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ADHD Testing – The First Step to Diagnosing ADHD A complete ADHD evaluation involves a clinical interview with the person being assessed and one or more questionnaires that are designed to evaluate the severity of symptoms. Parents and teachers are often interviewed too. Children or adults who are diagnosed with ADHD must exhibit symptomatic behaviors in at minimum two settings, and the symptoms cannot be caused by any other medical conditions, such as seizures or thyroid disorders. History The first step in getting a diagnosis of ADHD is to talk to your primary care physician. They may refer you to an expert in mental health care who will conduct an assessment that includes a thorough examination and history. Standardized behavior rating scales for ADHD, ADD symptom checklists and psychological tests are often included in this test. Generally, ADHD is more often diagnosed in children than in adults. However the disorder can affect a person at any age. Adults with ADHD who aren't treated may face problems at work, in their relationships, and could be more susceptible to addiction and depression. It is essential to obtain an accurate diagnosis so that treatment can start. There are references to children with behavior problems similar to ADHD that go back as far as the 18th Century The modern history of ADHD begins with Sir Frederick Still's observations in 1902. Sir Frederick Still was a renowned child psychiatrist who observed that his children were easily distracted and couldn't stay focused on their tasks. He believed these symptoms were due to the way their brains functioned and not a result of poor parenting or lazy attitudes. In 1952 In 1952, the American Psychological Association (APA) released the first edition of its Diagnostic and Statistical Manual of Mental Disorders. At the time, it was referred to as attention deficit disorder (ADD) without hyperactivity. The APA didn't recognize hyperactivity as a symptom vital until the year 1980, when DSM-III was published. The ADD subtype was changed to ADHD at the time. KMN Psych's ADHD testing procedure thoroughly examines the behavioral and cognitive patterns of a person that can either confirm or rule out an ADHD diagnosis. The results are used to create tailored interventions and educational accommodations, as well as treatment plans, that enhance productivity, daily functioning, and long-term success. In the initial visit, the clinician takes a detailed history of the person’s problem behavior, as well as their impact on their personal life, school performance and career. The clinician will also interview family members and collect information about a person's past. They will use standardized behavioral rating scales for ADHD and symptoms of ADD/HD and psychological tests that examine executive function, working memory, skills (abilities like planning and making decisions), visual and spatial abilities (related to space) and reasoning (thinking). Physical Exam The ADHD screening process includes a physical examination that measures the body's weight, height, and pulse. A medical history is taken which includes prescription, over-the counter or illicit medicines that are frequently taken. The examiner will also test vision and hearing. The examiner may also check to determine if any other health or behavioral disorders are present that mimic the symptoms of ADHD. It is important to look for any other medical conditions since many people who suffer from ADHD suffer from co-occurring disorders such as depression, anxiety and learning disabilities. When focusing on ADHD symptoms by themselves the conditions could be overlooked. The psychologist or psychiatric nurse practitioner who is conducting the assessment will interview the person who is being evaluated. They will ask questions about the person's behavior at school, home, and at work. They will also talk about the family and social background, as appropriate. The psychologist may request the patient to fill out one or more standardized ADHD rating scales. These are questionnaires that use research to measure the behavior of people who have and those people who do not have ADHD. The person who is being evaluated must answer the questions honestly and candidly. They should not hide any information due to shame or embarrassment. During the interview, the clinician will review the notes and records from previous evaluations. They will look for a pattern of symptoms that are similar and do not change over time. They will take into account the severity of the symptoms and how they affect the individual's life. In certain cases the doctor may suggest a medical exam or lab tests to rule out underlying physical causes of the symptoms, for example, thyroid problems and seizure disorders. These medical exams are not part of the diagnosis, however they are crucial in helping to determine other health issues that could be causing or similar to the symptoms of ADHD. A prompt and accurate diagnosis is essential to ensure that someone receives the help they require at school, at work and in their community. A ADHD diagnosis can open an array of treatments and accommodations that can improve daily functioning, productivity, and long-term achievement. Additionally, a correct diagnosis can help people understand their individual challenges and pinpoint the strategies and coping strategies that are most effective for their needs. Psychological tests If you think you or your children could have ADHD, you should consult an expert in health care who is certified to diagnose and treat this disorder. The doctor you visit will ask you several questions to determine whether the symptoms you or your child are experiencing meet the criteria for ADHD. The doctor will also conduct an assessment of your psychological health that may include cognitive and behavioral tests. The evaluation is important as it helps distinguish ADHD from other conditions that exhibit similar symptoms, such as depression or anxiety. During the diagnostic interview your healthcare provider will ask you a set of standard questions about your behavior and how it impacts on your life. He or she will also likely talk to your teachers and parents to obtain a more complete picture of the symptoms you are experiencing. This will aid in determining whether they are a result of ADHD or if other factors, such as stress or medical issues, could be responsible. The evaluator could also inquire about your family history and any mental health issues you've had. You can write down your concerns and specific behaviors to ensure you don't lose anything. You might be required to complete questionnaires on your mood and performance. These include the Adult ADHD Rating Scale and the Computerized Assessment of Attention and Symptoms(CAARS). The main part of the clinical evaluation for ADHD is to observe your behavior in various environments, including at school, home or work, as well as play. In these instances, the evaluater will document the frequency and intensity and impact of your symptoms on your daily life. He or she will also utilize a standardized observation form to document the results of the examination. Your evaluator might suggest an organized behavioral plan, cognitive-behavioral treatment, or even parent training as behavioral interventions. These techniques can teach your child or yourself how to deal with the symptoms of ADHD. They can also help you establish a structure and consistency at home at school, as well as at work to lessen the disruptions caused by impulsivity and hyperactivity. Counseling The correct diagnosis is crucial for a successful treatment. This process is highly individual and requires lots of clinical judgment. Typically, it involves analyzing data from a variety of sources. This involves evaluating behavior and academic rating scales used by teachers, parents and children; observing the person; and watching them in different environments (e.g. home, school, work). The doctor will also determine how symptoms impact their ability to handle daily tasks and relationships. He will rule out any other possible causes of the symptoms like mood disorders or learning disabilities. A thorough evaluation usually takes between one and two hours. Some clinics will request parents and teachers to complete online questionnaires and send them directly to the clinic. Other clinicians will conduct a parent-teacher assessment during the first appointment. In addition reviewing previous evaluations and treatment records are usually included in the evaluation. In adult adhd testing may seek out information from people who are familiar with the symptoms of a person like family members friends, religious leaders, scouts, coaches, and teachers. The doctor will want be aware of how the symptoms have been present for and the degree to which they are severe. They will also determine if the person has other mental health problems that may be contributing to their ADHD symptoms, such as anxiety or depression. The doctor will then discuss the results with the patient. They will also discuss ways to manage the symptoms. The physician may suggest special counseling, like dialectical behavior therapy or cognitive therapy. These specific therapies are designed to tackle many of the issues that people with ADHD have to face, such as impulsivity and trouble with planning, organizing and executing. They can also teach techniques such as self-care and emotional regulation, as well as practical strategies for managing everyday responsibilities and relationships. In some instances, medications may be prescribed to help combat symptoms.