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Adult ADHD Diagnostic Assessment and Treatment Many adults suffering from ADHD have a difficult time getting diagnosed Doctors must determine if symptoms are present today or if they were present at different points in the course of their lives technically before age 12 Usually a thorough evaluation involves more than one person It is beneficial to include coworkers family members and teachers SelfAssessment Tools The most popular selfassessment tool for adults with ADHD is the Adult ADHD Symptom SelfReport Scale Adults can take it at home It is accessible on the internet The tool asks a series of questions regarding the symptoms that are commonly encountered by people suffering from ADHD It is a good initial step in determining whether or not to seek an additional assessment from a medical professional Other symptom inventories for adults include the BADDS42 and the ADHD Symptom Inventory for Adults ADHDIS and the CAARS44 The BADDS is a 40item scale that assesses a variety of ADHD symptoms that are contextualized in reallife situations It can be administered by selfreport or as an observerrated instrument It also provides useful supplementary factors in addition to the DSM5 scales Agebased norms are also provided These inventories of symptoms can aid in the process of diagnosing ADHD by providing a broader range of information than a clinical interview alone However they are constrained by their low predictive power adult adhd assessment can significantly overdiagnose cases of possible ADHD This is because many of the symptoms that these tools assess are also present in healthy individuals and are not specific to ADHD Another challenge is that a diagnosis of ADHD must be based on the presence of symptoms that are present over time and in a variety of situations This requires a thorough assessment of functioning from several different angles and the assessment of comorbidities such as depression or addiction disorders These comorbidities are often associated with ADHD and can affect the quality of life of people living with these conditions Despite the limitations selfassessment tools remain useful as an initial screening tool that can help a person recognize the possibility of having elevated levels of ADHD symptoms and should be able to consider an evaluation by a doctor This is especially important for people who believe that their symptoms may be impacting their life at work school or in their family Clinical interviews with an ADHD specialist can give an improved picture and a greater degree of certainty in a diagnosis They can draw on an array of data that includes the results of neuropsychological testing and other measures based on performance as also anecdotal evidence from a patients daily life Diagnosis Only a licensed mental health professional who is certified to conduct such assessments can diagnose adult ADHD While online tools such as selftests and rating scales can give an indication of whether your symptoms might be due to ADHD but they are not able to give you an exact diagnosis A professional ADHD evaluation consists of a thorough interview information from independent sources like a spouse or family member and psychometric tests that are standardized The aim of a thorough examination is to determine if the persons symptoms are serious enough to cause impairment in at least two areas of his or her life A person can be impaired when they are fired from a job experiencing financial problems due to not paying their bills on time or experiencing tension and discord in relationships For the clinical interview it is crucial that the patient discuss the symptoms in a candid manner and honestly Many people with ADHD are reluctant to talk about their issues because they are embarrassed by their difficulties or fear that others will judge them for having the disorder It can be a challenge but it is essential that an expert to have an accurate picture of the persons life and symptoms Diagnostic interviews that are structured can be used to evaluate adult ADHD These types of interviews can help reduce the dependence on the DSMbased inventory of symptoms that was designed for children but doesnt always translate well for adults Adult ADHD inventories and executive function inventories and impairmentqualityoflife ratings are all useful tools in the evaluation process They allow the clinicians to keep track of the progress of the patient throughout treatment Ask your primary doctor to refer you to a local professional that is specialized in adult ADHD diagnosis You can also seek a referral through your insurance company contact a university hospital or ask your local psychology association for assistance in finding a qualified professional If youre having difficulty finding someone in your area you can also call a national business that offers consultations via video or telephone to connect you to an expert These services are an affordable option to get the help that you need right now Treatment Adults with ADHD might have issues at home at work and in their relationships The signs of inattention or impulsivity inattention and disorganization could affect selfesteem and social functioning creating anxiety and a feeling that theyll never be able to get things right Its crucial to find a professional who is familiar with the difficulties of diagnosing and treating adults with ADHD In contrast to children adults have to meet higher thresholds of symptoms in order to be diagnosed Adults must show persistent severe issues in several areas of their lives It is also crucial to gather a thorough medical history as certain illnesses exhibit similar symptoms like ADHD like thyroid disorders seizures hearing or vision problems In addition some medications and drugs can trigger ADHDlike symptoms Structured diagnostic interviews can assist clinicians in confirming the symptoms are ADHD and not a different neurodevelopmental disorder or psychiatric issue These can include questions regarding the patients work school and family history The clinician may also ask about past and current alcohol and drug abuse as well as any other health concerns such as a sleep disorder hearing or vision problems or sleep disorders In addition to the structured interview other tests may be used These include IQ tests and achievement tests as in addition to various tests of neuropsychology or psychological These tests do not diagnose ADHD however they could provide valuable information regarding the effects of ADHD on an individual After a clear diagnosis has been made psychosocial treatment and pharmacological therapies are usually employed to treat the symptoms These may be done either individually or in combination Cognitive behavioral therapy for instance can be used to identify and alter thought distortions and improve the ability of a patient to prioritize and manage tasks ADHD medication is a way to decrease impulsiveness which makes it hard for patients to finish their school work or work assignments Adults with newly diagnosed ADHD or uncontrolled symptoms are advised to consult their doctor within the next 30 days Then regular followups will be recommended until symptoms and functioning have improved It is also important for the health care professional to monitor comorbid conditions like mood and anxiety disorders while receiving treatment Support Adults suffering from ADHD can find help in many different ways Some are at ease in online forums and virtual peer support groups such as those provided by ADDitude magazine They can also meet others by attending local support groups or camps for teenagers kids and adults with ADHD These groups can offer assistance resources and guest speakers to help with learning and coping skills Adults are more difficult to identify than children and most selfassessment tools do not provide a definitive diagnosis The DSMV guidelines on symptom severity are intended to help diagnose children A definitive adult ADHD diagnosis is only made after a comprehensive clinical examination that includes a structured diagnostic interview and a variety of objective tests Neuropsychological tests and performancebased assessments are particularly useful in assessing executive function impairments They give a doctor an opportunity to observe the symptoms in action They can provide a more complete picture of the extent of impairment than selfreport instruments It is important to interview other important individuals in the patients life such as the spouse or partner parents and siblings and employers It isnt easy for the person who are being evaluated to come out and discuss their concerns Adults suffering from ADHD may not be aware of the negative consequences of their actions on others A thorough evaluation requires a careful review of the persons medical history to determine if there are any psychiatric and nonpsychiatric conditions that may be causing the symptoms It is not uncommon for someone with ADHD to have more than one disorder at the same time Since symptom scores are based on subjective perceptions it is essential that people with ADHD have someone else take part in questionnaires to evaluate their symptoms and impact on quality of life The person to fill out the questionnaire is a close friend sibling or parent who is familiar with the person and can attest to their observations Some doctors request that a trusted friend or employer complete a similar form to obtain additional information not available in a clinical interview