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Diagnosing ADHD

Read About Diagnosing ADHD

By Keath Low, About.com

Updated: April 14, 2009

About.com Health's Disease and Condition content is reviewed by the Medical Review Board

What is involved in diagnosing ADHD? Lots of information must be gathered in order for the doctor or mental health professional to make the diagnosis of ADHD. A good portion of this information is obtained through clinical interviews. You will be asked to complete behavior checklists or questionnaires to give the professional more detailed information about the problematic behaviors. Further evaluations may occur through observation and psychological and educational testing. If your child is being evaluated, you and his teachers (or other important adults who observe your child's behavior in various settings) may be interviewed. A physical exam may be recommended in order to rule out any medical causes for the symptoms. A family medical history is also helpful.

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Questions to Ask During the ADHD Evaluation Process

  • Could something else be causing the behavior problems?
  • Are there other medical or psychological conditions that may be the cause?
  • What about learning disabilities?
  • Are there any environmental or situational factors that may exacerbate the problem?

It is helpful to ask any questions that educate you and the doctor about what may be going on to cause the problematic behaviors. Once a diagnosis of ADHD is made you will have a list of additional questions related to treatment options, ADHD education, and support services.

Information to Have Available for the Health Care Provider During the ADHD Evaluation

Bring copies of any appropriate records such as medical, psychological, school/employment records. Bring copies of any previous evaluations. Be prepared to give a detailed developmental and social history including pregnancy and birth history. Have information available about any other involved professionals – physicians, pediatricians, psychiatrists, psychologists, counselors, social workers, therapists, and teachers, including any special education teachers. Many health care providers will send you a questionnaire to complete before the appointment. Be sure to bring the completed forms with you to the appointment.

ADHD Diagnosis

The most prevalent symptoms of ADHD are inattention and distractibility and/or hyperactive and impulsive behaviors. These symptoms are typically seen early in a child’s life, often when he enters a school setting. Problematic behaviors may continue into adolescence and adulthood.
Possible Signs of ADHD
Wondering If You Have Adult ADHD?

A diagnosis of ADHD requires that an individual meet the criteria requirements listed in the DSM (Diagnostic and Statistical Manual of Mental Disorders).
ADHD Criteria

When making a diagnosis of ADHD it is important for your treatment provider to rule out alternative causes or conditions that may be leading to the problematic behaviors. It is also important to identify any coexisting conditions that may be present.

Click on the links below to read personal stories about the positive impact accurate diagnosis and treatment can have in improving the quality of one's life.

Explaining ADHD to Your Child

Talking about and explaining ADHD to your child after he (or she) has been diagnosed can help remove the mystery surrounding the struggles he knows he's been having. It can also help a child feel a greater sense of control. The first time your child hears about ADHD may be when you sit down together with the doctor following the ADHD evaluation. It can be hard to take in all the information given during this meeting, and both you and your child may have lots of questions. Learning about ADHD is an ongoing process, and the positive ways in which you communicate and relate with your child will enable him to feel free coming to you for support and answers. Read more about words to use when talking to your child about ADHD.

How to Approach Someone You Believe May Have ADHD

ADHD is not a shameful condition. According to the National Institute of Mental Health (NIMH), ADHD occurs in an estimated 3 to 5 percent of preschool and school age children. That means in a class of 25 to 30 students, it is likely that at least one student will have this common condition. ADHD begins in childhood, but it often lasts into adulthood. Studies estimate that 30-70 percent of children with ADHD will continue to have symptoms into adolescence and adulthood.

If someone you know is displaying symptoms of ADHD, talk to them and educate them about the condition. Symptoms can be treated with various therapies and many individuals with ADHD go on to live productive and happy lives. Actually, some of the most creative and innovative people also have symptoms of ADHD.

Click on Causes of ADHD to Watch an Informative Video about ADHD.

Sources:

American Academy of Pediatrics. Clinical Practice Guideline: Diagnosis and Evaluation of the Child with Attention-Deficit/Hyperactivity Disorder. Pediatrics 105:1158-1170. May 2000.

American Academy of Pediatrics. ADHD and Your School Age Child. AAP Parent Pages. 2001.

American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision. Washington, D.C. 2000

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