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ADHD Diagnosis

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How do you test to see if you have ADHD? Well, it depends a lot on who you are working with and how much you want to have ADHD.

How To Diagnose ADHD

ADHD used to be called ADD (cue Istanbul not Constantinople by They Might Be Giants). One can use ADD and ADHD interchangeably and everyone will know what you are talking about.

Attention Deficit Hyperactivity Disorder (ADHD) is a neurodivergent disorder that affects both children and adults. It is characterized by symptoms such as inattention, hyperactivity, and impulsiveness, which can have a significant impact on a person’s daily life.

Diagnosing ADHD involves a multi-step process that includes an evaluation of symptoms, medical history, and other relevant information. The first step in diagnosing ADHD is to schedule a visit with a doctor or mental health professional who specializes in ADHD.

Medical evaluation

During the initial visit, the doctor will take a detailed medical history, including any previous diagnosis or treatment of ADHD or related conditions. If your current primary care doctor is willing to discuss it with you, you can skip some of the “get to know you,” steps. The doctor will ask questions about your symptoms and their impact on daily life. The doctor may also ask about the presence of other physical or mental health conditions that may be related to or mimic ADHD symptoms. As well, there are some other psychological conditions that are co-morbid with ADHD.

Behavioral assessments

Behavioral assessments are a key part of the diagnostic process for ADHD. These assessments can include standardized questionnaires, rating scales, and observation of the patient’s behavior. The results of these assessments can provide valuable information about the presence and severity of ADHD symptoms, as well as any related behavioral issues.

Most providers use questionnaires that are not subtle. This is where you can decide whether you want to have ADHD, or you do not to have ADHD. (More truthfully, whether you want an ADHD diagnosis or not. You have what you have no matter what the medical chart says.)

Diagnostic criteria

The diagnosis of ADHD is based on the criteria outlined in the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5). The DSM-5 defines ADHD as a persistent pattern of inattention and/or hyperactivity-impulsivity that interferes with daily functioning.

The DSM-5 is also what changed ADD to ADHD. The committee of authors putting together the DSM-5 were concerned that ADD might be going under diagnosed since a doctor might not come across ADD if they were only looking for indicators of hyperactivity. So, the DSM-5 changed ADD to Attention Deficit Hyperactive Disorder. Ironically, adding the H caused years’ worth of children (shout out to GenX) to go underdiagnosed because while they had all the other ADHD symptoms, they were not hyperactive. (shout out to the Predominantly Inattentive Presentation)

To meet the criteria for ADHD, the following symptoms must be present:

  1. Inattention: Six or more symptoms of inattention for children up to age 16 years, or five or more for adolescents 17 years and older and adults, which have persisted for at least six months to a degree that is inconsistent with developmental level and that negatively impacts directly on social and academic/occupational activities.
  2. Hyperactivity-Impulsivity: Six or more symptoms of hyperactivity-impulsivity for children up to age 16 years, or five or more for adolescents 17 years and older and adults, which have persisted for at least six months to a degree that is inconsistent with developmental level and that negatively impacts directly on social and academic/occupational activities.

The specific symptoms of inattention and hyperactivity-impulsivity that are used to diagnose ADHD vary depending on the age of the patient. For children, symptoms may include forgetfulness, distractibility, and restlessness. For adults, symptoms may include disorganization, impulsiveness, and difficulty concentrating.

adhd diagnosis

Differential diagnosis

It is important to note that ADHD symptoms can be like those of other conditions, such as anxiety, depression, or a learning disability. Your doctor or psychiatrist may wish to pursue alternative explanations for the symptoms before making an ADHD diagnosis.

Congratulations You Have ADHD

Once you have an ADHD diagnosis you can take it out for a spin. You may be disappointed in the reactions you get. ADHD is not uncommon, and many push the idea that ADHD is over diagnosed. Among your friends, acquaintances, and coworkers you’ll find several who also have ADHD. If not, they know someone who does. You need advice about living with ADHD, but you need good advice. Start with a book or two, or a website like this one (shout out to addessories.com). That will give you a foundation of knowledge to take with you out into the world of essential oils, Hamalian lamps.

Filed Under: ADHD Traits Tagged With: ADD/ADHD, ADHD, ADHD Diagnosis, adhd symptoms, attention deficit hyperactivity disorder, Mental Health

Is ADHD a Superpower?

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If everyone has a superpower, is ADHD my superpower? – Boy, people in America sure don’t like to admit that there might be something wrong, or at least non-standard with themselves. No matter what you have going on in your life physically, emotionally, or mentally, there is a certain segment of society waiting to tell you that it’s all good. You are fine, always have been, always will be.

ADHD Is a Superpower

There is a scene in Top Gun (original, not Maverick) where fighter pilot and training school commander Viper tells Maverick, who was just in a plane crash that killed his copilot and best friend Goose, that he isn’t there, “to blow sunshine up your ass.” I can appreciate that. While there is never a reason to be down on someone, it’s not like there aren’t people in this world with advantages and disadvantages. Or, as Syndrome says in the Incredibles, “When everyone is super, no one is.”

If it makes you feel better to claim ADHD is my superpower, then do it. No one is stopping you. If you want an objective opinion of how ADHD affects people in this world– not how it “should”– then you need to look at both the advantages of ADHD and the disadvantages of ADHD.

adhd superpower

The Advantages of ADHD

So, how is ADHD a superpower? It turns out that there are many advantages to ADHD, especially when you are aware of how it affects you and deal with it accordingly. The concept of super focus has been beaten into the ground by the why ADHD is a superpower side.

Super focus is an advantage, sometimes. Unfortunately, many adults with ADHD can’t direct their superfocus. That is, they can’t sit down at a desk and go, “Super focus on this task now.” That just isn’t how most ADHD brains work. If they could, there would be a lot less people out there looking for ADHD treatments and answers. When super focus aligns with your goals, or even just your free time, it is a glorious and wonderful ADHD advantage in life. Stories of ADHDers picking up a new hobby and mastering it in just days because of near constant, dedicated, focus are legendary. So are stories of ADHDers super focusing right through the date they were supposed to go on, pick up time for the kiddos, or even just bedtime.

Other ADHD advantages include the ability to process many streams of thought or data at the same time. The ability to multitask and being able to change activities instantly are all advantages. The ability to get there faster, when you can stay focused on getting there at all.

The Disadvantages of ADHD

Of course, there are plenty of ways ADHD is not a superpower. The inability to keep track of time is a big one that often goes hand and hand with that super focus superpower. Poor organization, inability to follow a conversation, blurting out words in the middle of someone speaking, and forgetting what you were told just minutes ago are all disadvantages of ADHD.

For some (me) the biggest disadvantage of ADHD is procrastination. In some ways, procrastination is the opposite of super focus. Not only are you not focusing on what you need to be, you may be unable to focus on anything. In this case, the ADHD mind rejects any one thing taking over focus for fear that there might be something, more fun, more interesting, or even just shorter than the activity you want to focus on.

Missing meetings, missing deadlines, starting, but never finishing projects are all classic ADHD disadvantages.

Why Is ADHD a Superpower?

There is a need, especially among children to ensure that the various differences between people, including themselves, do not make someone defective. The idea that someone can’t do something goes against human nature, thus it is critical that ADHD is not perceived as a limiting problem.

In many ways this concept is completely valid, but just like someone with poor eyesight may need glasses, or someone with diabetes may need to avoid certain foods, it is important to understand that just because ADHD isn’t a defect, it doesn’t mean that you don’t have to do anything about it.

Obviously, people with ADHD can and do live in society without any treatment or medication. Indeed, many adults diagnosed with ADHD were only recently diagnosed, after spending decades without any idea. Typically, however, many people find relief in knowing that there is something different about them AND that they can now take steps to manage or understand themselves better.

If you want ADHD to be your superpower, go right ahead, but don’t disregard the options that may be available to you just because of an ideal.

Filed Under: ADHD Traits Tagged With: ADHD, attention deficit disorder, attention deficit hyperactivity disorder

You Might Have ADHD If…

Written by ADDer 4 Comments

Jeff Foxworthy has long done a stand-up comedy bit where he goes through a list of things that, if true about you, might make you a redneck. My personal favorite is, “If your mother does not take the Marlboro out of her lips before telling the state trooper that he can kiss her ass… you might be a redneck.”

My dad’s, who grew up on a farm, favorite is “If you have ever unloaded a pickup truck by driving backwards really fast and slamming on the breaks… you might be a redneck.” After all, my dad says, “That that is the fastest way to unload a pickup truck.”

I’ve often thought of doing a set of these for ADHD.

I went to the store this morning. I did not forget the groceries in the back of the car (Score!), but I did have to go to the bathroom as soon as I got them all into the house. After finishing my restroom business, I went about my day, only to come back a half an hour later to be surprised that all the groceries were still on the counter.

Without further ado, here is my ADHD joke list.

You Might Have ADD / ADHD If…

  • If you have ever forgotten the rest of your tweet before you could type it…you might have ADHD.
  • If you have ever gone to get the mail and fixed the sprinklers instead…you might have ADHD.
  • If you’ve ever been to the fridge to get something you just bought at the store and been unable to find it, because it was still on the counter… you might have ADD.
  • If you remember that you haven’t eaten lunch yet… at dinnertime… you might have ADD.
  • If you have ever called someone that you already had on hold… you might have ADHD.
  • If you have ever checked the blind spot, but then couldn’t remember if you did or did not see a car there… you might have ADD.
  • If you have ever looked down at your grocery cart praying to see all your stuff in shopping bags because you suddenly couldn’t remember if you had checked out yet… you might have ADD.
  • If you’ve ever been to the grocery store and then left all the groceries in the back of the car when you got home… you might have ADHD.
  • If you have ever answered your own question because you thought of the answer right after asking… you might have ADD.
  • If you have ever gotten stuff out of the pantry to make for dinner, only to find out that something is already cooking on the stove… you might have ADD.
  • If you have ever searched the house for your cell phone, while talking on it… you might have ADHD.
  • If you have ever searched your pants for your keys, found them, and then tried to open the door without taking them out… you might have ADD.
  • If you forgot what you were going to tweet, while pulling out your phone… you might have ADD.
  • If you check your watch but can’t remember what time it said… you might have ADHD.
  • If you have to look up at the number box on the check to remember what you write on the line… you might have ADD.
  • If you have ever sent a follow up email, only to find the original, unsent, email still open on your computer… you might have ADD.
  • If you have ever gotten up to pee, and then had to go twice as bad ten minutes later because you came back with a cup of coffee instead… you might have ADD.
  • If you have ever been startled by a wall or other inanimate object because you were thinking about something else… you might have ADHD.
  • If you’ve ever gotten up to get the space heater from the basement and put in a load of laundry instead… you might have ADD.
  • If you’ve ever installed a cool extension or app only to be baffled later that it is on your computer… you might have ADHD.
  • If you’ve ever had thoughts about what needs to happen next while you are entering a complex password resulting it epic failure… you might have ADHD.
  • If you forgot the clever ending to your “You Might Have ADD If…” post… you might have an ADD blog 🙂
you might have add if

I should have a bunch more, but unfortunately, I often forget them before I can compile any sort of list. I figured that if I started chronicling them here as I came up with them, then I might get my list of funny ADHD traits together faster. Ironically, I had a really great one yesterday that is currently playing hide and seek with my mind. I’m sure it will come to me, again, when I’m somewhere that remembering it will be totally useless to me, like in the shower, or in the car, or while giving a presentation.

Filed Under: ADHD Traits Tagged With: ADD, add adhd, add humor, adhd humor, adhd symptoms, Distraction, jokes, you might have add if

Progressive Procrastination and ADD

Written by ADDer 2 Comments

ADD and procrastination go hand in hand. It isn’t hard to see why. Procrastination is the art of putting something off, often because there are more interesting things to do, or because the required task seems boring, long, or unwieldy. All of this plays right into the sweet spot of ADHD. How easy is it find something better to be doing when virtually everything is a stimulus to an alternate train of thought? And, before a long, boring, task even begins, the ADD mind is looking for something that will provide more promising stimulus.

Everyone gets distracted, but what makes ADD different than normal distraction is both the level and the frequency of the distraction. A person without ADHD may clean out the basement without ever even noticing what is on the boxes he is using for organizing a pile of clutter. A person with ADD might not only notice, but be reminded not only of whence the box came, and perhaps, other “important” tasks or thoughts that are related, however tangentially, to what is on that box.

If you’ve ever picked up an empty storage box, seen the old writing from your time in the college dorms on the side, remembered that the alumni association was having some sort of event that you were meaning to go to because an old classmate said they would be there the last time you talked on the phone, and then left before filling a single box because you remembered that your cell phone needed charging, and never came back because while you were upstairs, you noticed that crack in the wall you’d been meaning to fix, you know what I’m talking about.

Procrastination Getting Worse

The catch to procrastination is that it often grows upon itself. I call this progressive procrastination, although there may already be a scientific term for it that I am unaware of.

Progressive procrastination happens in two ways. First, with each task that is procrastinated, the list of projects that require attention grows. Life never stops and just because you didn’t finish cleaning out the basement doesn’t mean that your small business taxes won’t come due until you are done. Rather, your taxes and basement are now both on the list and procrastinating on either one simply moves it further down (or up, depending on how you think about things) an ever growing list.

At a certain point, the list becomes unmanageable. Shortly thereafter, it becomes a fantasy. A list with thirty long-term, do them now, tasks is simply not reasonable. At this point, the average ADDer takes one of three roads:

  1. Keep adding to the list. — All of the tasks are real and need to be done, so there is no need to remove them from the list.
  2. Start over — If a list isn’t realistic, then it makes sense to make one that is.
  3. Try to “do better” — The list is a personal failure that can be fixed by self-improvement or improving how things are done. At this point, yours truly invents a new organizational system, or better yet, spends hours online researching all possible organizational methods including trying to find special ADD calendars, ADHD organizers, or other ADD management systems.

The problem with all three of these methods is that they set up the ADDer for more failure in the future.

Method one ensures that the list will never be done and that one will never feel the satisfaction of completing the list. Without the reward feedback of the feeling of accomplishment on a job well done, the mind not only fails to construct motivational pathways that may lead to success in the future, it lets those that sit unused wither away.

Method two may lead to the completion of the list, but it might be nothing more than a hollow victory. Most people with ADD are introspective from years of asking questions about why things seem to work differently in themselves than in others. They are not easily fooled into taking pride in accomplishing a “dumbed down” list of tasks. Furthermore, the tasks that were dropped from the list are further embedded in the psyche as “unimportant” or “delay-able”. After all, if they were dropped from the list in the first place, how important can they really be?

Method three is, of course, simply more procrastination. No organizational system in the world makes a list of necessary functions smaller. In fact, the time spent creating, developing, or finding the perfect ADD organizer may add to the growing list of procrastinated tasks because that time is not being used to complete other items before they fall onto the “to-do list”. In other words, if your list is long because you forgot you needed to do those things, then by all means, find a better organizational system to suit your ADD. On the other hand, if you can recite that list backwards and forwards because certain things have been on it for so long, you don’t need a new system, you need to do some of the things on the list.

I wish I had a great solution, but I suffer from progressive procrastination myself.

I’ll offer two tidbits in hopes that they may bring enough boost that we can make progress.

  • You always overestimate your willingness to do something later. — This is that “I don’t really feel up to it, so I’ll do it when I feel better about it,” excuse. It is a lie. If you have a killer headache and don’t want to do something noisy, that makes sense. To see if you are fooling yourself however, go do one of the quiet things on your list. If you won’t do that either, then the problem isn’t your headache. What can be helpful here is knowing, in advance, that you are lying to yourself. That way when you hear it in your head, you know it is a lie. Don’t let that pass. Be offended, just like you would be if someone else lied to you. That indignation may be just enough to keep yourself from believing that you will feel like doing it later, because you and I and your brain know that you won’t.
  • Procrastination is a pretty girl (or boy) lying because they can get away with it. — Have you ever noticed how sweet the little voice in your head is when it wants to procrastinate? “Oh, don’t worry. You work fast. You can get it done later. You always do.” Now see that pretty little voice batting its eyes at you with its bald faced flattery. Picture that smug little smile that says, “it worked before and it will work again. You are nothing but putty in my hands.” Procrastination always gets its way by being sweet and manipulative. “I know you have that big project due, but it won’t take long to help me with this video game. Come on. You know you want to.” — Trust me. If you picture that pretty girl or pretty boy who always got away with everything just because they were pretty and always sweetly lying their way into getting what they wanted, you’ll despise that little procrastination voice in your head and do the opposite just to spite it. The trick is making yourself see it, because when you don’t want to, the voice will sound a lot more like the truth. Good flattery always does.

What are your tricks for avoiding progressive procrastination? How long do they usually work for you before you have to regroup?

Filed Under: ADHD Traits Tagged With: ADD, ADHD, procrastination, Time Management

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