Assessments For ADHD: The Good, The Bad, And The Ugly
ADHD Assessments There isn't a single test that can determine if a person is suffering from ADHD. Specialists employ a variety of tools to collect information and study the signs of an individual. These include standardized clinical interviewing and rating scales, observational ratings and a number of psychometric/neuropsychological tests (including intelligence testing). They are an integral element of the comprehensive evaluation process that is required to evaluate, screen the severity of a condition, and monitor the effectiveness of treatments. Assessment Process The majority of ADHD assessments require a thorough interview between the evaluator and the person who is being assessed. This is conducted by a clinician, like a doctor, psychologist, or clinical social worker. The doctor will inquire about the patient's history and present symptoms. Many evaluators use standardized behavior rating scales. These tests are based on research studies that compare behaviors of people with and without ADHD. They are not diagnostic by themselves but they do add important objective data to the evaluation. The Vanderbilt Assessment Scale, the Teacher-Parent report form of Behavior Assessment System for Children and the Vanderbilt Assessment Scale are all examples. Adults can be assessed using the standard ADHD rating scale like the Wender Utah Rating Scale. For both adults and children the doctor will also employ a checklist for behavioral issues. This looks for other conditions that often co-occur with ADHD like conduct disorder or oppositional defiant disorder, anxiety or depression. The evaluator also will look into the person's medical history and current medications. Additionally, the doctor will review medical records and gather background details about the person's family and environment. The evaluator may ask if the person's parents, or other family members, have ADHD and the symptoms they experienced. These tests can be very beneficial to the person who is evaluating particularly if the diagnosis is uncertain. However, these tests have limited effectiveness as the main instrument for determining an ADHD diagnosis due to issues in their sensitivity and specificity. They also aren't able to accurately reflect the variety of the situations that adults encounter every day. A more recent test called SPECT brain scanning provides useful information on how the brain works for a short period of time. The results are useful only for diagnosing certain kinds of brain injuries and diseases. They do not accurately reflect how the brain works during everyday situations such as school, at work, and in relationships. It is best to consult an expert in mental health who is experienced in the assessment and management of ADHD. A referral from a doctor or therapist is the best method to locate the right person. Signs and symptoms People with ADHD frequently have difficulty staying focused and controlling their emotions. This can lead to problems at school, work, or in relationships. It can also be difficult to manage daily frustrations. If not treated, ADHD symptoms could result in severe consequences like job loss, friendships broken and other negative consequences. In order to be diagnosed with ADHD the person must exhibit symptoms that last throughout childhood and adolescence. These symptoms must also hinder in their ability to function normally and be present prior age 12. The most frequently reported symptoms of ADHD are inattention and impulsivity. Inattention symptoms include difficulty staying focused, ignoring important information, and having difficulty remembering things. Someone may also have poor organizational skills, or experience trouble following directions and keeping track many tasks at the same time. Hyperactive/impulsive symptoms include fidgeting, being unable to sit still, having excess energy, and being talkative. A person with this kind of ADHD may also have trouble getting their turn and interrupting other people. Children are often afflicted with these types of ADHD symptoms when they begin school. They may have difficulty in school due to academic demands and become frustrated by their inability to organize or concentration. They also may have difficulty in interpersonal relationships due to the fact that they are more likely to emotional outbursts. These symptoms can last throughout adulthood, which can lead to problems at work and in romantic relationships and with family members. Untreated ADHD can cause people to feel embarrassed or blame themselves. They might believe that they are not smart enough to be successful or that there is something wrong with them. But it's important to realize that having ADHD does not mean you're less capable or intelligent. To make a diagnosis of ADHD the primary care provider or mental health professional will perform a thorough examination. They will ask about your symptoms and the impact they have on your life. They will also interview your spouse as well as other family members and even your family members. To determine the severity of your symptoms, they employ scales for behavior and symptom lists. They will also review your medical history and education. They might also refer you for a physical exam or psychological tests to determine if you have any other medical conditions. Diagnosis Your child or you have struggled in school. You may be worried about the dreaded snow day or even the most recent teacher evaluation. You've heard about ADHD, but don't know what it means. Is your child just lazy, or does he have an issue that's easier to treat than fix? A thorough diagnosis is crucial. You must determine if the problems are caused by too much screen time, poor parenting or a medical issue. Fortunately, your family physician can help you decide whether an ADHD evaluation is right for you. In general, an ADHD assessment consists of an interview as well as a review of the symptoms, and the use of rating scales or checklists. Doctors will ask questions regarding the patient's medical history, their development from childhood, their academic and professional experiences, driving records and their family and marital history. The examiner will also look for other issues, like learning disabilities or mood and anxiety disorders. The person being evaluated should be able to discuss the issues openly and honestly. It's important that the person being evaluated does not be hesitant due to shame or fear of criticism. This will allow the examiner to understand how ADHD symptoms impact daily life and offer treatment options. To be able to make a diagnosis of ADHD to be confirmed the symptoms must have been present prior to age 12 and must be “impairing” at least in two major settings like school or home. It's not just about being forgetful or struggling to complete assignments. It could also be a result of getting fired from a work because of tardiness, or failing to complete a task in time, or creating stress and conflict in the relationship. A lot of doctors will talk to the patient as well as a loved one (spouse sibling, parent or spouse for children) and may also ask for feedback from people who spend long periods of time with the patientfor example, an nanny, coach, or religious leader. This kind of personal information often provides information that cannot be obtained from questionnaires. Psychiatrists also perform a physical exam and laboratory tests like urine and blood tests to rule out any other possible causes. Treatment A doctor may perform an ADHD evaluation to determine if there is a root cause such as a mood illness or another physical condition that causes similar symptoms. A thorough evaluation entails examining the patient's mental and medical histories, analyzing their past and present behavior, and their school performance. It also includes contacting family teachers, parents, and other family members to gather complete information about the person’s functioning in different settings. People suffering from ADHD typically benefit from a variety of treatments, according to Dr. Frank. Some people are prescribed medications to increase focus and concentration and reduce the tendency to be impulsive. These include stimulants such as Ritalin or Adderall or non-stimulant drugs which take longer time to effect results, but they can enhance attention skills, such as Intuniv and Clonidine. The majority of treatment plans incorporate behavior therapy, particularly those for children. The therapist may teach them organization strategies to aid them in keeping track of things or mindfulness meditation to help improve their impulse control and better manage their time. Marital or family counseling can also be helpful for people suffering from ADHD because it teaches them communication and problem-solving skills which can help them cope with their issues at home and at work. In addition, many people with ADHD can reduce their symptoms by eating a balanced diet, sleeping enough and exercising, and cutting down on alcohol and junk food. Iampsychiatry may also find it beneficial to seek help from friends and family, join a support group or attend an ADHD coach training program that will provide them with tips and tools to manage their symptoms. People who are diagnosed with ADHD should visit their GP regularly for checkups on their medication, to help them understand how their treatment is working and to address any adverse consequences. Doctors can also refer patients with ADHD to a psychiatrist or clinical psychologist to further evaluate and diagnose.