Blog entry by Efren Fultz
Adult Diagnosis of ADHD
For those who suffer from ADHD A diagnosis of ADHD can have a profound impact on their lives. It can help people to understand the reasons they struggle with relationships, work, and family.
It can be difficult to identify because symptoms can overlap. A mental health specialist or health care professional will examine the individual and conduct tests.
Signs and symptoms
It is possible that someone doesn't realize they have ADHD until adulthood. This could be due to parents and teachers did not recognize the signs at an earlier age, or due to the demands of college or work caused the disorder to be revealed. Adults with ADHD who are not treated suffer in their academic, social and work lives. Undiagnosed ADHD can cause a wide range of problems including relationship problems and financial problems.
In order to diagnose ADHD, a mental health professional will interview the patient and review the patient's personal, medical and psychiatric history with particular attention paid to symptoms in various environments. The patient will discuss the symptoms and how they impact their daily life and relationships. It is essential that the patient is open about these symptoms and that he or she does not hide behind feelings of embarrassment or shame.
The mental health professional should also assess whether these symptoms are related to other comorbidities, such as anxiety and depression that often coexist with ADHD. These conditions typically make the symptoms of ADHD worse and may hinder effective treatment for the disorder.
If the psychiatrist or psychology feels that the symptoms are affected by comorbid conditions, such as learning disabilities, psycho-psychological disorders, or neuropsychological disorders, then additional testing could be performed to determine an accurate diagnosis. These tests can also be used to determine the extent of impairment to function that these conditions cause. The mental health professional may also request interviews with other important people such as spouses and siblings to get a complete picture of how the person is performing.
Diagnosis
For adults, a diagnosis of ADHD is usually made by a mental health specialist or doctor who can diagnose adhd in adults conducts a thorough diagnostic assessment. This includes a detailed analysis of the symptoms and how they impact daily functioning. It also includes the presence of other mental disorders that may co-exist alongside ADHD like mood disorders and anxiety. The doctor may also request to speak to your significant others like the spouse or a close family friend, in order for them collect more information.
Getting a proper diagnosis of ADHD in adulthood can be a life-changing moment. For many adults, this diagnosis finally provides an explanation for what has always appeared to be "normal" behaviors. Often, it provides relief knowing that they're not just naive or forgetful; their problems are more complex.
The American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, Fifth edition (DSM-5) requires that adults meet specific criteria for symptoms of inattention and hyperactivity-impulsivity. This standard is created to ensure that people receive the help and treatment they need. To qualify for an ADHD diagnosis, one must have experienced the symptoms for at least 12 months and they must cause significant impairment in a variety of environments, such as home, school, or work; with friends or family or in other activities. The number of symptoms required for adults over 17 has been reduced from six to five.
Having a good relationship with your primary care provider can be beneficial in identifying ADHD. Many physicians diagnose and treat ADHD in kids and can refer you to an expert in mental health to evaluate adults.
Treatment
When someone with ADHD is diagnosed adhd, their life may drastically change. They may finally discover solutions to their issues in school, and also in the start of a career, or in relationships. A diagnosis can help relieve the shame that has accumulated for certain people over the years.
The first step to get an diagnosis is speaking to a doctor or mental health professional. They might inquire about family history and perform physical examinations to rule out any condition that could cause symptoms that are similar to ADHD like learning disabilities, sleep disorders or alcohol/drug use. They may also request that the person complete the checklist of symptoms.
In many instances the doctor will ask that a spouse or partner be interviewed during the assessment process. This allows the non ADHD spouse or partner develop an accurate understanding of their loved one's ADHD, and an empathetic approach to the symptoms. This is important to improve relationships following diagnosis. If this isn't possible the doctor may conduct an interview with colleagues or friends who are familiar with the individual.
Medicines are the primary treatment options for adults with ADHD. stimulants like methylphenidate (Ritalin(r)) and dextroamphetamine (Adderall(r)) are the most effective and widely prescribed drugs for treating adult ADHD. Other medications like atomoxetine (Strattera(r),) and Guanfacine (Intuniv (r) Tenex (r)), increase the amount of norepinephrine that is produced in the brain. These drugs can alleviate ADHD symptoms.
Psychotherapy is also an alternative. Cognitive-behavioral therapy is a way to teach patients techniques for managing their ADHD symptoms, such as time management and organizational strategies, self-regulation of emotions and behavior, and coping with self-criticism and negative feelings. Other treatments, such as Acceptance and Commitment Therapy (ACT) can help adults identify automatic thoughts or irrational thinking that cause negative behavior, and also develop positive self-talk.
Medication
Many people have found that ADHD medication helps alleviate their symptoms. The medication is usually in the form of a stimulant, and it works by increasing brain activity in areas that control behaviour and attention. Methylphenidate is the most well-known medication used by adults suffering from ADHD is available in many forms. It is available in immediate-release tablets as well as modified-release tablet forms that release the medication throughout the day. Clonidine is another type of medication that works by reducing brain activity. It is available in liquid or pill form.
When treating adult patients with ADHD, the doctor or therapist will review the patient's family history as well as medical history to determine if there are any causes that could cause similar symptoms similar to ADHD. This is crucial, since certain medical conditions, such as seizures and thyroid problems can cause symptoms similar to ADHD. Certain medications and nutritional supplements can also cause similar signs.
During the examination during the evaluation, the patient will explain their ADHD symptoms to their therapist or psychiatrist. They will be asked to provide the standardized ADHD ratings and check lists, as well as psychological tests to measure working memory, executive function (abilities such as making decisions and planning) spatial and visual ability, as well as reasoning skills.
If a psychiatrist or therapist believes that the symptoms of ADHD are seriously affecting the quality of life of a person they will suggest treatment with medication. In some cases the therapist may ask the individual's partner or spouse to speak with them about the effects of the symptoms of the patient on their relationship. This can help reduce the blame between people and encourage healthy, productive relationships.
Counseling
Many adults with ADHD get relief from receiving an diagnosis. It's a chance to comprehend the reasons behind their struggles at work or school and learn how to overcome these issues. It's also a chance for them to alter negative behavior and increase confidence in themselves.
A solid support system is vital to success and counseling can be a great help. Counseling for ADHD can include psychological (or psychotherapy) therapy and a range of behavioral strategies. A therapist might create a chart that encourages positive behavior and imposes penalties on negative ones. The therapist may also instruct the patient on techniques to manage their symptoms, for example, relaxation techniques like deep breathing or yoga postures.
Another benefit of counseling is helping people comprehend and accept their ADHD. It can be difficult to admit that you have problems with organizing, planning and paying attention. It is embarrassing to admit that you suffer from ADHD to supervisors or colleagues. However, most bosses and teachers will be willing to accommodate for your situation. They may, for instance, allow you to write on a computer instead of paper, or provide more in-depth explanations of classroom material.
In addition the therapist will help you cope with your adhd diagnosis adults london through cognitive behavioral therapy which is a type of therapy that assists you transform negative thoughts and behaviors into positive ones. Counseling for ADHD could also involve family or marital therapy. This teaches loved-ones how to better communicate and solve problems with someone who has ADHD. People with ADHD typically suffer from other mental health issues such as anxiety or depression, and they may be afflicted by substance abuse and addiction, which can exacerbate their symptoms.