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Adult Testing for ADHD A specialist will want to know about your childhood and your history of symptoms This is because current diagnostic criteria emphasize that ADHD must be present from childhood Your specialist may want to use a few different adult ADHD selfassessment tools during your evaluation These are short questionnaires that ask you to rate your own symptoms on a scale of never to very often You can also find online versions of these assessments Assessment When an adult is having problems with their job relationships or school performance a medical professional may suggest that they have ADHD Many people are surprised to hear this because they didnt know they had ADHD as a child or their symptoms have only recently become severe enough to warrant seeking help It can be challenging for adults with ADHD to obtain a diagnosis because of the stigma that surrounds mental health issues and medical professionals have preconceived ideas about what someone with ADHD looks like A thorough ADHD assessment begins with a facetoface interview where the specialist will discuss the persons symptoms and how they affect their life They will ask about the history of the symptoms as well additional hints is helpful if the person being assessed can bring in old school records or talk to parents or teachers who knew them as children This is because current diagnostic guidelines say that a diagnosis of ADHD cannot be confirmed in adults unless the ADHD traits symptoms were present from childhood The specialist will also review the persons symptoms against the DSM V criteria for ADHD They will ask questions about the persons inattention and hyperactivity and whether these symptoms cause problems in several settings like work home and school They will also ask about other disorders that can overlap with ADHD such as mood disorders or thyroid and seizure conditions For adults who are married or living with a partner it is often beneficial for the clinician to interview them together as they may have different perspectives on their symptoms and how they impact each others lives This is especially important if the nonADHD partner has been struggling with these issues for a long time The specialist will then administer various rating scales that ask about the persons symptoms and how they affect them These usually include checklists that look for inattention and hyperactivity and questionnaires that examine other issues such as depression and anxiety or learning disabilities In some cases the specialist may also conduct a psychological evaluation or psychoeducational evaluation These are more comprehensive and involve cognitive testing IQ academic tests memory emotional and executive functioning assessments and sometimes interviews with loved ones Psychological Testing The process of diagnosing ADHD in adults involves several types of psychological tests These are designed to evaluate intelligence memory and attention language and executive functioning They can also be used to help rule out other conditions that may be contributing to the symptoms of ADHD including mood disorders like anxiety and depression or substance use disorder An important part of the ADHD evaluation is an interview with the person being evaluated They should be encouraged to discuss their symptoms openly and honestly and not hold back due to fear of judgment or embarrassment This can help the doctor understand how these symptoms affect their daytoday life and work performance The doctor will review the patients medical history family history and psychiatric history to help determine whether there are any conditions that could be contributing to their symptoms During the interview the doctor will ask questions about the persons problems at school or on the job and how they affect their daily life They will review the persons academic and behavioral history their relationship with their significant other and their use of medications and alcohol They will also look at any past diagnostic evaluations they have had In addition to an interview many mental health care professionals will conduct one or more standardized ADHD rating scales These questionnaires are based on research comparing behaviors of people with ADHD to those of those without the disorder They are not considered diagnostic on their own but can be useful for guiding the evaluation and increasing the confidence in the evaluators impressions Psychological testing for adult ADHD can also include broadspectrum test that screen for other psychiatric disorders and general cognitive functions such as vocabulary and motor skills These are often ordered if the doctor suspects that the patient has other disorders such as mood or obsessivecompulsive disorders which can cause symptoms of ADHD The American Psychiatric Association provides clinical guidelines for the diagnosis of ADHD in the Diagnostic and Statistical Manual of Mental Disorders Fifth Edition DSM5 Symptoms must be present in two or more settings like home school and work to be diagnosed as ADHD They must be debilitating and interfere with a persons life to qualify for the diagnosis Behavioral Tests Behavioral tests evaluate a persons abilities and social development They may also look at the impact of ADHD symptoms on a persons work school and family life Psychological testing can help reduce stigma and increase understanding of ADHD and its effects It can also be a useful tool for families schools and employers when explaining ADHD to others The first step in testing for ADHD is to interview the person involved This can be done in person or over the phone The doctor will ask questions about the persons history with ADHD including how it has impacted their academic and professional performance relationships with others and their medical and family history The doctor will also ask about if there are any other mental health conditions that might cooccur with ADHD such as anxiety depression or substance abuse Other forms of behavioral testing can include rating scales and questionnaires These are generally filled out by a person close to the individual such as a parent or teacher The questions are usually based on common ADHD symptoms like problems with concentration hyperactivity and impulsiveness Broadspectrum scales can help doctors assess whether the persons symptoms might be caused by something else like anxiety or depression To be diagnosed with ADHD a person must have trouble in two different settings home school and the workplace The symptoms must also be severe enough to interfere with daily functioning and cant be explained by another condition This can be hard to determine especially in adults who are struggling with the symptoms as an adult If the results of the interview and the behavioral tests are consistent with ADHD a doctor will then perform a physical exam They will check for health conditions that might cause similar symptoms such as vision and hearing issues and thyroid disease They will also review any old school or test records that can help them identify if the symptoms started in childhood Its important to find a healthcare professional who has a good track record with treating adults with ADHD They should be willing to share their training and experience with the disorder If they are reluctant to do so its best to seek a different professional Medical Tests For adults who feel like their ADHD symptoms are holding them back getting a proper diagnosis is crucial A diagnosis can make the difference between thinking youre lazy or stupid and knowing that your problems are caused by a disorder you can learn to manage The first step in the process is a thorough interview by a qualified mental health professional The professional will ask you to describe your symptoms and how theyve affected your life including at school and work in your relationships with family and friends and in your daily activities Theyll also want to know about your history of medical and psychiatric problems and any other issues that could cause similar symptoms such as depression or anxiety Youll be asked about your family history especially if any firstdegree relatives have been diagnosed with ADHD Then the professional will administer some of the standardized tests that are commonly used to diagnose ADHD such as symptom checklists and behavior rating scales In addition the doctor may give you a medical exam and a psychological evaluation to rule out other conditions that might be causing your symptoms During the interview the doctor will review your personal family and medical history from childhood through the present He or she will consider the symptoms listed in the Diagnostic and Statistical Manual of Mental Disorders Fifth Edition to see if they apply to you If you have any records such as old report cards or performance evaluations from school bring them with you to the appointment If youre having trouble finding a psychologist who specializes in ADHD evaluations ask your physician for a referral or call a universitybased hospital or medical school to find out if they have anyone on staff You can also call an ADHD support group in your area to ask for recommendations or look in the online directory of your insurance plan Many people who have ADHD find that their symptoms are easier to manage once they get a proper diagnosis and it can be a relief to know that your troubles arent due to laziness or a lack of intelligence