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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 Real or Is ADHD Fake?

Written by ADDer Leave a Comment

adhd-real-add-fake-graphic Answering this question gets a little old after awhile. Part of the problem, of course, is that there are now, and have been in the past, those who use attention deficit hyperactivity disorder in one way or another to further their own selfish ends. Some of those people come from the ADHD is real side, and some of those people come from the ADHD is fake side. Of course, there are many self-serving types in between as well.

To answer the question whether ADHD is real or not, one needs to consider numerous factors. First and foremost is the fact that the current scientific understanding of how the brain functions, brain biology, and mental health has grown exponentially in just the last 30 years. That being said, our comprehension of how the brain works is staggeringly low. Even the scientific techniques we currently use to study the brain are crude. In many cases the science behind much brain research starts out with a laughably simple assumption that may or may not be true.

Consider, for example, PET scans. A PET scan is a way of measuring how the brain works. In many recent ADHD studies, PET scans have been used to show that adults with ADHD and children with ADHD have brains that function differently from brains in subjects without ADHD. That is biological proof that ADHD is real, right?

Unfortunately, the whole concept of the PET scan is based upon an unproven assumption.

PET scans don’t actually show how the brain works. They don’t measure which parts of the brain are working, nor do they give any insight into the complex inner relationships between various regions of the brain. What PET scans measure is how much glucose is being used by the different parts of the brain. The assumption is that since glucose is the body’s energy source, the tissues in the brain using the most glucose must be working the hardest. The next assumption is that if any particular brain tissue is working hard, then it must be doing something at that moment. Thus, the areas in a PET scan that glow brightly are the regions of the brain being most heavily used during that time.

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These assumptions have been backed up a bit via the other main source of brain research, which is far more crude. Much of what we know about the brain comes from studying brain injuries and brain damage. If a person has an accident that destroys a certain area of the brain, and then can no longer speak, one can draw the conclusion that the damaged region is responsible for speech. PET scans show the same areas glowing brightly when a person is talking. That hardly counts as proof, but it does mean that the current assumptions under which we use PET scans are at least reasonably good ones.

So, is ADD real?

Even PET scans are inconclusive. While ADHD brain scans have consistently shown different activity in brains of subjects with attention deficit disorder, they also show a wide variety among people without any diagnosed conditions. One could make the claim that a PET scan of a Type-A person would look differently than a scan of lazy person. That opens a whole can of worms.

For now, what we can say definitively about whether ADHD exists is that there is a large sub-population of people who have similar issues and that these issues tend to respond in similar ways to specific treatments. That in and of itself is good enough for a start. After that, as seems to always be the case, more ADHD research is needed.

Filed Under: ADHD Tagged With: ADD, ADHD, ADHD Brains, ADHD Diagnosis, adhd research, adhd symptoms, Brain Research, PET Scans

ADHD Coping Mechanisms Blaming Yourself or Them

Written by ADDer 7 Comments

adhd-coping-mechanism-study-school-graphic One of the things that I have consistently found most fascinating since discovering my ADD and the science of ADHD in general, is the concept of coping mechanisms.

All human beings, whether they have attention deficit disorder or not, develop over the course of their lifetime, a set of skills (for lack of a better term) that allows them to get by in life. These skills range from the most basic, like tying your shoe, to much more complicated ones, like initiating and developing a romantic relationship with another person. Coping mechanisms are a specific subset of these life skills. A coping mechanism is a skill or habit that develops in order to compensate for something, whether it is a some sort of shortcoming, some form of emotional discomfort, or simply to take the edge off of life’s many potential disappointments. One common coping mechanism is emotional eating, where a person eats either certain foods, or large amounts of food, in an effort to make themselves feel better.

Common ADD Coping Mechanisms

For adults with ADHD, recognizing and understanding coping mechanisms is an important component of non-medication attention deficit hyperactivity disorder treatment. True coping mechanisms are mental or behavioral in nature, as opposed to functional. In other words, the constant adjustments and refinements we make everyday are not coping mechanism. The habits, skills, and emotional responses we develop over long periods of time are coping mechanisms.

For example, always placing your keys in the same place is a method of doing something, not necessarily a coping mechanism. That is simply an attempt at perfecting the flow of your current lifestyle.  However, being someone who is always compulsive about keeping everything in its assigned location, is a coping mechanism.

Like everyone, people with ADHD have good coping mechanisms, and bad coping mechanisms. Recognizing the good ones provides a starting point for developing new coping techniques or expanding upon already useful coping methods. Recognizing the negative coping mechanisms provides a starting point for lifestyle adjustments that hopefully, lead to the eventual disappearance of said habit. Detecting and adjusting the mental attitude that often accompanies negative coping responses is also a good place to start when it comes to therapy or ADHD coaching.

Blaming Yourself For ADHD or Blame Others?

One of the most intriguing things about common ADHD coping mechanisms is how they may or may not apply to any one person. Even more interesting is how the same mechanism can be flipped upside in some people that have ADHD.

One of the very common coping mechanisms for adults with ADHD is to blame supposed character or personality flaws for certain things. For example, a woman with ADD who can’t seem to do any job beyond answering phones because she is never organized enough for anything more advanced, may eventually take the edge off of such disappointments by laughingly noting that she is, “just a space cadet sometimes.” Unfortunately, this all too common side effect of ADHD, is not only surprisingly effective at blunting the hurt of disappointment, but also at making one resigned to never striving for anything else.

Reading about this coping method, or its variations, in book after book left me skipping chapters and writing off certain advice, because it never really seemed to apply to me. I’ve always been very confident in my abilities, often getting jobs, projects, and responsibilities beyond my current skill level. Fortunately, I’m also quick to learn when either the interest or immediately looming threat of disaster is strong enough. But, I thought, I’ve never really blamed myself.

Ironically, it turns out that I use the blame coping mechanism just as much (or more) than most people with ADHD, the only difference is that I blame other people.

Many ADHD books, including the oft mentioned, Hallowell books, Driven To Distraction and Delivered From Distraction are written by successful individuals who claim to have ADD themselves. In one of the books, Hallowell, who is a successful doctor, describes his thriving medical practice and his extensive work with ADD patients before saying that he, himself, also suffers from ADHD.

As I read that passage soon after being diagnosed with adult ADHD, I couldn’t help rolling my eyes. Hallowell, I figured, was lying in order to boost his credibility in the area of ADD. After all, I thought, he went to medical school, graduated, became a doctor and developed a successful medical practice, just how bad could his ADHD be? Oh, my gosh! Did he have to use sticky notes to keep track of assignments? Oh, the horror!

The truth is, that I despised Hallowell and his success as a doctor and subsequently an author. The reason is that instead of blaming myself, I blame others. When Hallowell, and his “I barely have ADD” colleagues go out and build these big, successful careers, fat bank accounts, and speaking tours, I reasoned, it hurts those of us who REALLY have ADHD.

I’ve thought that way my whole life.

“I’m the smart one. The only reason he is doing better in school is because he studies EVERY NIGHT.”

“I could have started up an Internet business, but I didn’t want to spend every single day working in my basement.”

The tragedy is that until recognizing what I was doing, I took much of it as a badge of honor.

I graduated from High School near the top of my class. I got all A’s except in English where I got B’s. I could have gotten A’s in English, but I never did homework. Literally, NEVER. I did my schoolwork during the class before the class it was due in. So, I did my Algebra homework for second period during my History class at first period. The one thing I couldn’t quite get done like that were long essays. So, every time an English paper was due, I would start it during the class before it was due, but I wouldn’t finish it. I’d have to wrap it up the next day. It was still an A paper, but with the one letter grade penalty for being late, it became a B.

I was proud of that as I left high school. You see, grades or no grades, I was faster, smarter, and better than everyone else. Those kids who left with a 4.0 where the chumps, not me. They were the ones who wasted their free time actually doing homework.

Unfortunately, not recognizing the truth cost me a lot in college where I not only continued the same pattern, but actually expanded it. In high school, attendance was required. Between parents, teachers, and administrators, the path of least resistance was going to class. Coming up with an excuse, sneaking out the door, and then trying to keep my parents from getting a phone call or note about my absence was way more work than just going to classes, so I went.

At college, that was no longer the case. In college, no one called my parents, most professors didn’t know whether you were there or not. The path of least resistance became not going to classes, and I didn’t go. My new pattern became:

  1. Go to class one or two times and get syllabus.
  2. Use syllabus to find exam dates and due dates of essays or projects.
  3. Stop going to class.
  4. Go to the class the day before the exam to get review sheets and any changes about what would be covered.
  5. Hurriedly read through the textbook chapters that would be on the exam.
  6. Take test.
  7. Surf the curve to a B or C.
  8. Start any essay or project the night before it was due. Work on it until it was “good enough.” Surf curve to C.

During my Junior year, I literally attended my Geography class 5 times the entire semester. I got an A.

The only exceptions were the classes where the professor actually took attendance and docked your grade if you missed classes. In every one of those classes, I got an A, because I actually went. Ironically, I seldom paid much attention while I was in the class. I read the student newspaper, worked on other classes’ homework, or just daydreamed. But, looking up at the board and hearing a paragraph here and there was enough to let some of the information sink in. More importantly, it was enough to give me an idea of what the professor felt was important.

For years after graduating, I proudly told anyone who asked that I graduated with a 2.14 GPA, but, I added, I never really went to class or did any of homework. I don’t know if anyone was ever impressed by that. Not that it matters.

The true tragedy is that I didn’t do anything else. There would be some redeeming value in how I spent my 4 years on campus if I had gotten in a 100 day ski season, or spent sunny days hiking, biking, or doing ANYTHING. Instead, I mostly slept in, napped, and messed around on my computer. The only good to come out of it was that in those days, the Internet was a text based Unix system. There were no web browsers, just FTP, vi editor, GREP, UUENCODE, and so on. In the end, I knew a lot about how to use computers, which meant I didn’t have to figure out how to get a job in Chemistry with no professor recommendation (none of them would have recognized me), no summer lab work, and no internships. Instead, I got a job as a computer administrator and quickly became certified in numerous technologies just as the technology bubble started ramping up.

Of course, the blaming cope strategy didn’t go away. I always felt that I should be the project manager or the startup millionaire or whatever, but I never was. The reason was simple, I could have been, but they just worked harder, tried harder, or refused to give up. Not me. Those suckers.

*******************

These days, I try not to blame others for their success, nor assume that I would be twice as successful under the “slightly different” circumstances of me actually busting my butt to make something happen. But, like most attitudes developed over decades, it can be hard to keep up, and even harder to see when it is happening.

Filed Under: ADHD Tagged With: ADD, ADD Books, ADD/ADHD, ADHD Diagnosis, attention deficit disorder, Treatment

How Do I Tell If I Have ADHD or ADD?

Written by ADDer Leave a Comment

adhd-questions How to tell if you have ADHD is second only to what is it like to have ADHD among the questions that rattle around the brain of those with ADHD.  Unfortunately, the most common answers are either to check with a doctor or mental health professional because only they can make an actual diagnosis of ADHD, or to take a simplified, overly general, test.  The test questions are often so broad and inane that they simply perpetuate the myth that the symptoms of ADHD are the same as things that happen to everyone.  Ironically, both answers show a fundamental misunderstanding of the ADD/ADHD mentality.

Do I Have ADD or ADHD? Just Answer the Question!

People with ADHD, particularly adults with ADHD, are not prone to react well to either of the common answers to the query of whether or not they have ADD.  Typically, a person with ADHD does not reach the conclusion that they do potentially have ADD after sitting in quiet reflection about their daily life.  Rather, they are likely to have the thought pop into their head in the middle of doing something else. 

One of the most common times to wonder if you have ADHD/ADD is when beating yourself up for a recent failure or shortcoming.  “Maybe I have ADD,” is the kind of thought that many ADDers have right after thinking something like, “Why can’t you just get it together long enough to…” or maybe, “Why can’t you stay organized?”

For most adults with ADHD, the next stop is Google and a search for ADD.  Ironically, such a search will likely be futile since ADD and the word ‘add’ are the same thing when typed into a search box.  A search for ‘attention deficit disorder’ likely follows, and then perhaps after noticing another acronym, a search for ADHD which will yield better results.

Regardless, while the ADDer will read a dozen sites in a row – and indeed may enjoy doing so – to get the answer to their questions, they are not likely to stop and take a boring test, and are even less likely to call and schedule an appointment with a doctor or therapist.  Thus, the most helpful scenario for someone with ADHD is to provide a real answer, and not a bunch of legally approved boilerplate language about getting an answer from someone else.

Unfortunately, I can’t tell if you have ADD/ADHD since I am sitting behind a keyboard, and quite possibly am nowhere near it while you are reading this, not that it matters because even if I were sitting at my computer, it’s not like I can see you through the Internet or anything.

If that sentence sounds like something you say, or something you write, or have to stop yourself from writing, then signs point to yes.  If you read that sentence and started considering the possibility of video phones or video conferencing or some sort of online video conference, like Skype, then signs point even more so to yes.  If you didn’t get to this paragraph despite it being in italics before opening a new window or tab in your browser to lookup something about video conferencing or other tool or method, then the signs really point to yes.

Test To Find Out If You Have ADHD / ADD

The official tests used to determine if you have ADD or ADHD aren’t much better than the ones that you find online.  For the most part, they ask you to rank from 1 to 5 (Never through Always) if certain things happen to you.

As you take the test you’ll find yourself saying, “maybe” or “sort of” a lot.  In those cases, I would encourage you to choose 4 or 5.

That aside, I’ve developed some of my own ADHD quizzes to help determine if someone has ADHD.  These ADHD tests are not generic, are not boring, and are not official.  They won’t give you anything more than a real answer to your question.  THEN you can schedule an appointment with a professional or family doctor.

And that, is how the ADHD mind works.

Next Step —> ADHD Tests  (In my next post coming as soon as I get it formatted.)

Filed Under: ADHD Traits Tagged With: ADHD, ADHD Diagnosis, ADHD Quizes, ADHD Tests

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