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Diagnosing ADHD in Adults A health care professional can diagnose ADHD. This could be an primary care physician psychiatrist, psychologist or psychiatrist. The diagnosis of ADHD is determined by the severity and frequency of symptoms, as well as how they impact daily life. The symptoms must have been present since childhood and be causing impairment in more than just one setting such as school or at work. Identifying Symptoms Many adults who are diagnosed with ADHD have suffered from symptoms for years. However, they may not have realized they suffered from a mental disorder. Many people receive a diagnosis when they realize that their work performance is declining or their relationships are struggling. A diagnosis can be a life-changing experience, but it can be stressful for those at different stages of their lives. Hyperactivity and impulsivity as well as inattention are among the most prevalent ADHD symptoms that adults experience. People with ADHD may fidget during a lecture or wait in the line. They may forget things easily, or struggle to complete tasks on time. Those with ADHD may also have trouble relaxing and become frustrated and emotionally easily. ADHD symptoms are more obvious in children, whereas hyperactivity and impulsivity can be less apparent in adults. For instance when children are hyperactive, it may manifest as running and jumping around, whereas adults can display these symptoms more subduedly through shifting their weight or tapping their feet. Additionally, they might have difficulty sitting still during long conversations or while reading an article. Adults suffering from ADHD may also have issues with controlling their impulses. This can lead to risky behavior, such as driving too fast or spending money on unneeded things. They might also have difficulty in deciding whether to resist temptation and delay the gratification which can cause issues at work or home. People with ADHD frequently have difficulties with organization. This makes it difficult for them to keep up with their finances or bills. A medical professional will perform an exhaustive evaluation to determine if a person has ADHD. They will inquire about the person's current performance and review their medical and educational history as well as developmental. They may also speak with family members, teachers or employers to gain an understanding of a person's struggles. A diagnosis of ADHD requires that the person suffers from multiple symptoms for a minimum of 12 months. The symptoms must have been present prior to the age of 12 and affect multiple aspects of a person's life such as their job, school or social life. Medical History The American Psychiatric Association has published diagnostic guidelines for ADHD within the “Diagnostic and Statistical Manual of Mental Disorders Fifth Edition” (DSM-5). Your doctor will look over your medical, family, and work records to determine whether you fit these criteria. It is essential to be honest and open with your doctor about your symptoms, as they cannot diagnose you without this information. Some doctors will ask patients to ask family members, such as spouses, parents or siblings, about the impact the behavior of ADHD has on their lives. This helps the person who isn't diagnosed with ADHD to gain a clear understanding of the challenges their loved one faces and may help the relationship in the near future. Adults' ADHD symptoms may vary depending on the situation, but they often have a lot in common with the behaviors that characterized the condition during childhood. The main difference is that adults tend to suffer from their symptoms in more complex ways than children, and their symptoms have a bigger impact on their social, work and school life. For instance, people with ADHD might not be capable of managing their time as well as children and they may have difficulties finding jobs or maintaining relationships. For diagnosis, your doctor will conduct a thorough medical evaluation, which typically includes an interview with you and any other important people in your life, a physical examination and laboratory tests to rule out any other medical issues that can affect ADHD. You and your family will be required to fill out questionnaires regarding the symptoms that have affected you. When evaluating adults with ADHD in the same way, it's important to take into consideration any other comorbid conditions they may have, such as depression or anxiety that could make the symptoms of ADHD worse. If these disorders aren't addressed, they may contribute to feelings of frustration and low performance that get internalized as chronic stress or anger. This can result in a vicious circle where the untreated symptoms of ADHD can exacerbate the underlying comorbidities, causing them to flare up even more often. This can have a major impact on your quality of life, making it essential to treat both complicacies and the ADHD. Psychological Evaluation If a healthcare professional wants to determine whether someone has ADHD, they usually conduct a psychological examination. This involves an extensive interview with the patient, taking a thorough medical history of the family, as well as examining documents. They will ask them to describe their symptoms and how they affect their daily life. They will ask the person to rate their symptoms using standardized rating scales or questionnaires. Adults seeking a diagnosis for ADHD are seeking a diagnosis for ADHD when they observe that their symptoms impacting different aspects of their life. They may be unable to do well in meetings or miss deadlines at work. diagnosed with adhd might struggle in their relationships because they can't listen or wait for their turn. Their home life could be chaotic because they are unable to keep up with chores or attend to their children. It is important to keep in mind that many people with ADHD also experience certain symptoms. A variety of factors could cause similar problems, including stress, mental health issues, and physical ailments. It is essential to seek the advice of a professional and undergo a thorough evaluation. A psychological evaluation will include an in-depth examination of the person's past, particularly their childhood experiences. A mental health professional may be able to talk to the person's spouse or parents, or other close family members to get their opinion on the person's behavior and how it has affected their daily life. In addition a mental health professional will assess the individual with a series of standard tests designed to measure their cognitive abilities. This could include the Conners Adult ADHD Rating Scale as well as the Hopkins Psychiatric Rating Scale and the Global Assessment of Functioning (GAF). These tests can be used to determine if an individual has ADHD symptoms. Sometimes mental health professionals suggest that an individual participate in an experimental study to test new treatments for ADHD. While participating in a trial can be beneficial, you should be aware that these trials are primarily designed to gain new information in the field of science, not to treat specific health issue. If you are interested in knowing more about clinical trials, consult with your doctor or visit the NIMH's Clinical Trials webpage. Social Evaluation Many adults seeking an ADHD diagnosis struggle to maintain stability in their workplace or at home. They may be struggling to keep up with daily tasks such as cleaning the home or remembering to make appointments and keep them or getting their children ready for school. They might also have a difficult time staying focused in the workplace, and may appear agitated or “on-edge” when they are sitting at their desks. Before diagnosing ADHD it is essential that a doctor considers all of these symptoms and their impact on a person's daily life. Certain people suffer from ADHD throughout their life, while others have only one problem like work or relationships. The signs of hyperactivity, impulsivity and inattention are all used in the criteria used to diagnose ADHD (Austerman 2015). A health care professional will conduct an exhaustive mental health evaluation and will consider other factors that may cause similar symptoms to those of ADHD. For instance, stress and head injuries, mood disorders, certain medications, thyroid conditions and other physical conditions can mimic the symptoms of ADHD. It's also important to determine whether a person has comorbidities like anxiety or depression. If not treated, ADHD could lead to these psychiatric conditions and may make the symptoms of ADHD worse. The evaluator may also look at the person's family history of ADHD to determine if there is a genetic element. It's well known that ADHD is largely heritable, and research suggests that 70% to 80% of the risk for developing ADHD is inherited. The birth weight of the baby is low, as well as exposure during pregnancy to toxins and premature birth are all non-genetic causes that contribute to ADHD. Being diagnosed with ADHD as an adult can be a life altering event. For some, it provides an explanation for their struggles and for others, it brings relief that they now know what's causing their challenges. This belief system led to women's symptoms not being considered serious for too long. This is why Hamdani has taken to TikTok and Instagram as The Psych Doc to dispel these myths and share her own experiences as an ADHD woman.