How to Get the Best ADHD Assessment for Adults
The best way to get an accurate diagnosis is to take a professional ADHD assessment. Self-assessment is helpful, but cannot replace a consultation with a specialist.
A proper ADHD assessment should look for other mental health issues that can coexist with or mimic symptoms of ADHD and should consider whether your symptoms started before age 12. Additional neuropsychological or psychological tests may be required.
Self-Assessment Tool
Self-assessment is a form of assessment that focuses on specific signs and traits. These tools are used by clinics, research studies, and health websites to check for ADHD. Certain self-assessments are brief and provide thoughtful results at the end of the test, whereas others are more comprehensive and require participation from significant people in the life (such as a spouse or family member). These tests can be used to determine whether one should seek an ADHD assessment.
There are a variety of online ADHD screening tests and questionnaires however the majority of them aren't validated or standardised. It is not advised to use these tests without the help of an experienced healthcare professional as they could lead to incorrect diagnoses. It can also lead to unnecessary referrals of ADHD tests for those who are not likely to be suffering. This can waste healthcare resources, create distress for the person being referred to, and lead to long waiting for an in-depth examination.
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 a questionnaire of six items that focuses on the experiences of adults with the most frequent symptoms of ADHD. This screening tool is helpful in the determination of whether an individual requires more clinical analysis.
Other self-assessments that are more thorough include the Conners abbreviated symptom assessment and the CBCLAP. Both of these scales have been proven to have high diagnostic accuracy as well as moderate specificity and sensitivity. However, it is important to keep in mind that any of these tests will not replace the need for a thorough medical examination by a certified psychologist or psychiatrist.
Women's experiences with ADHD symptoms can be a bit different from those experienced by males, which is why several of the self-assessments available have been designed specifically for women's behavioral challenges. These tools for women can help people decide if they would like to seek out an expert ADHD diagnosis.
Diagnosis
In most instances, the first step in determining the severity of the problem is to talk with a primary care physician who may refer the patient to a psychiatrist or neurologist specializing in ADHD. A specialist will typically interview the patient to determine how their symptoms affect their daily life. The clinician will request the patient to fill out a symptom list or behavior rating scale. They will also look over the patient's medical and mental health history from childhood to the present. The clinician will also consider other disorders that might be similar to ADHD, such as anxiety and depression.
When assessing adults, it's more important to focus on the degree of impairment rather than focusing on symptom count or severity. People with ADHD often have trouble meeting work, school and relationship expectations. It's a good idea to share the facts with those who supervise you at work, your teachers at school and family members to ensure they are aware of your everyday struggles. It can be difficult for patients to discuss such problems. However, it is essential to do this to receive the assistance they require.
A psychiatrist or neurologist who is skilled in ADHD might begin by speaking with the child using a DSM-5 symptom checklist that is designed to diagnose children. The doctor will inquire about the patient's psychiatric, emotional and social history as well how ADHD symptoms affect their daily life. A lot of doctors will also inquire about the patient's partner or close family members about their observations and whether they have noticed any signs of ADHD. This type of personal insight can reveal information that isn't available from questionnaires or ratings.
A psychologist trained in cognitive behavioral treatment can diagnose ADHD in certain cases. However psychologists do not have the authority to prescribe medication, which is typically provided by a psychiatrist or neurologist. A therapist who is specially trained in treating ADHD can help the patient learn strategies to manage symptoms, such as time and money management and organizational strategies. These therapies are available both in person and via telemental services such as Frida.
Treatment
A thorough evaluation of ADHD in adults should consist of a diagnostic interview and information from outside sources, such as the person's spouse or a close family member. The doctor may request to see the person fill out one or more standardized ADHD ratings scales. These tests are based upon research and analyze the behavior of people suffering from ADHD with that of people without it. They can help determine if a problem exists. Depending on the circumstances, some clinical psychologists may also conduct cognitive tests to help diagnose ADHD or other disorders such as a learning impairment or anxiety disorder.
The clinician will also evaluate the patient's symptoms and how they impact their daily life at work, school or in relationships. The patient might have difficulty keeping track of bills, appointments, or organize thoughts and possessions. Many adult patients also suffer from low self-esteem, anger and low self-esteem as a result of a pattern of chronic academic failure, job losses and relationship conflicts. A mental health professional might recommend individual talk therapy, or a program designed to aid the patient cope with and manage their ADHD symptoms.
If the physician suspects that a medical issue such as seizures or thyroid issues are contributing to ADHD symptoms, they'll conduct a physical exam. The doctor will also inquire with the patient about their previous health issues and if they have suffered any injuries or accidents. A careful history will aid the doctor in determining if the person has been diagnosed in the past of ADHD or any other psychiatric or neurological issues like anxiety, depression or bipolar disorder.
adhd adult assessment have a weak or weak memory of their childhoods and might forget that they were identified as ADHD children. The clinician will ask anyone who is significant in the life of the patient, such as family members, spouse or even an employer, to give a more accurate assessment. This is an effective way to get a more impartial view of the person and avoid bias.
A comprehensive ADHD assessment should also include a neuropsychological or psychological assessment. These tests measure a person's intelligence and working memory, among other cognitive abilities. These tests will help the therapist determine if ADHD is a factor in the person's difficulties with learning, working or coping.
Support
Many adults who have not been diagnosed with ADHD struggle to be productive at school or work. They may have difficulties keeping track of their daily tasks, organizing their belongings and retaining important information. They might also have issues in their relationships or find it difficult to keep appointments.
Talking to your primary care physician is the first step in receiving an ADHD diagnosis. The doctor can provide referral options or recommend mental health professionals for an evaluation. Certain psychiatrists as well as graduate programs in psychology and private therapists are trained to perform the psychological evaluation of ADHD.
During the assessment the mental health professional will use standardized ratings scales for ADHD symptoms to determine if an adult is meeting the diagnostic criteria for the condition. There are a number of different scales for rating, including the Barkley Adult ADHD Scales and Conners' Classroom Assessment of Attention Hyperactivity Disorder Self Report (CAARS). A mental health professional can also employ cognitive tests in addition to these rating scales to evaluate an adult's executive functioning abilities spatial and visual abilities and working memory.
If a mental health professional determines that an individual suffers from ADHD, he or she will discuss the treatment options with the patient. There are several strategies for managing ADHD symptoms that include treatment, therapy and lifestyle changes. Many adults suffering from ADHD report improved functioning by taking psychostimulants, stimulant drugs that increase alertness and focus. Some adults also benefit from non-stimulant medications which reduce depression or anxiety, as well as from therapy that includes mindfulness and coaching techniques.
Being diagnosed with ADHD can be difficult and upsetting, however with the right support, people living with the condition can learn to manage their symptoms and lead fulfilling lives. The key is to be open with your health care provider and not be afraid to speak up because of shame or fear of being judged. It's also helpful to tell co-workers, supervisors and teachers that you suffer from ADHD. They may be more understanding if they are aware about your difficulties and can provide you with accommodations, like additional time to complete assignments.