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ADHD Testing – The First Step to Diagnosing ADHD A thorough ADHD assessment involves a clinical interview of the person being evaluated, and one or more questionnaires designed to rate the symptoms. Teachers and parents are frequently interviewed as well. Children or adults who are diagnosed with ADHD must exhibit symptoms in at least two settings and cannot be caused by medical conditions, such as thyroid disorders or seizure disorders. History Speak to your primary healthcare provider is the first step to receiving an ADHD diagnosis. They could refer you to an expert in mental health, who will do an assessment that includes a comprehensive history and physical exam. Standardized behavior rating scales for ADHD, ADD symptom checklists and psychological tests are often included in this assessment. ADHD is diagnosed more often in children than in adults. The disorder can affect anyone of any age. Adults suffering from untreated ADHD may have difficulties at workplace or in relationships, and are at a higher likelihood of committing suicide, depression and even criminal activity. It is vital to get an accurate diagnosis so that treatment can begin. There have been reports of children who had behavioral issues similar to those of ADHD from the 18th century, the modern ADHD history began with the observations of Sir Frederick Still in 1902. Still was a well-known pediatrician who noted that many of his patients were easily distracted and had trouble staying focused on tasks. He believed that these signs were due to the way their brains functioned and not because of poor parenting or laziness. The American Psychological Association published its first edition of the Diagnostic and Statistical Manual of Mental Disorders in 1952. At the time, it was referred to as attention deficit disorder (ADD) without hyperactivity. this link didn't recognize hyperactivity as a sign of something essential until 1980 when DSM-III was introduced. The ADD subtype changed to ADHD at the time. KMN The Psych's ADHD testing process thoroughly evaluates cognitive and behavioral patterns that can either confirm or rule out the ADHD diagnosis. This information is used to create tailored interventions and educational accommodations, as and treatment plans that improve daily functioning, productivity, and long-term success. During the initial visit the doctor will provide a thorough account of the patient's problematic behaviors, and their impact on their home life, school performance, and career. The doctor will also collect information about the family history of the person and will conduct a family interview. They will use standardized behavioral rating scales for ADHD and ADD/HD symptom lists, as well as psychological tests that examine executive function, working memory, skills (abilities such as planning and making decisions) spatial and visual capabilities (related to space), and reasoning (thinking). Physical Exam The ADHD screening process includes physical tests that measure the height, body weight and pulse. A medical history is taken which includes prescription, over-the-counter and illicit drugs that are regularly taken. The examiner will assess hearing and vision. The examiner will also look to determine if any other disorders of the brain or body are present that may mimic the symptoms of ADHD. It is important to look for any other medical conditions since many people suffering from ADHD suffer from co-occurring disorders such as anxiety, depression and learning disabilities. If you focus on ADHD symptoms alone the conditions could be overlooked. The psychologist or psychiatric nurse who is conducting the assessment will interview the person who is being evaluated. They will ask questions about the person's behavior at school, home, and at work. If appropriate, they will also discuss the family and social history of the person. The psychologist may ask the person to complete one or more of the standardized ADHD rating scales, which are questionnaires that utilize research to assess the behavior of people who have and those without ADHD. The person being tested must answer the questionnaires in a clear and honest manner. They should not conceal any information because of shame or embarrassment. During the interview, the doctor will review the notes and records from previous examinations. They will look for a clear pattern of symptoms that is regular over time and don't get better or worse. They will consider the severity of the symptoms and how they affect the individual's life. In certain instances an examiner might recommend a medical exam or laboratory tests in order to determine if there are physical causes for the symptoms. These could include thyroid issues and seizure disorder. These medical exams are not part of the diagnosis, however they could be vital in identifying other health issues that could be contributing to or mimicking the symptoms of ADHD. A timely and accurate diagnosis is vital to ensure that someone receives the help they require at school, work and their community. An ADHD diagnosis can provide many different accommodations and treatment options that improve daily functioning, productivity, and long-term achievement. A proper diagnosis can help people understand their unique challenges, and identify the strategies and techniques that work best for them. Psychological Tests If you're concerned that your child may have ADHD The first step is to see an experienced health professional who specializes in diagnosing and treating this condition. The person you meet will ask you questions to determine whether the symptoms you or your child are experiencing fit the criteria for ADHD. The doctor will also conduct an evaluation of the psychological state that could include cognitive and behavioral tests. The evaluation is important because it helps differentiate ADHD from other disorders that have similar symptoms, like depression or anxiety. During the diagnostic interview your doctor will ask you a series of standard questions about your behavior and how it impacts on your life. The doctor will likely speak with your teachers and parents to gain a full picture of the symptoms you are experiencing. This will aid in determining if they are a result of ADHD or whether other factors like stress or medical conditions may be the cause. Your evaluator will also want to know about your family history as well as any other mental health issues that you have encountered. It is helpful to write down a list of your concerns and the specific behaviors that concern you, to ensure that you do not forget any information. Your evaluator could also ask you fill out questionnaires about your mood and performance like the Adult ADHD Rating Scale or the Computerized Adaptive Assessment of Attention and Symptoms (CAARS). A significant part of the clinical evaluation for ADHD is to observe your behavior in different settings, including home, school, work, and play. During these assessments, your evaluation specialist will note the frequency and intensity and impact of your symptoms on your daily life. They will also use a standardized observation form to record the outcomes of the observation. Your evaluator might suggest a structured behavior plan, cognitive-behavioral therapy, or even parent training as behavioral interventions. These methods can help your child or yourself how to manage the symptoms of ADHD. They can assist you in creating the right structure and regularity at school, home and at home and help reduce the disruptions that hyperactivity and impulsivity cause. Counseling The correct diagnosis is crucial to get effective treatment. This process is highly individualized and requires a lot of clinical judgment. Typically, it involves analysing information from various sources. This involves evaluating behavior and academic rating scales that are completed by parents, teachers and children; observing the individual; and observing them in different environments (e.g., school, home, or at work). The clinician will also assess how the symptoms affect their ability to handle daily tasks and relationships and will rule out any other possible causes for the symptoms like mood disorders or learning disabilities. A thorough assessment typically takes between one and two hours. Click To See More ask parents and teachers to fill out online questionnaires that are then sent directly to the clinic. Others will offer a parent and teacher evaluation in person during the initial appointment. Additionally an examination of previous evaluations and treatment records is usually included in the evaluation. In certain situations, a clinician may request information from others who are directly aware of the individual's symptoms, such as family members or friends, religious or Scout leaders, coaches and teachers. The physician will also need to know if the symptoms have existed over time and the severity of them. They will also determine if the person has other mental health problems that could be contributing to their ADHD symptoms, for example depression or anxiety. After the results have been reported the doctor will discuss them with the individual. They will also discuss the best ways to alleviate the symptoms. The physician may suggest specific counseling, such as dialectical behavior therapy or cognitive behavioral therapy. These therapies are specifically designed to address many of the difficulties that people with ADHD have to face, such as impulsivity and trouble with organizing, planning and following through. They can also help teach skills like self-care and emotional regulation and provide practical strategies to manage everyday responsibilities and relationships. In some instances medications may be suggested to treat the symptoms.