Diagnosing Adult ADHD
Adult ADHD is more difficult to identify than ADHD in children. Most symptom checklists used in children are useless for adults.
Typically, a thorough evaluation by a therapist or psychologist is required. Past school or work records could be reviewed, too. Friends, coworkers and family members may also benefit from counseling.
Signs and symptoms
A person who has ADHD often has issues at school and at work. They have difficulty keeping on top of deadlines and assignments. They have lost things, forget appointments and medical instructions. They may be impulsive and put at risk their health by skipping meals, or avoiding medication that they require. They tend to react to stress in an overly emotional way and have trouble being able to focus or reading the moods and behavior of others.
Those suffering from ADHD are prone to having difficulty staying focused and become bored easily with monotonous tasks. They are more likely to be distracted or "zoning out" without even realizing it and especially when other people are talking. They are not attentive and don't respond to questions. This makes them appear bored or uninterested. They can have difficulty remembering instructions and details. This can lead to mistakes or incomplete work. They may also get bored with a task quickly and want to try new challenges or activities.
Adults with ADHD have difficulty in relationships, and often feel like they aren't keeping up with friends and family. They struggle with money management and this can lead to an impulsive spending habit and the accumulation of debt. Their work may suffer due to their inability to follow the rules or complete paperwork in time to meet deadlines. They may not be able to control their time well and leave work frequently before they have finished. They may have a difficult time getting along with co-workers or supervisors because of their temper and inability to listen to others' concerns.
Adults with ADHD don't show the same physical signs as children with ADHD, such as fidgeting and tapping their feet. Their restlessness may be more subtle like constantly checking their watches or having trouble sitting down in the course of a meeting. The lack of organization and poor work habits can cause financial problems and job loss.
Anyone who is suffering from symptoms of ADHD should visit a primary care provider. The doctor will evaluate the severity of their symptoms and refer them on to an expert in mental health. In addition, the professional will inquire about their medical history as well as whether they are taking any medication that could interact with stimulants.
Family History
It can be a devastating experience for adults to learn that they have lived with ADHD for a long time and aren't able to manage their lives. They may have suffered through embarrassing situations, have been labelled "lazy," "irresponsible" or "stupid," or been blamed for things they couldn't help. They may have struggled with maintaining relationships, or experienced difficulties in their education or careers due to the symptoms.
After a thorough exam and a detailed history of the patient, a qualified mental health professional or physician can determine if the patient has adult adhd. This includes observing the patient's behavior in various settings, and gathering information from family members and close friends. The practitioner should also take into account the medical and family history of the person.
Many women are misdiagnosed since the symptoms of ADHD in women are different than those in men. Women with ADHD tend to display inattention symptoms, such as difficulty keeping track of information or staying focused. They're less likely than men to exhibit hyperactivity and impulsiveness. Women who are diagnosed with ADHD generally have more difficulties than men in dealing with the workplace and their relationships due to these differences.
Iam Psychiatry is crucial to collect the complete family history prior to diagnosing ADHD in adults, since the symptoms typically persist throughout life. The person's past should prove that the symptoms have been consistently present since childhood and have had a profound impact on the person's performance in school, at work as well as in their relationships in other aspects of their life.
If the symptoms of a patient are not severe enough to warrant diagnosis, the physician will have to look into other conditions that could cause similar symptoms, such as mood disorders or learning disorders. A thorough medical examination is required along with a psychiatric evaluation.
In general, there isn't a blood or routine imaging test that can be used to diagnose adults with adhd. However, a healthcare professional may give the patient a test in the office to evaluate attention, concentration, distractibility and short-term memory. They may also request that they perform tests to measure executive functions, like planning, organization, and time management skills.
Medical Histories
Many adults never get the diagnosis of ADHD because their teachers or parents did not recognize the symptoms during their childhood, and they were mistakenly diagnosed as children or did well until adulthood when the demands of their jobs or academics were greater. Some adults are diagnosed later in life when they are noticing that their issues are getting in the way of relationships or work, or they are seeking assistance to deal with their issues at home or at work. A doctor will look over the medical history of the patient to determine if there is an individual or family history of depression, anxiety, or other mental health issues. A health care professional may also check for head injury thyroid disorders, head injury or alcohol and drug abuse or other physical ailments which can cause similar symptoms.
Adults with ADHD are identified by impulsivity, hyperactivity, and inattention. The person is affected at home, at work, or at school, as well as in social situations. Adults are more likely than children to suffer symptoms of hyperactivity, as opposed to inattention. Inattention issues can result in problems with staying organized, missing important appointments, and having difficulty keeping track of multiple tasks at work and home. The impulsive and hyperactive behaviors can cause problems controlling anger or frustration, and can result in being anxious waiting in line, driving in traffic, or making rapid decisions.
Studies have shown that genetics can be a factor in the development and severity of ADHD. A number of non-genetic causes are also associated with ADHD. This includes low birthweight and premature births, exposure to toxins like smoking cigarettes or alcohol during pregnancy and stress in early childhood.
Symptoms are often treated with stimulants. It is essential for the health professional to know which other medications a patient may be taking, since certain medications may interact with certain stimulants. A psychiatric specialist or behavioral health professional will talk to the patient about the various options for treatment. Patients with ADHD must inform their doctor of any other medical or mental treatment they receive, such as self-help methods or talk therapy. They can also inquire whether they are interested in participating in a clinical study for new treatment options for ADHD.
Psychological Evaluation
To determine if an adult suffers from ADHD, a professional psychologist will perform a psychological evaluation. This involves a clinical interview and review of relevant documents. The evaluator will question the person about their behavior, symptoms and functioning in various settings, such as home, school and work. It is essential that the person being evaluated discuss these issues candidly, without holding back because of embarrassment or fear. This will allow the doctor to obtain a full picture of how the patient is performing and what issues they are having.
The evaluator may also interview people in the person's life who know them well like their spouse or significant other parents, siblings, or parents. They are asked how they would rate the person based on standard ratings scales that are that are based on research and compare the behavior of people suffering from ADHD as compared to those without ADHD. These ratings aren't considered diagnostic in their own right, but they provide valuable information about the person and their challenges.

In addition to the interview with the patient and additional questionnaires the evaluator is expected to look over relevant documents like old report cards and grades or copies of performance reviews from the workplace. They are used to pinpoint areas where the individual is struggling, for example, academic performance as well as work performance and social interactions. In most cases these are the areas where the symptoms of ADHD most impact an individual's functioning.
Depending on the condition being assessed, the evaluator may decide to do additional neuropsychological, psychological or learning disability testing. These tests won't directly diagnose ADHD however they can give the evaluator useful information that can be used to help determine the presence and severity of any co-existing issues such as anxiety or depression.
It is essential to locate an experienced psychologist who has worked working with adults suffering from ADHD when looking for the help of a psychologist for a psychological assessment. It is also a good idea to ask the person's primary care physician for a referral, or call the local mental health clinic that offers ADHD services such as a hospital that is a university or a graduate school of psychology for recommendations. Many insurance plans also have lists of providers based on specialty. Professionals who are qualified are more than willing to share details about their experience and training in the evaluation of adults with ADHD. A refusal to participate should be viewed as an indication that the person should seek another provider.