How to Get the Best ADHD Assessment for Adults
A professional ADHD assessment is the most effective method to receive a precise diagnosis. Self-assessment tools can be helpful, but they cannot substitute for a consultation and assessment by a qualified specialist.
A thorough ADHD assessment should check for other mental health issues that can be present in conjunction with or mimic symptoms of ADHD, and it should take into account whether your symptoms began before 12 years old. The process may also include additional neuropsychological or psychological testing.
Self-Assessment Tool
Self-assessment is a form of assessment that focuses on specific signs and traits. These tools are commonly used in clinical studies, research studies, and by health websites to help patients test for ADHD. Some self-assessments are short and provide thoughtful results at the conclusion of the test. Others are more extensive and require participation from significant people in the life of the person. These tools can help to determine whether or not the person may want to consider getting an assessment for ADHD.
There are numerous online ADHD screening questionnaires and assessments however the majority of them aren't tested or standardised. Using these assessments without the guidance of a health professional is not advised as it can lead to inaccurate diagnosis. It could also lead to unnecessary referrals to specialists for ADHD assessments of individuals who aren't likely to be suffering from the disorder. This can be a waste of healthcare resources, cause stress for the person being referred to, and lead to long wait times for an in-depth interview.
The World Health Organisation (WHO) and the Workgroup on Adult ADHD created an easy survey dubbed the Adult ADHD Self Report Scale Screener. The ASRS is a questionnaire of six items that focuses on the experiences of adults with the most frequent symptoms of ADHD. This screener is useful for determining if an individual needs more clinical analysis.
Other self-assessments that are more thorough include the Conners Abbreviated Symptom Questionnaire and the CBCL-AP. Both of these scales have been proven to have high diagnostic accuracy and moderate sensitivity and specificity. It is important to note that neither of these tests can substitute for a thorough assessment by a psychologist or psychiatrist.
Women's experiences with ADHD symptoms differ slightly than those experienced by men, which is why several of the self-assessments available have been tailored to women-specific behavioral challenges. These specific tools for women are an effective way to help individuals understand whether or not they may want to seek a professional diagnosis of their ADHD.
Diagnosis
In many cases, the primary care physician will refer the patient to an ADHD specialist neurologist or psychiatrist. A specialist will usually interview the patient to determine how their symptoms affect daily functioning. The doctor may ask the patient to complete an inventory of symptoms or a behavior rating scale, and will likely go over the medical and psychiatric histories from childhood until the present. The doctor might also think about whether other disorders that resemble ADHD could be contributing to the patient's symptoms, such as depression and anxiety.
When assessing adults, it's more important to look at the extent of functional impairment than at symptom count or the severity. People suffering from ADHD often have trouble meeting work, school and expectations in relationships. It's an ideal idea to tell your supervisors at work, your teachers at school and your family members about the challenges you have to encounter every day. Patients can feel uncomfortable bringing up these problems, but it's essential to speak up in order to get the help you require.
A neurologist or psychiatrist who is specialized in ADHD may begin by interviewing the child using an DSM-5 checklist of symptoms that is specifically designed to identify children. The clinician will ask about the patient's psychiatric, emotional and social history, as well how ADHD symptoms impact daily functioning. Many doctors also inquire about the patient's spouse or other close family members about their observations of the patient's behavior, and if they observe any signs of ADHD. These personal observations can reveal details that are not available from questionnaires or ratings.
In some instances psychologists who are trained in cognitive behavioral therapy may be able to make an ADHD diagnosis. However, adhd adults assessment does not have the authority to prescribe medication, which is usually given by a psychiatrist or neurologist. A therapist who is specially trained in treating ADHD can help the patient learn skills that might help manage symptoms, including managing money and time, as well as organizational strategies. These therapies are offered in person and via online services like Frida.
Treatment
A thorough evaluation for ADHD in adults should include an interview for diagnosis and data from independent sources, such as the spouse or a close family member. The clinician may ask that the person complete one or more standardized ADHD ratings scales. These tests are based upon research and examine the behavior of those with ADHD against those who are not. They can help determine whether there is a problem. Depending on the circumstances the psychologist may also administer cognitive tests to determine if someone is suffering from ADHD or other problems like a learning disability or anxiety disorder.
The physician will also look at the patient's symptoms and determine if they affect their daily functioning in school, at work or in relationships. The patient may find it difficult to keep track of bills, appointments or arrange thoughts and belongings. In addition, many adult patients have low self-esteem and resentment toward chronic patterns of academic failure, job loss and relationship conflict. A mental health professional could recommend individual therapy or a program that can help the person cope and manage their ADHD symptoms.
If the doctor suspects that a medical problem such as thyroid issues or seizures is the cause of ADHD symptoms, he'll conduct a physical examination. The doctor will also inquire with the patient about any previous health issues and if they have suffered any accidents or injuries. A thorough medical history can help the clinician determine whether the patient was diagnosed in the past of ADHD or any other neurological or psychiatric issues such as anxiety, depression or bipolar disorder.
Many adults have weak or blurry memories of their childhood, and they may not remember that they were diagnosed with ADHD as children. In order to obtain a more accurate picture, the clinician will interview a person who is significant to the person's life like their spouse or family member or employer. This is a great method to gain an objective view of the person and avoid bias.
A thorough ADHD evaluation should include a psychological or neuropsychological assessment. These tests measure the level of working memory and intelligence, as well as other cognitive capabilities. These tests will help the clinician determine if ADHD contributes to the individual's difficulties in working, learning, or managing.
Support
Many adults with undiagnosed ADHD struggle to be productive at school or work. They may struggle to keep on top of their daily chores and organizing their belongings and remembering important information. They might also have issues in their relationships or find it difficult to make and keep appointments.
Contacting your primary care doctor is the first step towards getting an ADHD diagnosis. The doctor can provide referral options or recommend 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 assessment, the mental health professional typically uses standardized rating scales for ADHD symptoms to determine if an adult is able to meet the diagnostic criteria for the disorder. There are many different rating scales that are available, 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 in order to assess an adult's executive functioning abilities spatial and visual skills, and working memory.
If a mental health professional determines that a patient is suffering from ADHD, they will discuss possible treatment options with them. There are several strategies for managing ADHD symptoms that include therapy, medication and lifestyle changes. Many adults with ADHD have reported improved performance following the use of stimulant drugs that improve concentration and alertness. Certain adults also benefit from non-stimulant drugs that reduce anxiety or depression as well as therapy that incorporates mindfulness techniques and coaching.
Being diagnosed with ADHD can be challenging and upsetting, however with the right support those with the condition can learn to manage their symptoms and lead life that is fulfilling. It is essential to be honest with your doctor and to not hide anything out of shame or fear. You can also tell your co-workers and teachers about ADHD. If they know about your struggles, they may be more understanding and offer accommodation such as additional time for homework.