One of the first tasks in diagnosing ADHD is to gather enough information to rule out other possible causes of the child’s aberrant behavior. Another prong is assessing the child’s intellectual, academic, social, and emotional functioning.

Most mental-health practitioners and educators are adept at spotting situations, such as inadequate teaching techniques, that can provoke a normal child into acting as if he or she had ADHD. For example, there have been cases where a child’s inattentiveness disappears when a teacher gives a child more praise or simply seats him in the front of the classroom.

Fear, bereavement, child abuse, mild seizures, learning disabilities, and a variety of mental disorders can make a child seem hyperactive, impulsive, or inattentive, even if they do not have ADHD. Class work that is too easy or too hard can lead to boredom, inattention, or hyperactivity at school. Medical conditions, such as chronic ear infections or undiagnosed visual impairment, can produce ADHD-like behaviors. But such children are showing the effects of other problems, not ADHD.

While parents may have strong instincts about their own offspring, only a licensed mental-health professional or other specially trained health-care provider is qualified to distinguish ADHD from other disorders or from normal growing pains.

Diagnosing ADHD in adults

Your performance at home and work will help determine whether you have an attention deficit disorder. If your parents are alive, they may be asked to rate your behavior as a child. To help rate current behaviors, the specialist may ask your spouse or roommate to fill out a rating scale. But it is your self-assessment that is most important. Perhaps you feel frustrated most of the time because you feel you are not able to make the most of your intellectual potential. You may also feel restless and easily bored. Some adults with ADHD describe themselves as excitement-seekers. Frequent job changes among these individuals is not unusual. According to the NIMH, most adults with an attention deficit disorder can recall incidents throughout their lives when they were inattentive, impulsive, overly active, impatient, or disorganized. According to CHADD, by learning to channel their energy creatively, adults with attention deficits can flourish in the workplace. For example, many adults with attention deficits become successful entrepreneurs.

Who diagnoses ADHD?

Unless the parent has already had the child evaluated for ADHD during the preschool years, a kindergarten teacher may be the first person to recognize a potential problem in your child. In such cases, the teacher generally requests parental permission to refer the child for a formal evaluation. The evaluation may be performed by a school psychologist or by a team including the school psychologist and other specialists. Parents also have the option of consulting the child’s pediatrician or family practitioner, who may do the evaluation personally or refer the child to a child psychiatrist, psychologist, neurologist, or other specialist. State and local social service agencies as well as ADHD groups can help you find an appropriate specialist to evaluate your child.

Adults who believe they have an attention deficit disorder can consult a psychologist, psychiatrist, or neurologist. Unfortunately, according to the National Institute of Mental Health (NIMH), not all mental-health specialists are skilled in identifying or treating attention deficit disorders in adults. Before scheduling an appointment, ask whether the practitioner has specific training and experience with in adults with ADD. Or ask members of a local support group to recommend a qualified practitioner.

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