Attention-Deficit/Hyperactivity Disorder (ADHD) is it a lifelong condition so adults (and even older adults over 70 years old!) might seek an assessment. These assessments are comprehensive evaluations designed to understand the individual's symptoms, history, and impact on daily life. They can take up to 4-5 hours and take place over 2-3 appointments. They should be conducted face to face.
Here’s a breakdown of what typically happens during an adult ADHD assessment:
The process begins with an initial consultation, where the individual meets with a mental healthcare professional, often a doctor or nurse to collect detailed information about the individual's personal, educational, and work history. This helps in understanding the context of the symptoms. There will also be an assessment of mental health needs to establish if symptoms are not better explained by another condition.
Following the initial consultation, a more detailed evaluation is conducted. This phase includes in-depth interviews with the individual and family members or close associates. These interviews aim to gather comprehensive information on the person's behaviour across different settings and throughout different periods of their life. Understanding the individual's history is crucial in diagnosing ADHD.
This includes:
- Childhood Behaviour: The clinician will explore symptoms during childhood. ADHD often begins in childhood, so understanding past behaviours can provide important clues.
- Educational and Occupational Records: Reviewing school reports, performance appraisals, and other relevant records can provide objective evidence of attention-related difficulties and their impact on academic and professional life.
- Medical History: A thorough medical history helps rule out other conditions that might mimic ADHD symptoms, such as thyroid disorders or neurological conditions.
To diagnose ADHD, the clinician will compare the gathered detailed information with the criteria outlined in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) and fulfil criteria A to E. Once the assessment is complete, the clinician will provide feedback on the findings:
- Diagnosis Explanation: If ADHD is diagnosed, the clinician will explain the basis for the diagnosis and discuss how the symptoms align with the individual's experiences.
- Treatment Options: A treatment plan is formulated, which may include behavioural therapy, medication, lifestyle changes, and support strategies to manage symptoms effectively.
- Follow-Up: Regular follow-up appointments are usually recommended to monitor progress and make necessary adjustments to the treatment plan.