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For those who suffer from ADHD the diagnosis can have a profound impact on their lives. It can help people recognize the reasons why they struggle in relationships, work, and family.
It can be difficult to determine the cause since symptoms tend to overlap. A mental health healthcare professional or health professional will assess the patient and perform tests.
Symptoms
It is possible that someone may not be aware of having ADHD until they reach adulthood. This may be because parents and teachers did not recognize the signs at an earlier time or due to the demands of college or work caused the disorder to be revealed. Adults with ADHD who are not treated are affected in their academic, social and professional lives. Undiagnosed ADHD can lead to many issues, including relationship problems and financial difficulties.
A mental health professional will interview and review the patient's medical, psychiatric and personal history, paying particular attention to the symptoms in various settings. The patient will discuss the symptoms and how they impact their daily life and relationships. It is important that patients are honest about their symptoms and not cover them up to avoid embarrassment.
It is also essential for the mental health professional to determine whether these symptoms are related to comorbid conditions like anxiety and depression, which often coexist with ADHD. These conditions can make ADHD symptoms worse and interfere with treatment for the disorder.
If the psychologist or psychiatrist feels that the symptoms are being affected by comorbid conditions such as neuropsychological disorders, or psychological disorders, then additional testing could be performed to determine an accurate diagnosis. These tests will also help determine the level of impairment in function caused by these conditions. The mental health professional may also ask to interview other significant people such as spouses and siblings to get a complete picture of how the person is performing.
Diagnosis
Adults are diagnosed with ADHD by a mental healthcare specialist or physician following a thorough assessment. This includes a detailed interview about the causes of the symptoms and their impact on everyday functioning, as well as the presence of any other mental health conditions that may co-occur with adhd Adult diagnosis such as mood disorders and anxiety. Additionally, the doctor may ask to speak with significant others -- typically a spouse or close friend--to help gather more information about the individual's behavior.
Getting a proper diagnosis of ADHD in adulthood can be a life-changing experience. For many adults, the diagnosis finally gives them an explanation for what always seemed like "normal" behaviors. It's often a relief find out that their issues aren't just due to lazyness or forgetfulness.
The American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, Fifth edition (DSM-5) requires that adults meet specific criteria for symptoms of inattention and hyperactivity-impulsivity. This is a standard set to ensure that people receive the treatment and support they require. In order for a person to be eligible for an ADHD diagnoses, they must have symptoms for at minimum a year and have caused significant impairment in multiple settings, such as home, school or at work, with friends or family, or other activities. The number of symptoms required for adults older than 17 has been reduced from six to five.
A positive relationship with your primary health care provider can help you to recognize ADHD. Many providers regularly diagnose and treat ADHD in children. They can refer you to an expert in mental health who is qualified to perform an evaluation in adults.
Treatment
If people suffering from ADHD receive a diagnosis their lives may change dramatically. They will finally have solutions to their problems at school, with the start of a career, or in relationships. A diagnosis can help relieve the shame that has accumulated for certain people over the years.
The first step in obtaining an diagnosis is speaking to a doctor or mental health professional. They can inquire about family history and conduct an examination to rule out any condition which could trigger symptoms that resemble ADHD, such as sleep disorders, learning disabilities or alcohol/drug use. They may also ask the patient to fill out a checklist of symptoms.
In many cases the doctor will ask that a spouse or partner be interviewed during the assessment process. This will help the spouse who is not an ADHD or partner gain a better understanding and compassionate attitude towards their loved one's ADHD symptoms that is essential in enhancing relationships following the diagnosis. If this isn't an option the therapist may ask acquaintances or colleagues who know the person.
Adults with ADHD are treated primarily by medication. Stimulants such as methylphenidate (Ritalin(r)) and dextroamphetamine (Adderall(r)) are the most effective and commonly used drugs to treat adult ADHD. Other medications such as atomoxetine (Strattera(r),) and Guanfacine (Intuniv (r) Tenex (r)), increase the amount of norepinephrine that is produced in the brain. These drugs can alleviate ADHD symptoms.
Psychotherapy is another alternative. Cognitive-behavioral therapy can help patients develop skills to manage their ADHD symptoms. These include time management and self-regulation strategies, organizing strategies of emotions and behaviors and coping strategies for self-doubt and negative criticism. Other treatments, such as Acceptance and Commitment Therapy (ACT), help adults recognize subconscious thoughts or Adhd Adult Diagnosis irrational thought patterns that can lead to negative behavior and to develop positive self-talk.
Medication
Many people report that ADHD medication can help alleviate their symptoms. This medication is usually in the form a stimulant, and it works by increasing the activity of the brain in areas that control the behavior and attention. Methylphenidate is the most commonly used medication for adults with ADHD and is available in a variety of forms. It is available as immediate-release tablets or as modified-release tablets that release the medication throughout the day. Clonidine is another kind of medication works by reducing the activity in the brain and can be taken as a pill or liquid.
If treating adult patients suffering from ADHD the psychotherapist or psychiatrist may look over the patient's family history as well as medical history to determine if there are any causes that could cause similar symptoms to ADHD. This is crucial because some medical conditions like seizure disorders and thyroid problems can cause symptoms that are similar to those of ADHD. Certain medications and nutritional supplements can cause similar symptoms.
During the assessment, the person will likely to discuss their ADHD symptoms. They will be asked to fill out standardized ADHD rating scales and check lists, and full psychological tests that assess executive functioning, working memory (abilities such as making decisions and planning), visual and spatial capabilities, and reasoning abilities.
If the psychiatrist or therapist believes that the symptoms of ADHD are causing serious harm to the quality of life of a person they will suggest treatment with medication. In some instances the therapist might ask the patient's partner or spouse to speak with them about the impact of their condition on the relationship. This can help reduce the blame between the two people and help to foster healthier, more productive relationships.
Counseling
Many people with ADHD find relief in receiving an diagnosis. It gives them a chance understand why they are having issues at school or at work and to understand how to overcome these problems. It's also an opportunity to alter negative behavior and build self-esteem.
A solid support system is vital to success and counseling can assist. Counseling for ADHD can involve psychological (or psychotherapy) therapy and a range of behavioral strategies. For instance the therapist could make a reward chart that rewards positive behavior and imposes consequences for negative behavior. Therapists can teach the patient techniques to manage symptoms, like relaxation techniques, such as deep breathing or meditative poses in yoga.
Another benefit of counseling is helping people understand and accept their ADHD. It's not easy to admit you have problems in organizing, planning and paying attention. It can even be embarrassing to inform coworkers and supervisors about your ADHD. However, most bosses and teachers will be willing to make accommodations for your situation. They could, for instance let you write on computers instead of paper, or provide more in-depth explanations of the material in class.
In addition the therapist can also teach you how to deal with your ADHD through cognitive behavioral therapy which is a type of therapy that helps to change negative thoughts and behaviors into positive ones. Counseling for ADHD can also involve marital or family therapy, which teaches family members how to better interact with a person suffering from ADHD and enhance communication and problem-solving skills. People who suffer from ADHD frequently suffer from mental health issues, such as depression or anxiety and may also be afflicted by substance abuse and addiction, which can exacerbate their symptoms.
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