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How ADHD Is Diagnosed Your doctor will inquire about your symptoms and any history of ADHD. He will also examine your family history. Most often, people are diagnosed with ADHD later in the course of their lives. A significant event, like pregnancy or a relationship crisis, triggers awareness of the problem. Finding a diagnosis is the first step towards managing ADHD symptoms and improving functioning. Characteristics Many children have difficulty staying still, waiting for their turn, and paying attention at schools and other settings, those who meet diagnostic criteria for ADHD suffer from these issues to the extent that impairs functioning at home, in school or at work. The symptoms of hyperactivity, inattention and impulsivity must be present for a minimum of 6 months and must be higher than what is normal for the child's age or development level. They must also be causing significant problems at school, work and at home as well as in relationships. Getting a diagnosis of ADHD requires an exhaustive clinical examination by a trained health care provider. This could include a physical exam and checking for other conditions that can cause similar symptoms, such as thyroid disease or depression. The health care professional will also review the patient's medical, psychiatric and academic records. Additionally, he will interview the person about his or her symptoms. For children the questions are generally geared toward their age, and parents may be interviewed too. The doctor will apply American Psychiatric Association clinical guidelines to diagnose ADHD in adults and children. These guidelines are outlined in DSM-5 the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders. The provider will analyze the person's past and current behavior and how it affects their professional, social and family life. If it is possible the therapist will look at the person's schooling and childhood experiences. When looking at adults, the physician will be able to determine whether they suffer from an underlying mental health condition that is co-occurring, and will ask whether the person has an ancestral history of ADHD. Family members of those with the disorder are more likely to have it themselves. If a healthcare professional suspects someone has ADHD and is concerned about it, they will conduct an entire clinical examination. This will include analyzing the person's current symptoms and asking them to keep a journal every day of their symptoms over a period of several weeks. He or she will also ask about any other issues the patient has and will consult the DSM-5 symptoms guide to determine if they have any of the symptoms of ADHD. Diagnosis Many health care professionals who are interested in ADHD or have a specialization in mental illness are able to screen and diagnose the disorder. Clinical psychologists, nurse practitioner, physician assistants and psychiatrists are all able to recognize ADHD. Family physicians may also diagnose ADHD in children and adolescents, and might refer adults to specialists for a thorough assessment. A thorough medical exam which includes a thorough assessment of sight and hearing is the first step towards diagnosing ADHD. A specialist may suggest a brain scan known as an EEG-Based Assessment Aid, or NEBA to determine the concentration of beta and theta waves in the brain. This type of brain scan is a non-invasive, safe method of screening people for ADHD. In an interview with the person an examiner reviews the patient's medical and mental background dating back to childhood, in addition to the present symptoms and strategies for coping. The doctor checks to see if the person meets the diagnostic criteria for either inattentive, hyperactive-impulsive or combined ADHD presentations as defined by the American Psychiatric Association in its Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). For children and teens being evaluated for ADHD, the doctor may request teachers and other individuals who spend much time with the child to complete checklists or questionnaires. They may also ask parents to fill out such forms. Adults will often speak to their spouses, co-workers and other close family members. They might also wish to interview someone who has known the person since childhood. During the diagnostic process, the mental health professional looks for signs that indicate whether the person is experiencing predominantly inattentive or primarily hyperactive-impulsive symptoms. He or she will determine how long symptoms have been present and if they result in impairment at home, in the workplace, at school, or in any other aspect of life. The mental health professional should also be able to detect other disorders that have symptoms with ADHD such as bipolar, depression, or anxiety disorder. The professional should also look for any physical causes of the person's symptoms such as thyroid problems or sleep issues. In addition, a thorough screening will also check the person's social, emotional and family history. Treatment Children suffering from ADHD need to learn how to manage their symptoms. Families can assist by encouraging school staff to watch their child closely, giving positive feedback, and being flexible and patience. They can also help teach the child relaxation and calming techniques, such as yoga or meditation. Regular exercise and a balanced diet can improve the ability of a lot of children suffering from ADHD to focus and concentrate. They should avoid foods that are high in sugar and drinks that can make their symptoms worse. They must also get enough rest. The symptoms of ADHD are present throughout adolescence, and even into adulthood. In adults, they may manifest in the form of difficulties at work or in relationships. A healthcare professional will conduct an evaluation to determine if someone is suffering from ADHD and the extent of it. This evaluation includes an examination of the mind as well as a physical exam and interviews with the person, his or parents and spouses or partners and others who are familiar with him or her. The healthcare provider might request a list of the person's symptoms and how they impact him or her. The doctor may also use rating scales or other tests to determine that the person is in compliance with standard criteria for ADHD. The person may also inquire about any medical conditions that can be similar to ADHD symptoms, for example seizures and thyroid disorders. If a person is diagnosed with ADHD the medication is usually prescribed to treat the symptoms. The most popular are stimulants. medications used to treat ADHD in both adults and children. They are able to cause side effects, so a person should only take them under medical supervision and with a prescription. Discuss with your doctor all medications you are taking. Certain drugs may interact with stimulants, causing dangerous side effects. Many individuals with ADHD have to test a variety of kinds and dosages of medications before finding the one that is right for them. Prevention In some instances it is possible to reduce exposure to environmental triggers may help to prevent ADHD symptoms. These triggers may include sleeping and eating habits, family structure and medication. A GP can assist you in finding ways to control triggers and suggest a dietitian for nutritional advice or for additional assistance. Consult your GP for more details. Avoid taking supplements that do not have scientific backing or that may interact with certain medications. Adults who suspect that they suffer from ADHD should consult a mental health professional, such as a psychiatrist or psychologist for diagnosis. The doctor will take a detailed medical history, perform physical examination and review medical records to rule out any other possible causes for the symptoms. The therapist will discuss the symptoms with the patient, look at the person's behavior in different settings and use the standard rating scales. He or she will also examine the severity and frequency of core ADHD symptoms, and if they affect a person's life. Therapists may collaborate with a patient and their family members to improve parenting, teach time management and other techniques for organizing. They may also coach the patient in metacognitive abilities which includes identifying and changing "thinking distortions" which can lead to negative moods or the perception of limited choices. Psychologists can also prescribe medications and collaborate with other mental health professionals to provide complete care. Parents can also assist by providing a stable and loving home, setting clear expectations and rewards, encouraging good sleep habits and refraining from stimulants. They should encourage their child to be social and build a healthy relationship between them and their loved ones. The staff at the school may provide valuable information about the behavior and learning challenges of the child however, they are not competent to diagnose ADHD or make treatment decisions. here of the child and their healthcare provider must make these decisions, with the support of the teacher.
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