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ADHD Testing The First Step to Diagnosing ADHD A complete ADHD evaluation involves a thorough interview of the person being evaluated along with one or more standardized questionnaires that are designed to assess symptoms Teachers and parents are often interviewed as well To be diagnosed with ADHD adults or children must have symptomatic behavior in two or more settings and the symptoms arent caused by another medical issue such as a thyroid disorder or seizure disorders History The first step in getting an diagnosis of ADHD is talking to your primary care provider They might refer you to an expert in mental health who will do an assessment that includes a comprehensive history and physical exam The assessment includes standardized behavior rating scales for ADHD and ADD lists of symptoms as well as psychological tests ADHD is more often diagnosed in children than adults The disorder can affect anyone at any age Adults with ADHD who are not treated may experience difficulties at work in their relationships and may be more prone to addiction and depression It is important to get a proper diagnosis so that treatment can begin There are references to children who have behavioral issues similar to ADHD dating back as far as the 18th Century The modern history of ADHD began with the observations of Sir Frederick Still in 1902 Still was a wellknown pediatrician who observed that many of his patients were easily distracted and had difficulty staying focused on their tasks He believed that these symptoms were related to the way their brains worked and not due to bad parenting or lazy attitudes In 1952 In 1952 the American Psychological Association APA released the first edition of its Diagnostic and Statistical Manual of Mental Disorders At the time it was known as attention deficit disorder ADD without hyperactivity The APA didnt consider hyperactivity to be a symptom essential until 1980 when DSMIII was published At that point the ADD subtype was eliminated and the resultant designation was ADHD KMN The Psychs ADHD testing process thoroughly evaluates the patterns of behavior and cognitive thinking which can be used to confirm or rule out an ADHD diagnosis This information helps to create customized interventions as well as educational accommodations and treatment plans that enhance efficiency daily functioning and longterm success During the initial visit the doctor will provide a thorough account of the patients problematic behaviors and their impact on his or her home life school performance and professional career The clinician will also interview relatives and gather details about a persons history They will use standard behavioral rating scales for ADHD and ADDHD symptom lists as well as psychological tests that test working memory executive function skills abilities like planning and making decisions visual and spatial abilities related to space and reasoning thinking Physical Exam The ADHD screening process involves physical examinations that measure the height body weight and pulse The medical history is gathered including prescription overthe counter and illicit medications The examiner will also test hearing and vision The examiner will also look for any other health or behavioral disorders that may mimic the symptoms of ADHD click through the following article to screen for any other medical conditions since many people suffering from ADHD have coexisting disorders like anxiety depression and learning disabilities These can be ignored when we focus on the symptoms of ADHD The person being assessed will be interviewed by the psychologist or psychiatric nursing practitioner who is conducting the assessment They will inquire about the behavior of the individual at school at home and at work If necessary theyll also discuss the family and social history of the person The psychologist may ask the person to fill out one or more of the standardized ADHD rating scales which are questionnaires that utilize research to measure the behavior of people with and without ADHD The person being tested should respond honestly and openly They should not repress any information for fear of shame or embarrassment During the interview the doctor will go through any notes or reports from previous evaluations They will search for an identifiable pattern of symptoms that is constant over time and dont change in severity or frequency They will assess the severity of the symptoms and their impact on a persons daily life In some cases the examiner will recommend a medical examination or laboratory tests to rule out the underlying physical causes for the symptoms like thyroid problems and seizure disorders These tests are not part of a diagnosis but they are essential in identifying any other health issues that may be contributing to or similar to ADHD symptoms An accurate and timely diagnosis is critical to ensure that a person receives the support they need at school or at work as well as in their community A ADHD diagnosis can unlock many different solutions and accommodations that improve daily functioning productivity and longterm success Additionally a correct diagnosis can help people understand their unique challenges and identify the strategies and coping mechanisms that work best for their needs Psychological Tests If you are concerned that you or your children may be suffering from ADHD you should consult a medical professional who is certified to diagnose and treat this condition The person you meet with will ask you several questions to determine whether the symptoms you or your child is experiencing meet 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 distinguish ADHD from other disorders that have similar symptoms such as anxiety or depression During the diagnostic exam your healthcare provider will ask you a set of common questions regarding your behavior and how it impacts on your life They may also interview your parents or teachers to gain a better understanding of the symptoms that you are experiencing This will aid in determining if they are a result of ADHD or if other causes such as stress or medical issues may be the cause Your evaluator may also ask about your family background and any mental health issues that you have had It may be beneficial to make a list of your concerns and the specific behaviors that are troubling you so you will not forget anything You may be asked to fill out questionnaires about your mood and functioning These include the Adult ADHD Rating Scale and the Computerized Assessment of Attention and SymptomsCAARS Monitoring your behavior in different situations including at home school or at work as well as during play is a major component of the ADHD clinical evaluation In these instances your evaluator will take note of the frequency and intensity of your symptoms as well as their effects on your life The evaluator may also use a standard observation form to record results Your evaluator could suggest a structured behavior program cognitivebehavioral treatment or training for parents as behavioral interventions These techniques can help you or your child deal with the symptoms associated with ADHD They can also help you establish order and regularity at home at school as well as at work to reduce the disruptions caused by impulsivity and hyperactivity Counseling Getting the right diagnosis is essential to receive the most effective treatment This process is highly individual and requires the use of a lot of clinical judgement It typically involves analyzing data from several sources This includes evaluating behavior and academic rating scales used by teachers parents and children conducting an interview with the person and watching them in different environments eg at school home or at work The doctor will also look at the symptoms and how they affect the ability to manage everyday tasks relationships and other aspects of daily life A thorough assessment typically takes between one and two hours Some clinics require parents and teachers to fill out online questionnaires which are then sent directly to the clinic others will conduct a parent and teacher evaluation in person at the time of the initial appointment The assessment will also include a review of previous evaluations and the treatment records In certain instances a clinician may request information from other people who are directly aware of the individuals symptoms such as family members or friends religious or scout leaders coaches and teachers The doctor will also be looking to determine whether the symptoms have been present for a while and how severe they are They will also determine if the person has any other mental health issues that may be contributing to their ADHD symptoms for example anxiety or depression When the results are available the clinician will discuss the results with the patient They will also discuss ways to manage the symptoms The doctor will typically suggest specialized counseling such as cognitive behavioral therapy CBT or dialectical behavior therapy DBT These special therapies are designed to address the numerous issues that people suffering from ADHD face This includes impulsivity planning organization and following through They can also help teach techniques such as selfcare and emotional regulation and provide practical strategies for managing everyday responsibilities and relationships In certain instances medication may be prescribed to help treat symptoms