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Diagnosing ADHD

Because there is no single test for Attention Deficit Hyperactivity Disorder, the diagnosis of ADHD generally involves making sure that the exhibited behaviors are not due to other reasons. In other words, to rule in a diagnosis of ADHD, it is very important to exclude other conditions! ADHD symptoms can be seen for a variety of reasons: depression, anxiety, learning disabilities, trauma, molestation, change, abuse, psychosocial problems, stressors (for example, divorce, job changes, moves, births or deaths, ) low IQ. , medical conditions (such as thyroid problems, high lead levels, etc.,) hearing or vision problems, epilepsy, sleep disorders or poor sleep habits, opposition and even poor management and discipline of the parents

I have seen many, many children misdiagnosed as ADHD who had hearing problems, learning problems or trauma. Therefore, it is very, very important to not only allow your child to be diagnosed based on behavioral observations, or a simple behavior assessment scale. There tends to be too much confidence and the degree of meaning given to a simple behavior assessment scale, such as a Conners’.

Many school systems have a teacher complete a behavior assessment scale, find the hyperactivity and/or inattention index to be significantly high, and tell the parents that their child has ADHD, and they need to take him to a doctor and take medication. I have conducted dozens of in-service teachers on this topic. Not only does this border on practicing medicine without a license, but its interpretation is often imprecise. What the rating scales can show is that there are behaviors that appear that are of concern and outside the normal range for a child of this age (based on the normative score). be used with other measures to ensure an accurate diagnosis.

The diagnosis of ADHD must be based on at least all of the following:

• A deep psycho-social history – the child does not live in a vacuum

• Behavioral observations (parents, teachers and other applicable)

• Behavioral rating scales

• Developmental and medical history

• Physical examination performed by the pediatrician – including vision and hearing screening and, if indicated, certain blood tests and sleep studies; many children have sleep disorders that create symptoms that resemble ADHD

When there is still a question of WHY the behaviors are exhibited, then a psychological or psychoeducational evaluation is indicated. The specific test tools are determined based on the questions raised and what may need to be regular or out. Then the evaluation (I don’t use the word, “tests” with children because that implies the possibility of failure and makes many become anxious. I usually say that we have a lot of work to do to see what they are good at and what that are not so good, to help you have the best year in school possible.)

An assessment battery to diagnose ADHD may include:

• IQ

• Academics

• Treatment and perceptual measures

• Emotional (projective and subjective tools)

• Personality

• Behavior

It is a huge mistake to make a snap diagnosis of ADHD on the basis of behavioral observations or behavioral rating scales alone. It is extremely important to fully discover the underlying causes of behavioral difficulties that your child might be exhibiting! Talk to your doctor, school staff and a child psychologist for a thorough evaluation to diagnose ADHD.

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