ADHD Diagnosis
An ADHD Diagnosis can be a confusing process. I will help you through the confusion. By taking it step by step we can understand it. For your sanity and that of your family.
You may be asking some of these questions: - How do you get a proper ADHD diagnosis?
- Is there a blood test for ADHD?
- Can I take a test online?
- My child’s teacher says they have ADHD, Is that a proper diagnosis?
- I am an adult who might have ADHD. Who can I go to to be diagnosed?
To answer these questions I broke up diagnosing ADHD into these areas. Who can tell me I have ADHD? How do they test for it? My story of being identified and tested.
Who can tell me I have ADHD?
When getting an ADHD diagnosis it must be done by a licensed medical professional. This can be a medical doctor, psychologist, or psychiatrist. This may vary depending on where you live. Ask your doctor.
The big point is that you cannot have an ADHD diagnosis done by A teacher, A school councilor, A parent, Or by yourself. The person administering and/or directing the testing must be a trained professional. Teachers and councilors may have a lot of knowledge and experience with behavior. They are important parts of the process of ADHD diagnosis and ADHD treatment. But they cannot make the ADHD diagnosis.
Teachers often are ones who bring ADHD symptoms to the attention of others. They are also to ones who work in the trenches with these kids after the ADHD diagnosis. Let’s not discount how important they are. They will be one of your best allies in treatment and their opinion matters.
How do they test for ADHD?
Let’s talk about the nitty gritty actual how. What is the testing like and what is done?
There will be a physical exam. That’s because there are many conditions that can cause the symptoms of ADHD. Things like:
- Hearing or vision problems
- Undetected seizures
- Problems with your glands
- Other learning disabilities
- Sleep problems
- Poor Diet
- Sudden or stressful events in life
When performing and ADHD diagnosis a specialist will also check school and medical records, to see if the child's home or school settings could be stressful or disruptive, gather information from the child's parents and teachers, coaches, babysitters, and other adults who know them. They are looking for things like: - If the behaviors are excessive and long-term.
- If they affect all aspects of a persons life negatively.
- If the behaviors occur in several settings such as the playground/work, classroom, or home.
- If they happen more often in a child compared with the children around them.
- If the behaviors are a continuous problem or a response to a temporary situation?
The ADHD diagnosis must be based upon a complete history and evaluation of the patient compared to the DSM-IV definition of ADHD. These steps are crucial in identifying the causes of ADHD and the symptoms of ADHD. If a problem area is identified then the proper ADHD treatment can then be used.
How I was identified and tested.
Going back to when people noticed things were different with me. When they started to notice my symptoms of ADHD.With most caretakers, babysitters or teachers there was always some sort of friction or misunderstanding. I did not blindly do what I was told. I would willingly follow instructions only if they made sense to me. Asking why? or How come? a lot. I was trying to make sense of the world around me.
All of the questioning would seem pretty defiant or bratty to the adults. Adults don’t like being questioned on every instruction that they give. It is frustrating and irritates them. Making them less likely to work well with me. I was curious, not malicious. I needed to know what was going on around me. The adults needed an obedient child and I needed to understanding. Neither of us understood the needs of the other. It caused problems.
In the classroom My name was pretty consistently on the blackboard for misbehavior. Teachers would often have to speak with me separately. Something was very different with my behavior. I was impulsive and spoke out often during class. Things came easy to me and I always wanted to share that with others.
My grade one teacher attempted a behavior modification program with me. I didn't understand why I was separated from the group. At the time I didn't know that I was different.
Another time I was taken into the principal's office to get the strap. A leather belt slapped across the palms for misbehaving.
My principal began talking with me about my schoolwork and behavior in class I was puzzled. He showed me the strap in his hands yelled and slapped the strap on the desk. Yelling: If I you don’t smarten up I will hit you with this!.
I was scared and very confused. Why was yelling at me like that? I didn’t understand what he was talking about.
There are many instances where I did not understand. Years of reflection have allowed me to get it. The adults in my life were trying everything that they knew to help me. They just didn’t have the know-how and experience to solve these problems. They bribed, threatened and drugged me, rather than trying to understand me. I would like to think that if I had known how my behaviors were affecting others I may have had the ability to control them. Even after my ADHD diagnosis I feel like I'd never really had the chance to be understood. To get to the bottom of this I needed an expert in child psychology to teach me what was happening and make me aware of what was wrong. You can’t speak directly with a child the way you would and adult. Often they would not get what you are saying. A trained professional must speak with them. One that knows how to ask children questions and most importantly knows how to communicate what needs to be done to the child. They can create a real understanding between the children and adults. Only from true understanding can a proper ADHD diagnosis and ADHD treatment plan be made.
Testing
In early elementary school children are given standardized testing to identify intelligence and learning disabilities. I remember the day when we were asked to fill out multiple-choice tests for the afternoon.I was in a panic after the teacher explained what to do. I didn't quite catch what the she said. It was a confusing booklet with lots of pages and circles to fill in. It seemed silly to flip to the back of a book and do one set of questions, then go to another part and do more. I completely missed where to fill out what. I thought why not start at the beginning and then work to the end. So I filled out the wrong area of the forms. I recall doing the test twice in two different spots because I realized I goofed it up. Picture a 6 year old doing your taxes. It didn’t turn out well. I scored extremely low on some tests involving math, coding, and digit span. The ones where you need good attention. While scoring quite high on other ones. These scores were really strange and it got me noticed. My school had me do the testing in person with a psychomatrist (A doctor the specializes in testing for intelligence and learning disabilities) She was a very nice lady as I recall. She talked with me a lot and we did a lot of fun questions. Having an adult really talk with me was something I was not used to and I enjoyed it a lot. From these scores I was identified gifted intellectually but with some serious deficiencies in other areas. It seemed that I could recall things well right away, as soon as any interruption was made. I was easily distracted, a symptom of ADHD that has caused me a lot of problems. They knew that something was different with me and they needed to get the doctors involved. My doctor looked like Santa Claus; he sat behind a desk in a room with a lot of books on the wall. I don’t recall talking to much with him very much. We went to a lot of medical labs and I had things glued to my head and nurses and doctors running around. They checked my ears, talked to me about my family, my school. Tested for all sorts of things.
Finally I was given a diagnosis of ADHD. It was in the mid 80’s and diagnosis of ADHD was a relatively new thing. I consider myself fortunate for having this attention placed on me. For being taken seriously.
What I would have changed
The area I would have like to see a lot of changes would be in my ADHD treatment plan.Overall I was not aware of myself and my actions. I believe being made aware of them would have been a huge help. I will talk about that in ADHD treatment. I want you all to know that this was what happened to me. It may be different with you or your child. Many things have changed in the last 20 years and many many more ADHD diagnosis’ have been made.
You need to educate yourself and speak with your doctor. Find out what is really happening. Learn about ADHD overdiagnosis and ADHD misdiagnosis. Then you can provide the best ADHD treatment For You And your child.
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