ADHD Testing - The First Step to Diagnosing ADHD
A comprehensive ADHD evaluation involves a thorough interview with the person being evaluated, along with one or more questionnaires that are designed to assess the symptoms. Teachers and parents are often interviewed as well.
To be diagnosed with ADHD children or adults must exhibit symptoms in at least two or more situations and the symptoms aren't caused by other medical issues, such as seizure or thyroid disorders.
History
The first step of getting a diagnosis of ADHD is talking to your primary care physician. You may be referred a mental healthcare professional who will perform an assessment, which includes a complete medical history and physical exam. Standardized behavior rating scales for ADHD, ADD symptom checklists and psychological tests are typically included in this assessment.
ADHD is more frequently diagnosed in children than in adults. However, the disorder can impact a person at any age. Adults with ADHD who are not treated can have difficulties at work, in their relationships, and could be more prone to addiction and depression. It is crucial to get the correct diagnosis before treatment can begin.
Although there were reports of children suffering from behavioral problems resembling those of ADHD in the 18th century, the modern ADHD history began with Sir Frederick Still's observations in 1902. Sir Frederick Still was a famous child psychiatrist who observed that many of his patients were easily distracted and were not focused on their work. He believed that these symptoms were due to the way their brains functioned and not the result of poor parenting or lazy attitudes.
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. The APA did not recognize hyperactivity as a symptom vital until the year 1980 when DSM-III was released. The ADD subtype was changed to ADHD at that time.
KMN Psych’s ADHD testing process thoroughly assesses cognitive and behavioral patterns to confirm or exclude an ADHD diagnosis. The results are utilized to develop individualized interventions and educational accommodations as also treatment plans that improve productivity, daily functioning, and long-term success.
During the initial visit the doctor will provide a thorough account of the patient's problematic behaviors and the impact they have on his or her home life, school performance, and career. The doctor will also collect information regarding the person's family history and will also interview family members. They will use standardized behavioral rating scales for ADHD and ADD/HD symptom lists, as well as psychological tests that assess executive function, working memory, skills (abilities such as making decisions and planning), visual and spatial abilities (related to space), and reasoning (thinking).
Physical Exam
The ADHD screening process typically involves a physical exam that measures the height, weight, and pulse. A medical history is also taken and includes any prescription, over-the counter or illicit medicines that are frequently taken. The examiner also evaluates hearing and vision. The examiner will also look for any other behavioral or health issues are present that may mimic the symptoms of ADHD. It's important to screen for other conditions because many people suffering from ADHD have co-existing disorders like anxiety, depression, and learning disabilities. If you focus on ADHD symptoms alone they can be missed.
The psychologist or psychiatric nurse practitioner conducting the evaluation will talk to the person who is being evaluated. They will ask questions about the individual's behavior at home, school and at work. If they are appropriate, they'll also discuss the family and social history of the person. The psychologist will ask the patient to complete one or more of the standardized ADHD ratings scales. These are questionnaires that use research to compare behaviour of people who have ADHD and those who do not. The person who is being tested must respond in a clear and honest manner. They should not hide any information to avoid embarrassment or shame.
During the interview, the clinician will review any notes or reports from previous evaluations. They will search for a clear pattern of symptoms that is constant over time and don't get better or worse. Read the Full Write-up will evaluate the severity of the symptoms and their impact on a person's daily routine.
In some cases the doctor may suggest a medical examination or lab tests to determine the root physical causes of the symptoms, like seizures and thyroid issues. These medical tests are not part of a diagnosis, but they are essential in identifying any other health issues which could be causing or similar to ADHD symptoms.
A prompt and accurate diagnosis is crucial to ensure that someone receives the assistance they need in school, at work and in their community. An ADHD diagnosis can provide many different solutions and accommodations that can improve daily functioning, productivity and long-term success. A proper diagnosis can help people understand their unique issues, and pinpoint the strategies and methods that are most effective for them.
Psychological Tests
If you think you or your children may have ADHD and you suspect that they may be suffering from it, you should speak with an expert in health care who is trained to recognize and treat this disorder. The person you see will ask you questions to determine if the symptoms you or your child are experiencing fit the criteria for ADHD. The doctor will also conduct a thorough psycho evaluation, which may involve tests of cognitive ability and behavioral assessment. This is vital because it allows you to distinguish ADHD from other disorders that have similar symptoms, like anxiety or depression.
During the diagnostic interview, your health care practitioner will ask you a series standard questions about your behavior and how it impacts 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 help determine if they are related ADHD or if other triggers like stress or medical issues could be responsible.
Your evaluator might also inquire about your family background and any mental health issues you've had. It may be beneficial to make your concerns and the specific behaviors that are troubling you, so you will not forget anything. You may be asked to complete questionnaires on your mood and performance. These include the Adult ADHD Rating Scale and the Computerized Assessment of Attention and Symptoms(CAARS).
Behavioural observations in a variety of settings, such as at home, school or at work, as well during play, is a crucial aspect of the ADHD clinical evaluation. During these observations your evaluator will record the frequency and intensity of your symptoms as well as the impact of the symptoms on your life. The evaluator may also use a standard observation form to record results.
Your evaluator might suggest a structured behavior plan, cognitive-behavioral therapy, or training for parents as behavioral interventions. These strategies can help you or your child deal with the symptoms that are associated with ADHD. They can also assist you to establish a structure and cohesion at home at school, at home, and at work to lessen the disturbances caused by hyperactivity and impulsivity.
Counseling
The right diagnosis is essential to ensure the most effective treatment. This process is very individual and requires the use of a lot of clinical judgement. It usually involves analyzing information taken from a variety of sources. This includes evaluating behavior and educational rating scales completed parents, teachers, and children, interviewing the person, and watching them in different settings (e.g. home or at school, as well as at work). The doctor will also evaluate 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 clinicians request parents and teachers to fill out online questionnaires, and then forward them directly to the clinic. Others may conduct a parent-teacher examination at the beginning of the appointment. The evaluation will also include a review of prior evaluations and treatment records.
In some cases the doctor may seek information from others who have direct knowledge of the individual's symptoms, such as family members or friends, religious or scout leaders, coaches, and teachers. The physician will also be looking to determine whether the symptoms have been present over time and the severity of them. They will also determine if the patient has other mental health problems that may be contributing to their ADHD symptoms, for example depression or anxiety.
After the results have been reported the doctor will discuss them with the patient. They will also discuss the best ways to alleviate the symptoms. The doctor will typically recommend specialized counseling such as cognitive behavior therapy (CBT) or dialectical behavior therapy (DBT). These specialized therapies are designed to tackle many of the difficulties that people with ADHD confront, such as the impulsivity of children and difficulties with organizing, planning, and executing. They also provide practical strategies for managing your daily responsibilities and relationships, as well as teaching skills for emotional regulation and self-care. In some instances it is possible to prescribe medication to manage the symptoms.