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For adults who struggle with ADHD the diagnosis can have a major impact on your life. It can help people recognize the reasons why they struggle in relationships, work, and family.
However it can be a challenge to establish a diagnosis because symptoms can be overlapping with other conditions. A health care professional or a mental health professional will examine the patient and run tests.
Signs and symptoms
A person may not be aware that they suffer from ADHD until they reach adulthood, perhaps because teachers and parents did not recognize symptoms at a younger age, or because the demands of college or working brought out the disorder. Adults with ADHD who aren't treated are affected in their academic, social and professional lives. Undiagnosed ADHD can lead to numerous issues, including relationship problems and financial issues.
A mental health professional will review and interview the patient's medical, mental health and personal history, paying particular attention to symptoms in various settings. The patient will be asked to describe how these symptoms impact his or her daily functioning and relationships. It is essential that the patient is honest about these symptoms and not hold back due to feelings of shame or embarrassment.
The mental health professional must be able to determine if the symptoms are related to comorbid conditions like depression and anxiety, which often coexist with ADHD. These conditions often make the symptoms of ADHD worse and can interfere with effective treatment of the disorder.
If the psychologist or psychiatrist thinks that the symptoms of ADHD are being impacted by other conditions, additional psycho-, neuropsychological or testing for learning disabilities could be performed to determine an accurate diagnosis. These tests can help determine the level of impairment in function caused by these conditions. In addition, the mental health professional might ask to interview one or more significant people, such as spouses, siblings and colleagues to get a complete picture of the person's behavior and issues.
Diagnosis
Adults are diagnosed with ADHD by a mental health doctor or a medical professional following an exhaustive evaluation. This involves a thorough discussion regarding the history of symptoms and their impact on everyday functioning, as well as the presence of any other mental health issues that may co-occur with ADHD such as mood disorders and anxiety. The practitioner may also ask to speak with significant others, such as the spouse or a close family member to help them collect more information.
A diagnosis of ADHD can change your life. For many adults, the diagnosis finally gives them an explanation for what has always appeared to be "normal" behaviors. It's often a relief to find out that their issues aren't simply 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 established to ensure that people receive the help and treatment they require. To qualify for an ADHD diagnosis, the person must have been suffering from the symptoms for at least 12 consecutive months and they must be causing significant impairment in several settings, including school, at home, or at work; with friends or family or in other activities. The number of symptoms that are required for adults older than 17 has been reduced from six to five.
A positive relationship with your primary healthcare provider can help determine ADHD. Many physicians diagnose and treat ADHD in children and refer you to an expert in mental health to assess adults.
Treatment
When someone with ADHD is diagnosed, their life may change dramatically. They can finally find some answers to their problems in school, and also in establishing a career, or in relationships. A diagnosis can help relieve the shame that has been accumulating for some people over the years.
The first step to get adhd diagnosis a diagnosis is to talk to a health care professional or mental health professional. They might inquire about family history and then conduct an examination to rule out other conditions such as sleep disorders or learning disabilities that can cause symptoms that are similar to ADHD. They may also ask the person to complete a rating scale checklist of symptoms.
In many cases, the doctor will request that a spouse or partner is interviewed during the assessment process. This assists the non ADHD spouse or partner to gain an understanding of their loved one's ADHD, and an empathetic approach towards those symptoms. This is crucial to strengthen relationships following the diagnosis. If this is not feasible the doctor can conduct an interview with colleagues or friends who know the person well.
Adults with ADHD are treated mostly with medication. Stimulants such as methylphenidate (Ritalin(r)) and dextroamphetamine (Adderall(r)) are the most effective and commonly prescribed drugs for treating adult adhd adult diagnosis. Other medications, like Atomoxetine (Strattera(r)) and Guanfacine (Intuniv(r), Tenex(r)) increase the levels of norepinephrine in the brain and may help improve symptoms of ADHD.
Psychotherapy is also an option. Cognitive-behavioral therapy can help patients learn strategies to manage their ADHD symptoms, such as time management and organizational strategies, self-regulation of emotions and behavior and dealing with negative feelings and self-criticism. Other treatments, such as Acceptance and Commitment Therapy (ACT), help adults identify automatic thoughts or irrational thinking that lead to negative behavior and develop positive self-talk.
Medication
Many people discover that ADHD medications can help improve their symptoms. This medication typically comes in the form of a stimulant. It is effective by boosting the activity of brain regions that regulate behavior and attention. Methylphenidate is the most commonly prescribed medication for adults suffering from ADHD, and it is available in various forms. It is available as immediate-release tablets, or modified-release tablet forms that release the medication throughout the day. Clonidine, another type of medicine is a drug that works by reducing brain activity. It can be taken in pill form or liquid.
The therapist or psychiatrist will examine the medical and family background of the adult patient in order to determine factors that may cause similar symptoms. This is crucial, since some medical conditions like seizures and thyroid issues can cause symptoms similar to ADHD. Certain medications and nutritional supplements may also cause similar symptoms.
During the assessment, the individual will likely describe their ADHD symptoms to their therapist or psychiatrist. They will be asked to complete standardized ADHD rating scales and adhd Adult diagnosis check lists, as well as full psychological tests that assess working memory, executive functioning (abilities like making decisions and planning), visual and spatial capabilities, and reasoning abilities.
If the therapist is of the opinion that ADHD symptoms affect the quality of life of a person they will recommend medication. In some instances the therapist might ask the patient's partner or spouse to interview them about the impact of their symptoms on their relationship. This can help reduce blaming between individuals and result in healthier, more productive relationships.
Counseling
Being diagnosed is a huge relief to many adults suffering from ADHD. It's an opportunity to discover why they have problems at school or at work, and discover ways to overcome these issues. It's an opportunity to change negative behaviors and increase self-esteem.
Counseling is a great way to help you build a strong support network. Counseling for ADHD can include psychological (or psychotherapy) therapy as well as a variety of behavioral interventions. For example the therapist could make a reward chart that rewards positive behavior, and imposes consequences for negative behavior. The therapist could also guide the patient on how to manage their symptoms, such as relaxation techniques such as deep breathing or yoga poses.
Counseling can help people accept and understand their ADHD. It's not easy to admit you struggle with planning, organizing and paying attention. It can be embarrassing to confess that you have ADHD to your supervisors or coworkers. However, most bosses and teachers will be willing to make accommodations for your situation. They may, for instance, allow you to write on computers instead of paper or give more in-depth explanations of class material.
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