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Getting a Diagnosis of ADHD in Adults

Some adults may have unrecognized ADHD symptoms. Recognizing the symptoms as an adult could provide possibilities for treatment.

To be diagnosed with ADHD, you must have at least five persistent symptoms of inattention or hyperactivity-impulsivity. These symptoms must be a major hindrance with daily functioning at work, at home, and socially. Talk therapy can enhance the ability to communicate and problem solve. Counseling for family and marriage can be beneficial.

Signs and symptoms

It could be that you feel that you're not doing enough to fulfill your full potential when you suffer from ADHD symptoms. You may be overwhelmed as an adult with the responsibilities you have to fulfill. You might be working full-time as a caregiver for children or an aging parent and trying to handle household chores and finances.

Your difficulty keeping up can cause embarrassment, anger despair and a loss of confidence. It's not a problem in the event that you suffer from ADHD. It's important to realize that there are solutions to your problems. The first step is a diagnosis.

A thorough psychiatric evaluation can be performed by a health care specialist to diagnose ADHD in adults. This includes talking with you about your symptoms, having you fill out standardized behavior ratings scales and ADHD symptoms lists and obtaining details on your mental health and medical history. The provider may ask about the history of ADHD in your family.

To qualify for a diagnosis of ADHD, you must have experienced at least five persistent symptoms of inattention and/or hyperactivity/impulsivity. These symptoms must have been present before the age of 12 and continue to cause problems with your life. You may also have issues with these behaviors in two or more situations, like at school, work as well as in your social relationships.

If your inattention is a significant issue, you could miss appointments, make careless mistakes at work or at home, and not be able to meet your obligations. You may be struggling with managing your finances and health and may have a hard working through everyday tasks, like remembering to take medication or going to the doctor for a checkup.

For people with ADHD who have ADHD, the tendency to think before acting can make difficult situations even more difficult. You may interrupt other people's conversations or utter answers to questions before they're finished or have trouble waiting your turn in a line. Your impulsivity could result in risky behavior like driving too fast or spending money in a reckless manner.

Research suggests that genetics and environmental factors play a role in the development of ADHD. Symptoms tend to be inherited from families and some researchers believe that problems with the central nervous system at key developmental points increase the chance of developing this condition.

Diagnosis

A health care specialist who specializes in ADHD can assist in evaluating adults who exhibit symptoms of the disorder. An assessment typically consists of an interview and review of medical history, work or school records along with family medical history and an examination for mental health. A specialist may also conduct a physical exam and/or tests in the laboratory to identify other conditions that may have similar symptoms. A private diagnosis of adhd of ADHD is only given to an adult or adolescent when symptoms have been present for a period of six months or more and cause significant impairments in daily life.

People with undiagnosed adhd in adults or under-treated ADHD may struggle all their lives with ongoing issues which could have been avoided or treated. This can lead depression, family issues and financial stress as well as work-related stress, addiction to drugs, and even serious accidents, such as motor vehicle accidents.

Undiagnosed ADHD can lead to confusion among family members, friends and colleagues. They could be perceived by others as lazy, irresponsible or a bad employee. In addition, people who have undiagnosed ADHD are more at chance of developing depression and anxiety.

Women are generally better at hiding their ADHD symptoms than men, which may make it difficult for them to get a proper diagnosis. They may use distractions or daydreaming to mask their impulsivity and inattention. Or they might rely on methods and tools to compensate for their poor time management and lack of organization. Women with ADHD may also have difficulty identifying their symptoms, as they are more likely than men to experience hyperactive or inattention symptoms.

It's important to understand that ADHD isn't a sign of intelligence or ability. It's simply an alternative way of thinking and behave that can create problems in certain situations.

Adults may have different symptoms in comparison to children. However, the signs of ADHD in adults still meet the criteria listed in the American Psychiatric Association's Diagnostic and Statistical Manual, Fifth Edition (DSM-5)1.

Treatment

Undiagnosed ADHD can make it difficult for people to stay organized, complete their work and school assignments, and maintain healthy interpersonal relationships. Symptoms also can interfere with everyday functioning and lead to mental issues such as depression, anxiety, or changes in mood. People who suffer from hyperactivity or impulsive subtypes of the condition may appear restless and try to do several things at once, and fail to complete tasks or meet deadlines. They may be unable to pay attention to others, which can result in miscommunications or relationship issues.

The symptoms of the disorder typically go unrecognized in the early years, and a lot of adults with them do not know they have ADHD. They may have been described as a goof-off, dreamer or a slacker instead of struggling to stay on top in school and everyday life. Many people who suffer from ADHD experience increasing symptoms as their responsibilities increase. They're not able to handle all the balls they have to keep up-to-date with: pursuing a career, caring for family members, keeping up with housework and errands, and working on social and romantic relationships.

A mental health healthcare professional or health care provider will determine if a patient is suffering from ADHD. The evaluation usually includes discussions with relatives, friends and others who are familiar with the person and a physical examination, and a review of the person's medical and mental health history. The patient may be asked to fill out standardized ADHD ratings scales or a checklist of symptoms. Psychological tests are used to test executive and working memory as well as spatial and visual capabilities.

Adults with ADHD are typically treated with stimulant drugs. They boost and regulate levels of brain chemicals referred to as neurotransmitters. They can help those with ADHD improve their focus and organize their lives, recall important information and tasks, and control the impulsive behavior. Other treatments for ADHD include non-stimulant drugs such as atomoxetine and antidepressants, which work slow than stimulants, yet improve the symptoms of ADHD. People who have particular health issues such as diabetes or high blood pressure must consult with their doctor before taking stimulants.

Some adults with ADHD might benefit from individual therapy, self help groups, or vocational counseling. These programs can teach adults how to cope with their symptoms, and how does an adult get diagnosed with adhd to build healthy school, family and workplace relationships. Clinical trials will also be conducted with adults with ADHD. These studies help scientists learn more about how to diagnose, treat and prevent disorders such as ADHD.

Follow-up

A thorough evaluation of adult ADHD using various assessment inventories can help improve the accuracy of diagnosis and reduce the chance of misdiagnosis. A psychologist or psychiatrist with experience treating ADHD in adult patients will usually conduct an extended interview. The evaluation will also ask you about your children's health history as well as family dynamics and lifestyle choices. They will also go through your past medical records and perform an examination of your body.

Many people with ADHD also suffer from other medical or psychiatric conditions like anxiety and depression, which need to be treated. In fact, it is estimated that people who suffer from ADHD are six times more likely have mood disorders than others. People with ADHD also are at a higher risk of consuming alcohol.

Adults who suffer from ADHD typically have difficulty to get and keep jobs. They also have a harder managing their finances and staying on top of household tasks. Adults with ADHD have an increased risk of developing other health problems, like obesity, heart disease, and smoking. Additionally, they are more likely to have poor eating habits and are more likely to have trouble forming and keeping romantic relationships.

In one study, individuals who had ADHD who were treated in mental health services as children were diagnosed with ADHD in adulthood. The sample size was small. A larger sample could provide additional information about the clinical course and relationships of ADHD in adults with other psychiatric conditions.

Research has demonstrated ADHD to be a chronic and persistent problem for adults. It can have a negative impact on quality of life and can cause number of comorbid conditions including mood disorders, learning disabilities and alcohol and drug abuse. People who are not treated for ADHD are at a greater chance of being in prison or divorce, as well as being less socioeconomically stable and more serious psychiatric problems.

Adults with uncontrolled ADHD symptoms or an initial ADHD diagnosis should be evaluated within 30 to 60 days, then every month until symptoms are under control. Adults who suffer from ADHD might need to receive psychotherapy and/or therapy with pharmacotherapy for the remainder of their lives.