How to Get the Best ADHD Assessment for Adults
A professional ADHD assessment is the most effective way to obtain an accurate diagnosis. Using self-assessment tools can be useful, but they can't substitute a consultation and evaluation by a trained professional.
A proper ADHD assessment should check for other mental health issues that could be present in conjunction with or mimic symptoms of ADHD, and it should consider whether your symptoms started before age 12 years old. Additional psychological or neuropsychological tests might be required.
Self-Assessment Tools
A self-assessment questionnaire which examines specific symptoms and traits. These tools are often employed in research studies, in clinics, and by health websites to help people test for ADHD. Some self-assessments are quick and provide clear results at the conclusion of the test. Others are longer and require participation from important people in a person's life. These tools can help determine whether or not a person might be interested in getting an assessment for ADHD.
There are numerous online ADHD screening tests and assessments However, they aren't scientifically validated or standardized. It is not recommended to take these tests without consulting medical professionals, since they can lead incorrect diagnoses. It could also result in unnecessary specialist referrals for ADHD tests of those who are not likely to suffer from the disorder. This can result in a waste of healthcare funds and cause distress to the person referred, and lead to long wait time 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 a questionnaire of six items that assesses the experiences of adults with the most common symptoms of ADHD. A score of 4 or more on this screener indicates that the person could benefit from further clinical analysis by a clinician.
Other self-assessments that are more extensive include the Conners abbreviated symptom survey and the CBCLAP. These scales are both extremely accurate in terms of diagnosis and have a moderate degree of specificity and sensitivity. It is important to keep in mind that none of these tests will replace a thorough evaluation by a psychiatrist or psychologist.
Women's ADHD symptoms differ slightly from those of men and this is the reason why some of the self-assessments are designed for women with specific issues. These specific tools for women are an effective way to help people determine if they may want to seek a professional diagnosis of their ADHD.
Diagnosis
In many instances, the primary medical doctor will refer the patient to an ADHD specialist neurologist or psychiatrist. Typically, an expert will need to speak with the patient to determine if his or her symptoms interfere with everyday functioning. The doctor might ask the patient to complete a symptom checklist or behavior rating scale, and will likely go over the medical and psychiatric history of the patient from childhood through the present. The doctor may also look at other disorders that could be akin to ADHD like depression and anxiety.
When assessing adults, it's more important to focus on the extent of functional impairment rather than focusing on symptom count or the severity. Individuals with ADHD frequently have difficulty meeting school, work and expectations of relationships. It's generally recommended to communicate the facts with those who supervise you at work, teachers at school, and your family members to ensure they have a full picture of your everyday struggles. It isn't easy for patients to discuss such concerns. However, it's important to do so to receive the assistance they need.
Generally, an neurologist or psychiatrist who is specialized in ADHD will start by talking to the patient and likely employ an assessment tool for symptoms from the DSM-5 which is designed for diagnosing children. linked site will also inquire about the patient's personal emotional and psychiatric history, and the extent to which ADHD symptoms affect daily functioning. Many doctors will also ask the patient's spouse or other close family members about their observations and if they notice any signs of ADHD. This type of personal insight can reveal information that cannot be gleaned from ratings or questionnaires.
A psychologist who is trained in cognitive behavioral treatment can diagnose ADHD in some cases. However psychologists do not have the authority to prescribe medication, which is typically administered by a psychiatrist, or neurologist. A therapist trained in ADHD can assist the patient learn skills to manage symptoms. These include money and time management, organizational strategies, and time management. These therapies are available both in person or via online services like Frida.
Treatment
A thorough evaluation of ADHD for adults should include a diagnostic interview as well as information from sources outside of the clinic, such as a spouse or close relative. The clinician may ask the person to complete one or more of the standardized ADHD rating scales. These tests are based on research and examine the behavior of those with ADHD against those who are not. They help determine whether there is a problem. Certain clinical psychologists administer cognitive tests to determine if someone has ADHD or other issues like anxiety or a learning disorder.
The doctor will also assess the patient's symptoms and how they interfere with daily functioning at work, in school or in relationships. The patient might be unable to keep on top of appointments, bills or arrange thoughts and belongings. Additionally, many adult patients have low self-esteem and feel resentment towards persistent patterns of academic failure or job loss, as well as relationship conflict. A mental health professional may suggest individual therapy, or a program that can aid the patient cope with and manage their ADHD symptoms.
If the clinician suspects that a medical issue such as thyroid issues or seizures is the cause of ADHD symptoms, he'll perform an examination. The doctor will also inquire with the patient about their previous health problems and whether they've had any accidents or injuries. A thorough history will aid the physician in determining whether the patient has had a past diagnosis of ADHD or any other neurological or psychiatric issues such as depression, anxiety or bipolar disorder.
Many adults have poor or blurry memories of their childhood, and they may not remember that they were diagnosed with ADHD as children. The doctor will ask someone who is important to the person's lives like family members, spouse or even an employer, to give a more accurate assessment. This is a great method of gaining an objective perspective of the individual and avoid bias.
A thorough ADHD assessment should also include a neuropsychological or psychological assessment. These tests measure the individual's intelligence, working memory and other cognitive capabilities. The doctor will utilize the results of these tests to determine whether ADHD contributes to the person's difficulties in learning working, coping or even being able to cope.
Support
Adults who are not diagnosed with ADHD frequently struggle to perform well at work or in school. They may struggle to keep track of their daily tasks, organizing their belongings, and retaining important details. They may also experience issues in their relationships or have difficulty to make and keep appointments.
Talking to your primary care physician is the first step in getting an ADHD diagnosis. The doctor will be able to provide suggestions for referrals or suggest a mental health professional for an evaluation. Some psychiatrists, graduate programs in psychology and private therapy professionals are trained in the psychological evaluation of ADHD.
In the course of the evaluation the mental health professional will typically use standard rating scales for ADHD symptoms to determine whether an adult is able to meet the diagnostic criteria for the disorder. There are many different scales for rating which include the Barkley Adult ADHD Scales and Conners' Classroom Assessment of Attention Hyperactivity Disorder Self Report (CAARS). In addition to these ratings scales a mental health professional will generally utilize cognitive tests to evaluate an adult's working memory, executive functioning abilities and spatial and visual skills.
If a mental health professional is able to determine that a patient is suffering from ADHD, they will discuss the treatment options with them. There are a variety of methods to manage ADHD symptoms that include therapy, medication and lifestyle changes. Many people with ADHD have reported improved functioning after taking stimulant medications which improve alertness and concentration. Some adults also benefit from non-stimulant medication which reduce depression or anxiety, as well as from therapy that includes coaching and mindfulness techniques.
Getting a diagnosis of ADHD can be difficult and stressful, but with the right support, people living with the condition can learn to manage their symptoms and lead happy lives. The key is to remain honest with your healthcare provider and not repress your feelings 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 provide the appropriate accommodations, such as additional time for homework.