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ADHD Evaluations and Diagnoses The first step to managing symptoms is to get a diagnosis. Find a licensed mental health specialist or physician (psychiatrist, neurologist, family physician) who is skilled in ADHD assessments and diagnoses. The specialist will conduct an interview designed to look at your past. They might want to look at old reports and speak to family members, teachers or classmates about your childhood habits. Signs and symptoms Children and adults who have symptoms of attention-deficit/hyperactivity disorder (ADHD) often have trouble with paying close attention, listening attentively and following directions—things that come naturally to others. These symptoms can cause issues with relationships and learning at school, home and at work. Speak to your GP when you or your child is showing these signs. They can't formally diagnose ADHD however, they can discuss your concerns with you and recommend specialists, if required. A GP can assist you in determining if your symptoms are related to ADHD by asking questions, reviewing your medical history and health records and conducting an examination. You may also mention the history of ADHD in your family to aid in diagnosis. The GP will then recommend you to a psychiatrist or psychologist to conduct a psychiatric examination. The evaluation may consist of a description of your symptoms, questionnaires and scales completed by your caregivers, you and teachers along with a psychiatric assessment, physical examination and laboratory tests. Psychologists and psychiatrists can diagnose ADHD among children and adolescents using the Diagnostic and Statistical Manual of Mental Disorders Fifth Edition of the American Psychiatric Association. These include looking for an inattention pattern or hyperactivity that lasts for a period of six months or more and determining whether these symptoms are affecting your life at home, at work or school. Adults may be diagnosed with ADHD in the same manner however, their symptoms are more likely to present differently as they age. They can have a predominantly inattentive presentation of the disorder, a predominantly hyperactive/impulsive presentation or a combination of both. If you meet the criteria for diagnosis and your symptoms are specific to adults you could be prescribed medication. Psychostimulants, which affect neurotransmitters in the brain, are commonly prescribed to treat ADHD in adults. These medications boost energy and alertness, improving concentration and focus. They may be given as extended-release versions to minimize adverse effects. Antidepressants are sometimes used to treat the inattentive symptoms of ADHD in adults. These drugs, like Wellbutrin (bupropion) and Effexor (venlafaxine), affect neurotransmitters in the brain and improve focus and mood. Diagnosis A diagnosis of ADHD can help you take control of the symptoms that could affect your professional and personal life. A psychiatric examination is conducted by a licensed mental health professional or a physician (psychiatrist or neurologist, family doctor, or any other kind of medical specialist). A person with an underlying symptom-based diagnosis such as ADHD, must meet certain guidelines set forth in the American Psychiatric Society's Diagnostic and Statistical Manual of Mental Disorders Fifth Edition to be eligible for treatment for ADHD. During the ADHD evaluation, you'll be asked questions about your child’s behavior at home, in school, and in social situations. Your child's medical history, development and family history will be reviewed. They will then compare your child's behavior against those of children who are of similar age. They can use standard rating scales that measure the frequency of specific behavior problems, such as difficulty paying attention, ignoring things and interrupting other children. There are three presentations of ADHD – predominately inattentive, hyperactive-impulsive and combined. To be diagnosed with ADHD, your child must meet six of the nine symptoms that fall under either the inattentive or the hyperactive-impulsive categories. They must occur in a variety of settings and affect your child's performance and cause dysfunction, and have been present for at least six months. If your child doesn't meet the criteria for an inattentive ADHD diagnosis Your healthcare provider could diagnose them with unspecified ADHD. They might also decide that your child does not have a hyperactive-impulsive presentation of the condition and not give them an official ADHD diagnosis. A thorough psychiatric examination can include psychological and neuropsychological testing, and computer-based cognitive tests. Your healthcare provider will perform a physical examination and assess your child's heart rate to determine if there are medical issues like thyroid disorders and head injuries that could be similar to ADHD symptoms. They may also ask teachers and caregivers for a detailed history of your child's development and conduct a thorough interview with your child and family. They will also consider whether there is an ancestral history of ADHD since the condition is highly heritable. Treatment If a person has been diagnosed with ADHD the person may need medication and/or behavioral therapy. Behavioral therapy could include family and individual counseling, as also group therapies like cognitive behavioral therapy (CBT) and dialectical behavior therapy (DBT). The first step to get treatment is to locate an expert in diagnosing ADHD who is covered by your insurance. Start by contacting your insurance provider or a local mental health support group, such as the National Alliance on Mental Illness (NAMI) or CHADD to find professionals who specialize in ADHD in your region. how to get adhd diagnosis uk utilize computer tests, such as continuous performance tests, to test for attention and impulse control problems. Other doctors use brain scans, such as single photon emission computed Tomography (SPECT) to look for abnormalities. Experts agree that the interview with the patient is the most crucial component of an assessment. During an interview, the physician will go over the symptoms that prompted the appointment. The doctor will also seek information from someone who knows the patient very well, such as siblings, spouses or a parent. The clinician will also interview teachers as well as coaches, nannies, and other adults who spend considerable time with the patient. It is a long procedure that could take up to an hour. The physician will then write an assessment report and discuss the findings of the examination with the patient. It is essential to remember that the diagnosis of ADHD is based on the extent to which the symptoms interfere with the person's daily life. This means that the symptoms must be significantly affecting two main settings, such as at work and at home. The impairment must be present for at least six months to be considered an appropriate diagnosis of ADHD. During the interview, the doctor will discuss with the patient their medical and mental health history and determine if they meet the diagnostic criteria outlined by the American Psychiatric Assocation's Diagnostic and Statistical Manual of Mental Disorders Fifth Edition Text Revision DSM-5. A valid diagnosis of ADHD is based on at least three of the five symptom categories: difficulty paying close attention to details and making erroneous mistakes, difficulty remaining focused on activities or tasks and difficulty listening when being talked to or daydreaming, or appearing to be distracted. The following is a list with preventions. In many cases, people who have inattention ADHD symptoms don't get diagnosed. They're not as disruptive or as impulsive as hyperactive ADHD and are often dismissed. Their issues can have serious consequences. They may not perform well in school, experience disagreements with their peers or struggle to find jobs. These people require treatment, as well. Attention deficit hyperactivity disorder is the official name for the condition. The term ADD is still used from time to time, but it is not the most commonly used. The newer version recognizes that children can suffer from inattentive symptom. While many of the symptoms are common to all cases, there are some differences in how the disorder manifests itself between boys and girls. Girls and children assigned female at birth (AFAB) tend to show more inattentive symptoms, which are less noticeable, than the hyperactive/impulsive symptoms. This makes them more likely to not be diagnosed, and less likely to seek treatment. A thorough examination by a healthcare professional is required to make an accurate diagnosis. This may include an examination of the medical history, a clinical interview, and physical examination. It is also a matter of reviewing reports from teachers, parents or other adults who know the person as well as standard scales of rating used by loved ones and educators. These can be helpful in determining whether the symptoms are present to a degree that they affect the way you function. A thorough examination is crucial to determine if the symptoms are due to another psychiatric or medical condition, such as anxiety or depression. In some instances, treating other disorders can aid in reducing or eliminating ADHD symptoms. Those who are diagnosed with the disorder must be aware of what to expect from the treatment and possible adverse effects. They should also keep in contact with their doctor to ensure that the medication is working as it should. Stimulant medications are the most commonly used treatment of inattentive ADHD. They can help improve concentration and decrease impulsive behavior. Other treatments, including cognitive behavioral therapy and parent education can be extremely beneficial for adults and children with this condition as well. It is crucial to remind people who are prescribed ADHD medication to see their doctor regularly, since certain patients may require adjustments to dosages or other treatment options.