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[ Free Download: Your Ultimate ADHD Diagnosis Guide ]

“Regardless of how experienced your [doctor] is,” says Barkley, “you should strongly consider a medical specialist if [your or] your child’s ADHD is accompanied by another diagnosed disorder, such as oppositional behavior, anxiety, or if there are urgent issues involved.” Professionals trained in diagnosing ADHD routinely screen for these problems.

Your family doctor or health insurer can probably steer you to a qualified ADHD specialist . If not, contact your local chapter of Children and Adults with Attention-Deficit Hyperactivity Disorder ( CHADD ).

When making an accurate diagnosis, your doctor will first want to determine whether you or your child has the ADHD symptoms listed in the Diagnostic and Statistical Manual of Mental Disorders-Fifth Edition (DSM-V) .

According to the latest DSM-V guidelines, in order to be diagnosed with ADHD, a patient must demonstrate at least six of the nine symptoms of inattention and/orhyperactivity/impulsivity prior to age 12. In addition, these symptoms must impair the person’s functioning in more than one setting — home, school, or work. 1

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While the DSM-V outlines the basics for an ADHD diagnosis, there’s much more to an accurate diagnosis. In addition to reviewing these criteria, doctors will conduct a thorough clinical interview using one standardized ADHD rating scale . A screening test is also often administered to rule out common coexisting conditions like learning disorders ,anxiety, autism , and mood disorders .

Diagnosing an adult is trickier thandiagnosing a child. The DSM-V symptom guide is really invalid for adults; almost all of its criteria is geared toward diagnosing children. An ADHD diagnosis in adulthood emerges only from a careful clinical interview conducted by a specialist in ADHD who takes his or her time with the evaluation.

Your doctor will interview you and someone who knows you well — your spouse, a sibling, or your parents. She may or may not use checklists designed to identify symptoms of adult ADHD . The doctor will use the patient interview to determine which, if any, tests might rule out other conditions that may be causing symptoms.

“The clinical interview is the core of any evaluation,” says Thomas E. Brown, Ph.D. , assistant clinical professor of psychiatry at Yale University School of Medicine and associate director of the Yale Clinic for Attention and Related Disorders. “The more input from different sources, the better. Many adults come for a consultation alone, but it’s helpful to come with a spouse, sibling, or close friend.”

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