Diagnosing ADHD in Adults
For many people, the symptoms of ADHD continue throughout their life. These symptoms can have a major impact on family and work as they grow older.
To receive a diagnosis of ADHD your symptoms must have been present since childhood (technically before age 12). The evaluator will review your medical and personal background.
You may also want to talk to your friends, partners or colleagues. This can help them see your problems from different angles.
Diagnosis
Adults suffering from ADHD must also meet certain criteria in order to be diagnosed. The symptoms have to be present for at least two years and cause serious problems with everyday functioning. The problem could be a result of school or work, relationships or daily activities. ADHD symptoms may be mild, moderate or severe. Mild symptoms do not interfere with the daily activities of people and are often misdiagnosed as other illnesses like anxiety or depression. Moderate symptoms can cause minor disruptions to social or work-related interactions. The severity of the symptoms makes it difficult to hold jobs or maintain relationships.
ADHD sufferers may hit a tipping point when they're not able to cope with the demands of everyday life. They may become unorganized and make careless mistakes. They may also be impulsive or hyperactive which can cause problems in meeting goals and obligations. They may have difficulty remembering things and often forget what they've been told.
Ask for a referral if you are having trouble with your daily routine and think you might be suffering from ADHD. Your GP might recommend psychiatrists, or a different professional, who can perform an assessment. You could ask a therapist or family member you know to recommend a person with expertise in ADHD evaluations.
A doctor or psychologist may want to review your medical history, conduct physical examination, and discuss your current problems with you. They will also ask about your experience dealing with ADHD as a kid. They'll want to talk to the person you live with as well as any other important people in your life as well, like your spouse or parents. They'll use this information to decide if you have ADHD and what type of ADHD you have--inattentive, hyperactive/impulsive, or combined.
If you're diagnosed with ADHD your doctor must apply for special authority approval before prescribing medication. This is an extra step that New Zealand regulations require for people with ADHD to take medication. The psychiatrist will also work with you and your GP to help ensure that the medication works.
Medication
Adults suffering from ADHD can benefit from medications however, it's not the only option. Other treatments like cognitive behavioral therapy or lifestyle modifications are also effective. NIMH recommends speaking with your healthcare provider to learn more about your options.
Your doctor will ask you questions about your childhood, and how your life is currently, and conduct an examination of your body and psychological test. (These are not usually required). Your evaluator may also ask to speak with your family or partner or any other family members who know you, to gain an outside view about how your actions impact your life.
The diagnosis of adult ADHD is determined by whether your symptoms are mild or moderate. The symptoms must last for at least six months and interfere with your work and relationships. You must also meet diagnostic requirements, such as that your symptoms can't be better explained by another mental health condition or addiction disorder.
adhd diagnosis uk adult recommends speaking with your health-care provider about your options, including behavioral strategies and medications. Many primary care providers regularly evaluate and treat ADHD in children, but adults who think they might have it should seek an appointment with a mental health specialist.
Stimulants used to treat ADHD in adults can trigger adverse effects such as stomach issues, anxiety, and depression. They can also raise your blood pressure and heart rate. Some people develop tics - sudden, repetitive movements, or sounds like eye blinking or throat clearing. Some people suffering from ADHD have trouble sleeping when they are taking stimulants.
NIMH suggests talking to your doctor about any concerns you may have regarding the side effects of medications or possible clinical trials. Clinical trials are research studies that test new methods to prevent, detect, or treat conditions and diseases. Participants in clinical trials are able to gain knowledge about their own health and have the opportunity to help others. Visit the NIMH Clinical Trials page to learn more about clinical trial and find the one that is suitable for you.
Therapy
It is essential that adults with ADHD work with their doctor to treat the symptoms. There are many types of medication that can be used to treat ADHD. You may need to try several medications and dosages to find the one that best suits your needs. A therapist can assist you in understanding your health condition and how to deal better with its effects. They can also instruct you on strategies to improve your self-management, attention and organization.
Adults who aren't diagnosed with ADHD are constantly lagging at work, in school and in their relationships. Even the most accommodating colleagues, friends and partners may be frustrated by their behaviors. They could miss deadlines or appointments, and make decisions based on impulsivity.
Therapy can help adults suffering from ADHD improve their organization as well as develop coping skills to improve their quality-of-life. They can learn to recognize and change their problematic behaviors by rewarding themselves to encourage themselves or playing computer solitaire after answering emails. Cognitive behavioral therapy, which is conducted in a one-on-one setting, can be extremely beneficial. It can help reframe negative situations in a more positive way. Therapists can help people with ADHD recognize that their impulsivity does not indicate a bad character. It's an normal response to high levels of brain activity.
A therapist can teach them strategies to deal with depression and anxiety. People with ADHD have a higher risk of depression and anxiety. Other psychosocial treatments include family therapy, group support networks and classes that focus on communication skills and conflict resolution. The Department of Work and Pensions provides a service known as Access to Work, which aids in the payment of workplace accommodations, such as ADHD for those who are employed.
You should be careful when choosing the right counselor. They aren't all the same. Find someone who you feel comfortable speaking with, who makes you feel empowered after a session and has an expertise in the kind of therapy you're interested in. For instance, if you're searching for a therapist that uses psychosocial methods, ask your doctor to recommend someone. Child psychiatrists are well-versed in ADHD treatment and can refer you.
Support
For people who suffer from ADHD the symptoms could be so disruptive that they need to see a physician for an evaluation. The evaluation involves a discussion with the patient about their lives from childhood to now and how the symptoms affect work and school as well as relationships and other aspects of everyday living. It is essential that those who suffer from ADHD speak up without fear or shame.
The Diagnostic and Statistical Manual of Mental Disorders (DSM-5), fifth edition, is a clinical guideline from the American Psychiatric Association for diagnosing ADHD in adults. These are the guidelines a medical professional will take into consideration during the assessment.
It is important to bring any documents that may provide insight into your condition when you meet with a healthcare professional. These include old reports cards or notes from family members or parents. The person conducting the evaluation will also likely inquire about the individual's family and life history, and conduct a physical examination and a few psychological tests.
It is important to keep in mind that just because someone is afflicted with impulsivity and inattention doesn't mean that they don't have the necessary abilities for their job or other activities. A ADHD person, for instance is able to be productive and creative in many different ways, like painting, writing stories or even designing things.
If adults are diagnosed with ADHD, they can be afflicted with a variety of emotions. They might feel guilty about previous mistakes or be relieved they finally know why they've struggled. "There is a lot that needs to be done in the area of grief work, but when people have a solid explanation and all the pieces are in place and they can really move on," Matlen explains.
People with ADHD are often misunderstood by coworkers or friends. They may struggle to stay focused in meetings or conversations and are easily distracted by video games or social media. Some people with ADHD are told they are lazy or over-focused.
Supporting a loved one with ADHD can help them gain control over their symptoms, both at home and at work. They can use strategies and tools to improve their organization, including daily planners and smartphone apps and can also seek out treatment options from a behavioral therapist who is specialized in ADHD. Treatments could include psychotherapy or talk therapy, as well as accommodations, such tools or changes to a person's surroundings that can help them better manage their condition. An accommodation could be an aid to help those who are smaller to get to higher levels of shelves or surfaces.