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  #31  
Old 05-02-10, 06:24 PM
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Re: Diagnostic Criteria for ADHD

Robert, I was looking through some old threads and came across this one. I cheered when I read it the first time, but now that my daughter finally found an intake worker and a psychiatrist who know what ADHD looks like in an adult woman, I need to share your wisdom with new members who may not have read this thread yet. Thank you.

Quote:
Originally Posted by mctavish23 View Post
The diagnosis is difficult.

Far too many clinicians don't read a word of research,which means they'll get the wrong

diagnosis most of the time.

IMPO, nothing's worse than a misdiagnosis.

Anecdotally, I've never seen a "False Positive ( you really don't have it)."

All I've ever encountered are "False Negatives ( you really do have it)."

If you don't know what works, because you haven't bothered to look,

then you're more than likely to "do harm" to the client.

One of the things we (clinicans) pledge to do is "Do No Harm" to the client.

This is a compelling question that's close to my heart.

Thanks & Good Luck.

tc

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  #32  
Old 05-03-10, 07:59 AM
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Re: Diagnostic Criteria for ADHD

I've seen some letters I don't understand in the forum, such as ADHD-P and others. I can't find any reference to what they stand for?
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  #33  
Old 05-03-10, 07:38 PM
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Re: Diagnostic Criteria for ADHD

P = Predominantly

As in ADHD -PI (Predominantly Inattentive Type)

ADHD-H-I (Predominantly Hyperactivity-Impulsivity Type)

ADHD-C (Combined Type)

ADHD NOS (Not Otherwise Specified)

Hope that helps some.

tc

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  #34  
Old 05-04-10, 06:45 AM
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Re: Diagnostic Criteria for ADHD

Quote:
Originally Posted by mctavish23 View Post
P = Predominantly

As in ADHD -PI (Predominantly Inattentive Type)

ADHD-H-I (Predominantly Hyperactivity-Impulsivity Type)

ADHD-C (Combined Type)

ADHD NOS (Not Otherwise Specified)

Hope that helps some.

tc

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(I'd better bookmark this one, not that I'll remember that I have the next time I wonder )
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  #35  
Old 05-04-10, 09:37 AM
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Re: Diagnostic Criteria for ADHD

this all sounds like me...all this time, I have thought I was just lazy or disorganized or even depressed. But honestly, I think I am depressed sometimes because of ADD. I just don't know what to do from here?
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  #36  
Old 05-04-10, 10:43 PM
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Re: Diagnostic Criteria for ADHD

Tricia, you need to understand first that undiagnosed and untreated ADHD can cause symptoms that look like depression. Very often, when the ADHD is treated appropriately, the depression will go away.

It might be time to look seriously at starting down the road to diagnosis.

Honestly, sweetie, you aren't as bad as you think you are.
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  #37  
Old 01-19-11, 01:01 PM
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Re: Diagnostic Criteria for ADHD

The next DSM, DSM V, is slated for publication in 2012/3 and in it - for the first time- will be included a set of diagnostic criteria for ADULT ADHD.

The good news for anyone interested in how adult-persistent ADHD is diagnosed is that these criteria have already been published. You can check them out right now in a chapter of Russell Barklay's book, "Adult ADHD - What the Science Says" (published in 2008) where there is also an interesting accompanying discussion of how and why the final nine (9) ( I think it is) criteria for ADULT ADHD that Barcklay and co decided upon were chosen/formulated, etc.

Hope this information is of some use.

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  #38  
Old 01-25-11, 05:05 PM
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Re: Diagnostic Criteria for ADHD

maybe i need to find a support group. i need to find ppl that will understand what i'm going though. i'm just barely trying to fight my problem. i need help!
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  #39  
Old 02-11-11, 06:47 AM
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Re: Diagnostic Criteria for ADHD

Quote:
Originally Posted by stanzen View Post
The year 2000 Diagnostic & Statistical Manual for Mental Disorders (DSM-IV-TR) provides criteria for diagnosing ADHD. The criteria are presented here in modified form in order to make them more accessible to the general public. They are listed here for information purposes and should be used only by trained health care providers to diagnose or treat ADHD.

DSM-IV Criteria for ADHD
I. Either A or B:

1. Six or more of the following symptoms of inattention have been present for at least 6 months to a point that is disruptive and inappropriate for developmental level:

Inattention

1. Often does not give close attention to details or makes careless mistakes in schoolwork, work, or other activities.
2. Often has trouble keeping attention on tasks or play activities.
3. Often does not seem to listen when spoken to directly.
4. Often does not follow instructions and fails to finish schoolwork, chores, or duties in the workplace (not due to oppositional behavior or failure to understand instructions).
5. Often has trouble organizing activities.
6. Often avoids, dislikes, or doesn't want to do things that take a lot of mental effort for a long period of time (such as schoolwork or homework).
7. Often loses things needed for tasks and activities (e.g. toys, school assignments, pencils, books, or tools).
8. Is often easily distracted.
9. Is often forgetful in daily activities.

2. Six or more of the following symptoms of hyperactivity-impulsivity have been present for at least 6 months to an extent that is disruptive and inappropriate for developmental level:

Hyperactivity

1. Often fidgets with hands or feet or squirms in seat.
2. Often gets up from seat when remaining in seat is expected.
3. Often runs about or climbs when and where it is not appropriate (adolescents or adults may feel very restless).
4. Often has trouble playing or enjoying leisure activities quietly.
5. Is often "on the go" or often acts as if "driven by a motor".
6. Often talks excessively.

Impulsivity

1. Often blurts out answers before questions have been finished.
2. Often has trouble waiting one's turn.
3. Often interrupts or intrudes on others (e.g., butts into conversations or games).

2. Some symptoms that cause impairment were present before age 7 years.
3. Some impairment from the symptoms is present in two or more settings (e.g. at school/work and at home).
4. There must be clear evidence of significant impairment in social, school, or work functioning.
5. The symptoms do not happen only during the course of a Pervasive Developmental Disorder, Schizophrenia, or other Psychotic Disorder. The symptoms are not better accounted for by another mental disorder (e.g. Mood Disorder, Anxiety Disorder, Dissociative Disorder, or a Personality Disorder).

Based on these criteria, three types of ADHD are identified:

1. ADHD, Combined Type: if both criteria 1A and 1B are met for the past 6 months
2. ADHD, Predominantly Inattentive Type: if criterion 1A is met but criterion 1B is not met for the past six months
3. ADHD, Predominantly Hyperactive-Impulsive Type: if Criterion 1B is met but Criterion 1A is not met for the past six months.

American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision. Washington, DC, American Psychiatric Association, 2000.


From:
http://www.cdc.gov/ncbddd/adhd/symptom.htm



Types of Professionals Who Make the Diagnosis


Specialty Can Diagnose ADHD Can prescribe medications, if needed Provides counseling or training
Psychiatrists yes yes yes
Psychologists yes no yes
Pediatricians or family physicians yes yes no
Neurologists yes yes no
The DSM iV criteria are now redundant.

The new criteria for diagnosing ADULT ADHD has been published in Russell BARKLEY's book "ADHD in ADULTS - What trhe Science Says"

With regard to who should and should not be allowed to diagnose/treat ADHD in adults my view is that it must be an experienced psychiatrist with a specialised knowledge of, and experience in, treating and diagnosing ADHD.
If you allow a standard GP or psychologist (in particular) to manage the diagnosis or treatment of adult -persistent ADHD you are asking for trouble (BIG TIME!!!!) because they are simply not up to it. Adult-persistent ADHD can be extremely difficult to diagnose accurately and equally difficult to manage for a number of reasons. In short, it is a very COMPLEX condition and its management should only be entrusted to a highly skilled specialist.
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  #40  
Old 02-11-11, 07:02 AM
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Re: Diagnostic Criteria for ADHD

Here in Denmark only Psychiatrists and Neurologists can diagnose ADHD.
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  #41  
Old 08-24-11, 07:18 PM
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Re: Diagnostic Criteria for ADHD

I just saw a physician to be worked up for ADHD, I fit the criteria and he started me on Adderall 20mg XR and I go next week for Neurotrax testing. When I take the Adderall some days I get a slight effect but then it wears off before I can get home to study. Some days no effect. Has anyone else had this Neurotrax testing done??? I'm wondering how reliable it is and can't find much online.
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Old 09-16-11, 02:19 PM
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Re: Diagnostic Criteria for ADHD

What do people think of this?

from the site adder dot org

Suggested Diagnostic Criteria For Attention Deficit Disorder In Adults

NOTE: Consider a criterion met only if the behaviour is considerably more frequent than that of most people of the same mental age.



A. A chronic disturbance in which at least twelve of the following are present:

l. A sense of underachievement, of not meeting one’s goals (regardless of how much one has actually accomplished).

2. Difficulty getting organised.

3. Chronic procrastination or trouble getting started.

4. Many projects going simultaneously; trouble with follow through.

5. A tendency to say what comes to mind without necessarily considering the timing or appropriateness of the remark.

6. A frequent search for high stimulation.

7. An intolerance of boredom.

8. Easy distractibility, trouble focusing attention, tendency to tune out or drift away in the middle of a page or a conversation, often coupled with an ability to hyperfocus at times.

9. Often creative, intuitive, highly intelligent.

10. Trouble in going through established channels, following “proper” procedure.

11. Impatient; low tolerance of frustration.

12. Impulsive, either verbally or in action, as in impulsive spending of money, changing plans, enacting new schemes or career plans, and the like; hot-tempered.

13. A tendency to worry needlessly, endlessly; a tendency to scan the horizon looking for something to worry about, alternating with in attention to or disregard for actual dangers.

14. A sense of insecurity.

15. Mood swings, mood lability, especially when disengaged from a person or a project.

16. Physical or cognitive restlessness.

17. A tendency toward addictive behaviour.

18. Chronic problems with self-esteem.

19. Inaccurate self-observation.

20. Family history of ADD or manic-depressive illness or depression or substance abuse or other disorders of impulse control or mood.

B. Childhood history of ADD. (It may not have been formally diagnosed, out in reviewing the history, one sees that the signs and symptoms were here.)

C. Situation not explained by other medical or psychiatric condition.
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Old 09-16-11, 02:33 PM
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Re: Diagnostic Criteria for ADHD

I wish they'd look into this direction in this part of the world, too. We use ICD-10, with
..which basically leaves out adults and anyone else with anything besides classic ADHD-HI.

I get 20/20 on that proposed list. :/

Like Denmark, only psychiatrists and neurologists can make the diagnosis.
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Old 09-17-11, 11:22 AM
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Re: Diagnostic Criteria for ADHD

I don't know what those are, but "adults and anyone else with anything except classic ADHD-HI" is a big, big group to leave out.

Yeah, I'm 20 for 20 too. Much higher than on other scoring systems.

I really hope more people respond here, I'm really curious as to how other people feel the items describe them.
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  #45  
Old 09-17-11, 11:30 PM
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Re: Diagnostic Criteria for ADHD

Yeah I took that test and got all 20 of them.

You don't seem to endlessly worry though. You seem to trust everything is going to be alright. You are very secure it seems.
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