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Adult Diagnosis of ADHD A diagnosis of ADHD can alter the lives of those suffering from the disorder. Iam Psychiatry can help people to recognize the reasons they face difficulties at work, in their family and in their relationships. It can be difficult to determine the cause because symptoms can overlap. A mental health specialist or health care professional will examine the individual and perform tests. Symptoms A person may not even be aware they have ADHD until they reach adulthood Perhaps because teachers or parents were not aware of the symptoms at a younger age or because the demands of college or work caused the disorder to be exposed. Adults with untreated ADHD are more vulnerable in their work, school and social lives. Undiagnosed ADHD can cause numerous issues, including relationship problems and financial issues. In order to diagnose ADHD A mental health professional will interview the patient and review the patient's personal, medical and psychiatric history, taking note of symptoms in various environments. The patient will describe how these symptoms impact the way they function in their daily lives and relationships. It is important that patients are honest about their symptoms and do not conceal them to avoid embarrassment. It is also important for the mental health professional to assess whether these symptoms are related to comorbid conditions like anxiety and depression, which often coexist with ADHD. These conditions often make the symptoms of ADHD worse, and they can also hinder effective treatment for the disorder. If the psychologist or psychiatrist thinks that the symptoms are being affected by comorbid disorders such as neuropsychological disorders, or psychological disorders, then additional tests can be used to establish an accurate diagnosis. These tests can also be used to determine the degree of impairment to function that these conditions cause. The mental health professional will also conduct interviews with other important people such as spouses and siblings to get a complete picture of how the individual is functioning. Diagnosis For adults the diagnosis of ADHD is usually determined by a mental health professional or physician who conducts a thorough diagnostic assessment. This involves a thorough interview about the causes of the symptoms and their impact on daily functioning and the presence of any other mental health conditions that may be co-occurring with ADHD like anxiety and mood disorders. In addition, the physician may ask to speak with significant others, usually the spouse or a close friend — to assist in gaining more information about the individual's behavior. A diagnosis of ADHD could alter your life. For many adults, the diagnosis finally gives them an explanation for what has always appeared to be “normal” behaviors. Often, it provides relief to know they're not just lazy or forgetful and their issues are more complicated. The American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, Fifth edition (DSM-5) requires that adults meet specific criteria for symptoms of inattention and hyperactivity-impulsivity. This is a standard set to ensure that people receive the treatment and support they require. For a person to qualify for an ADHD diagnoses the person must be suffering from symptoms for at least one year and cause significant impairment in multiple settings, including school, home or at work with family members or friends or in other activities. The number of symptoms required for adults over the age of 17 has been reduced from six to five. A strong relationship with your primary healthcare provider can help determine ADHD. Many providers diagnose and treat ADHD in children and refer you to a mental health professional qualified to evaluate adults. Treatment When someone with ADHD is diagnosed, their life may change dramatically. They can finally find some solutions to their problems at school, and also in the start of a career, or in relationships. For some, a diagnosis can provide relief from shame that may have been accumulated over the years of their issues being ignored. The first step in getting an accurate diagnosis is to talk to a health care professional or mental health professional. They may ask about family history and conduct an examination to rule out any conditions like learning disabilities or sleep disorders that can cause symptoms that are similar to ADHD. They also can ask the patient to complete the checklist of symptoms. During the assessment process a doctor may ask to interview a spouse or partner. This will help the spouse who is not an ADHD or partner develop a clear understanding and an understanding of their loved one's ADHD symptoms, which is important in enhancing relationships following the diagnosis. If this isn't an option, the clinician may interview acquaintances or colleagues who know the individual. Adults with ADHD are treated primarily by medications. Adult ADHD is treated with stimulants such as methylphenidate, Adderall and dextroamphetamine. Other medications, such as Atomoxetine (Strattera®) and guanfacine (Intuniv®, Tenex®) increase the levels of norepinephrine in the brain and can help improve symptoms of ADHD. Psychotherapy is a different option. Cognitive-behavioral therapy can teach patients techniques for managing their ADHD symptoms, such as time management and organizational strategies, self-regulation of behavior and emotions, and coping with self-criticism and negative feelings. Other therapies, such as Acceptance and Commitment Therapy, help adults identify the automatic or irrational thoughts that lead to negative behavior and learn ways to overcome them using positive self-talk. Medication Many people find that ADHD medication helps alleviate their symptoms. The medication is usually in the form of a stimulant and works by increasing brain activity in areas that control the behavior and attention. Methylphenidate is the most popular medicine used for adults with ADHD is available in a variety of forms. It is available as immediate-release tablets or modified-release tablet forms that release the medication over the course of the day. Clonidine is a different type of medication that works by reducing brain activity. It is available in liquid or pill form. The psychiatrist or therapist will look over the medical and family background of the adult patient to identify factors that may cause similar symptoms. This is crucial, since certain medical conditions, such as thyroid problems and seizures can cause symptoms that are similar to ADHD. Certain medications and dietary supplements may also cause similar symptoms. During the examination during the evaluation, the patient will explain their ADHD symptoms to their therapist or psychiatrist. They will be asked to fill in standardized ADHD rating scales and check lists as well as comprehensive psychological tests that test executive functioning, working memory, (abilities such as making decisions and planning) spatial and visual capabilities, as well as reasoning skills. If the therapist or psychiatrist believes that the symptoms of ADHD are seriously affecting the quality of life of a person, they will recommend treatment with medication. In certain instances a therapist may request the spouse or partner of the patient to talk with them about the impact of their ADHD symptoms on the relationship. This can reduce blame between individuals and promote healthy, productive relationships. Counseling Getting a diagnosis is a huge relief to many adults with ADHD. It's a chance to understand why they have problems at school or at work and discover ways to overcome them. It's also a chance to overcome negative habits and boost confidence in themselves. Having a good support system is crucial to success and counseling can assist. Counseling for ADHD can involve psychological (or psychotherapy) therapy as well as a variety of behavioral treatments. A therapist could create a chart that encourages positive behavior and imposes penalties for negative behaviors. The therapist may also instruct the patient in skills to manage their symptoms, for example, relaxation techniques like deep breathing or yoga poses. Another benefit of counseling is helping people understand and accept their ADHD. It's not easy to admit you struggle in organizing, planning and paying attention. It can even be embarrassing to tell co-workers and supervisors about your ADHD. However, most teachers and bosses will be willing to make accommodations for your situation. They might, for example permit you to write on the computer instead of paper or give a more detailed explanation of the material in class. In addition the therapist will help you cope with your ADHD through cognitive behavioral therapy, which is a type of therapy that helps you change negative thoughts and behavior into positive ones. Counseling for ADHD may also include family or marital therapy, which teaches loved ones how to better interact with a person suffering from ADHD and improve communication and problem-solving skills. People with ADHD may also suffer from other mental disorders, such depression or anxiety and could also have issues with substance abuse.