How to Get the Best ADHD Assessment for Adults
A professional ADHD assessment is the best way to obtain an accurate diagnosis. Self-assessment may be helpful, but it is not a substitute for a consultation with a specialist.
A proper ADHD assessment should look for other mental health conditions that could coexist with or mimic symptoms of ADHD and should take into account whether your symptoms began before 12. The process may also include additional neuropsychological or psychological testing.
Self-Assessment Tools
A self-assessment tool is a form of assessment that analyzes specific symptoms or traits. These tools are commonly used in clinical studies, research studies, and by health websites to help patients screen for ADHD. Certain self-assessments are brief and provide thoughtful results at the end of the test. Others are more extensive and require participation from other significant people in a person's life. These tools can be used to determine if one should seek an ADHD assessment.
There are numerous online ADHD screening and assessment questionnaires However, they aren't scientifically verified or standardized. It is not advised to use these tests without consulting medical professionals, since they can lead incorrect diagnosis. It can also lead to unneeded referrals of ADHD assessments for people who are not likely to be suffering. This can waste healthcare funds and cause distress to the person referred, and lead to long wait periods for an in-depth interview.
The World Health Organisation and the Workgroup on Adult ADHD have created a short questionnaire known as the Adult ADHD Self-Report Scale Screener (ASRS). The ASRS is an 6-item survey that examines the experiences of adults suffering from the most prevalent ADHD symptoms. A score of more than 4 on this test indicates that an individual would need further evaluation by a doctor.
Other self-assessments that are more extensive include the Conners abbreviated symptom survey and the CBCLAP. Both scales have been shown to have high diagnostic accuracy as well as moderate sensitivity and specificity. However, it is important to keep in mind that any of these tests cannot replace the need for a thorough clinical assessment by a trained psychologist or psychiatrist.
Women's experiences with ADHD symptoms are slightly different from those experienced by males and that's why a number of the self-assessments available are specifically designed for women with issues with behavior. These tools for women can help users decide if they'd like to get a professional ADHD diagnosis.
Diagnosis
In many cases, the initial step in getting diagnosed is to talk with the primary care physician, who could refer the patient to a psychiatrist or neurologist specializing in ADHD. In most cases, a specialist will be required to talk with the person to assess how their symptoms interfere with daily functioning. The doctor will request the patient to fill out an inventory of symptoms or a rating scale. They will also review the patient's medical and psychiatric experiences from childhood until the present. The clinician will also consider other disorders that could be akin to ADHD, such as depression and anxiety.
When assessing adults, it is more important to consider the functional impairment of the adult rather than the number or severity of symptoms. People with ADHD often have trouble meeting school, work and relationship expectations. It's recommended to communicate the facts with those who supervise you at work, your teachers at school, and your family members to ensure they can get a complete picture of your everyday struggles. Patients might be embarrassed to bring up such concerns, but it's important to do so in order to get the help you require.
A neurologist or psychiatrist who is specialized in ADHD may begin by interviewing the child using a DSM-5 symptom checklist that is specifically designed to identify children. The doctor will inquire about the patient's psychiatric, emotional and social history as well how ADHD symptoms affect daily functioning. A majority of doctors will also ask the patient's spouse or other close family members about their observations and if they observe any signs of ADHD. These personal observations can reveal information that cannot be gleaned from ratings or questionnaires.
A psychologist who is trained in cognitive behavior therapy may diagnose ADHD in certain instances. A psychologist is not authorized to prescribe medication. This is usually handled by a neurologist or psychiatrist. A therapist trained in ADHD can assist the patient learn how to manage symptoms. These include money and time management, organizational strategies and time management. These therapies are available both in person and via online services like Frida.
Treatment
A thorough assessment for ADHD in adults should consist of an interview with a doctor and information from other sources, such as the spouse or a close family member. The doctor may request to have the patient complete one or more standardized ADHD ratings scales. These tests are based on research and examine the behavior of those with ADHD to those without it. They aid in determining whether there is a problem. Some clinical psychologists will also administer cognitive tests to diagnose ADHD or other problems such as an anxiety disorder or a learning disorder.
The clinician will also evaluate the person's symptoms and how they impact their daily life at work, school or in relationships. For instance, a patient might have trouble keeping track of bills and appointments or arranging their belongings and thoughts. Many adult patients also have low self-esteem, resentment or low self-esteem as a result of a pattern of chronic academic failure, job losses and conflicts in relationships. A mental health professional could suggest individual therapy, or a program designed to help the person cope and manage their ADHD symptoms.
If the physician suspects that a medical issue, such as thyroid problems or seizures, is contributing to the ADHD symptoms, he will perform an exam. The doctor will also inquire with the patient about any previous health issues and whether they have had any accidents or injuries. A thorough medical history can aid the physician in determining whether the patient has been diagnosed in the past of ADHD or any other neurological or psychiatric issues such as bipolar, depression, or anxiety disorder.
Many adults have shaky or spotty memories of their childhood and they may not remember that they were diagnosed with ADHD as children. The therapist will ask anyone who is important to the person's lives such as a spouse, a family member or even an employer, to provide a more precise assessment. This is a good method to gain an objective view of the person and avoid bias.
A thorough ADHD evaluation should also include a neuropsychological or psychological assessment. These tests evaluate the level of working memory and intelligence, in addition to other cognitive abilities. The clinician will utilize the results of these tests to determine if ADHD is contributing to the person's difficulties in learning, working or managing.
Support
Adults with undiagnosed ADHD frequently struggle to perform well at work or at school. They may have problems keeping track of daily tasks, organizing their belongings and retaining important information. They may also have difficulties in their relationships or find it difficult to keep appointments.
The first step to get a diagnosis of ADHD is talking to a primary care provider. They can provide recommendations for referrals or refer a mental health professional for an evaluation. Certain psychiatrists as well as graduate psychology programs and private therapists are trained in the evaluation of the psychological aspects of ADHD.
During the evaluation, a mental health professional will use standard ratings scales for ADHD symptoms to determine if an adult meets the criteria for diagnosis of the condition. A variety of different ratings scales are available for use, including the Barkley Adult ADHD Rating Scales and the Conners' Classroom Assessment of Attention and Hyperactivity Disorder Self-Report (CAARS). A mental health professional could also use cognitive tests in addition to these rating scales to evaluate the executive functioning abilities of an adult spatial and visual skills and working memory.
If the mental health professional determines that an individual suffers from ADHD If he or she concludes that the patient has ADHD, they will discuss the treatment options with the patient. There are many ways to deal with ADHD symptoms that include treatment, therapy and lifestyle changes. Many adults with ADHD report improved functioning with the help of psychostimulants, stimulant drugs that improve focus and alertness. Certain adults also benefit from non-stimulant medications that reduce anxiety or depression and also from therapy that incorporates coaching and mindfulness techniques.
It can be a difficult and stressful experience to be given a diagnosis for ADHD. However with the right help and guidance, people with ADHD can manage their symptoms and lead fulfilling lives. The most important thing is to be open with your doctor and not hold back because of fear or shame of being judged. You can also inform your co-workers and teachers about ADHD. If they are aware of your challenges, they'll be more understanding and offer the appropriate accommodations, such as additional time for assignments.