxiety or depression.
A doctor or mental health professional will employ a variety tools during the evaluation, including ADHD symptoms checklists as well as standardized behavior rating scales and a detailed medical history. They might also talk to family members or friends to determine what the symptoms have done to them. They will also ask whether there are any other psychiatric disorders or physical conditions that have similar symptoms.
Evaluators will take into account whether the symptoms are mild moderate, severe or even mild. They will also review the patient's medical and familial history to determine if there is any underlying causes for their issue like thyroid problems or head injuries.
In some instances an evaluator might decide to perform cognitive testing or request an imaging test to rule out other reasons for their symptoms, including mood disorders, learning disabilities, personality disorders or substance abuse. People with these disorders often show different symptoms than those without these problems. For instance, boys tend to show hyperactive symptoms and girls show inattention symptoms.
A few people suffering from ADHD are interested in taking part in a clinical trial to try out new treatments. While this is a great opportunity to contribute to further research, it is important for participants to know that the purpose behind these studies is to gain information from the scientific community and does not necessarily guarantee that they will receive treatment. For more information about clinical trials, check out NIMH's Clinical Trials fact sheet.
Treatment
If you suspect they have ADHD it is important to find a professional who is experienced in diagnosing the disorder. Contact your health insurance provider to find out whether ADHD specialists are covered, and seek out referrals from family doctors or other health care professionals. Also, word-of mouth referrals are a good option.
A doctor will inquire with the patient - or their parents in the case of children - about their symptoms. She may use standardized checklists or ADHD symptoms, and ask other people in the patient's life for information including spouses and their families. Personal insights can provide more information than what can be gleaned from questionnaires.
A specialist will also need to examine any records the person might have, including old school reports. Often, the diagnosis of ADHD is dependent on the person's past and, in order to be diagnosed with the condition, the symptoms must be present from the age of a child (technically before age 12).
A physical exam is also carried out. It is also checked for other medical conditions that may be causing symptoms, for instance seizures or thyroid problems. A neurological exam is usually carried out by an expert to assess the coordination and motor control. Psychological tests, designed to measure abilities and intelligence, may be used as well. In addition one could be asked to perform simple computer tasks that test memory and attention. This could help an expert determine whether a person is hyperactive or inattentive. The expert will choose the treatment plan and provide an appropriate diagnosis. Treatment plans typically include medication and therapy. Psychotherapy, also known as talk therapy can teach adults and children healthy coping strategies and alter unhelpful thinking patterns. This therapy is offered by a primary physician or a mental healthcare specialist who is an expert in adult ADHD.
https://meredithmaddox1.livejournal.com/profile suffering from ADHD are helped by medication. However, this is not the only treatment for the condition. Children, teenagers and adults can also benefit from psychotherapy, behavioral therapy or the combination of both. These therapies assist them in dealing with their ADHD symptoms and learn to manage them. They can include psychoeducation, which is a form of education about ADHD and ways to manage it. They can also include family members, teachers and professionals.
It is crucial to locate a mental health professional or health professional with experience treating ADHD. You can request recommendations from people who have ADHD or from a mental health provider you already know, or do an online search. It is important to find a doctor who is familiar with your insurance.
To diagnose ADHD, the health care provider will ask about your your child's symptoms and problems caused by the condition. They will conduct physical examinations and check for any other health conditions that could cause similar symptoms. They will look over your or your child's medical history and family history, school records and other reports.
The American Psychiatric Association's (DSM-V) that is primarily geared towards diagnosing children, has a more difficult time diagnosing ADHD in adults. Your doctor will talk to you or your child regarding their symptoms, and may ask other people who spend many hours with them to fill out 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 such as methylphenidate, lisdexamfetamine and atomoxetine and nonstimulants like atomoxetine as well as certain antidepressants. They help by increasing levels of brain chemicals, known as neurotransmitters.
Counseling
Many people with ADHD have comorbid disorders like depression or anxiety. Therefore, treatment should include therapy that addresses these issues. Certain patients can benefit from cognitive behavioral therapy, which teaches skills like time and task management and emotional self-regulation.
Therapists can also assist patients in managing their symptoms through lifestyle adjustments. Regular exercise can help decrease hyperactivity and improve focus. A healthy diet is crucial too. People who suffer from ADHD tend to consume more sugar and fat, and less fruit and vegetables. Making family and social relationships a top priority can help decrease anxiety and make people feel more in control of their lives.
A diagnosis of ADHD can help children and adults better comprehend their difficulties. A child diagnosed with ADHD might have difficulty communicating their requirements to teachers or their other peers. Once a teacher realizes that this is not a personal issue or due to laziness they can make adjustments.
A professional conducting an ADHD assessment will ask questions geared toward the age of the person, talk to teachers and family members as well as review medical records and look for comorbidities. If ADHD symptoms started before adulthood, school records can be useful for adults.
The specialist will also check for any vision or hearing issues with hearing or vision. The doctor could also conduct a blood test in order to determine the presence of certain hormones, as well as other health conditions which can cause symptoms similar to ADHD.