The doctor will use the patient interview to determine which, if any, tests might rule out other conditions that may be causing symptoms. He speaks out of turn. Those one-paragraph narratives give a wide range of input. What are doctors hoping to find by evaluating those checklists and narratives and conducting the clinical interview?
These five things:.
Guide to Assessment Scales in Attention-deficit/Hyperactivity Disorder
Social history. This reflects what usually goes smoothly and what is challenging in everyday life. Medical history. Medical problems, ranging from sleep apnea and thyroid conditions to hormone fluctuations and substance abuse, can present symptoms similar to those of ADHD.
Rating scale selection
Family history. Strengths and weaknesses. Those are telltale symptoms of ADHD. In the process, I identify strengths I want to protect and encourage during treatment. By the time the clinical interview is over, most doctors with experience treating people with ADHD will have a good idea of whether you or your child has the condition. Even so, most will want to back up their opinion with objective proof from tests. ADHD rating scales. These questionnaires can identify specific symptoms of ADHD that may not emerge in the clinical interview.
Answers to the questions can reveal how well a person functions at school, home, or work. The scales are specifically formatted for children, adolescents, and adults. The doctor may decide which tests to do based, in part, on which kinds of tasks you or your child find easy or difficult. A series of visual targets appear on the screen, and the user responds to prompts while the computer measures his ability to stay on task. In practice, some experts have found that these tests are better at identifying impulsive symptoms and less successful at flagging symptoms of inattention.
Brain scans. But their use in diagnosing ADHD has not yet been validated with conclusive scientific research. But it seems that patients love seeing a picture of their brain, and the scans can often help them own the diagnosis. The American Academy of Child and Adolescent Psychiatry AACAP practice parameters clearly state that scans and computerized continuous performance testing should not be done because they do not give either diagnostic or clinically useful information and they expose the patient to very significant levels of ionizing radiation 2.
After the clinical interview and the recommended tests are completed, most doctors will call you into the office to go over the results of your ADHD evaluation. When you leave that appointment, the doctor should have formulated an action plan to manage symptoms.
It should include:. I have also used it to write an introductory letter to the teachers that focuses on his strengths. Having that diagnosis meant everything to me. It gave me the tools I needed to help him at home and in working with his teachers. When you learn how to manage ADHD, it can become an asset in your life. The only problem is, you have bicycle brakes.
This study was carried out in accordance with the recommendations of Ethics Committee of Basel Ethikkommission beider Basel, EKBB with written informed consent from all subjects. All subjects gave written informed consent in accordance with the Declaration of Helsinki.
(ADHDT-2) Attention-Deficit/Hyperactivity Disorder Test, Second Edition | WPS
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. Predictors of persistent ADHD: an year follow-up study. J Psychiatr Res —5. The age-dependent decline of attention deficit hyperacitivity disorder: a meta-analysis of follow-up studies. Psychol Med — BMC Psychiatry Biol Psychiatry — Br J Psychiatry —9. Am J Psychiatry — Prevalence and correlates of adult attention-deficit hyperactivity disorder: meta-analysis.
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