Generally speaking, an individual gets diagnosed with ADHD if he or she meets the diagnostic criteria as stated in the Diagnostic and Statistical Manual of Mental Disorder. However, diagnosing ADHD is a little more complicated than just checking a laundry list of symptoms. This is because a number of health conditions share the three core symptoms of ADHD: hyperactivity, impulsivity, and inattention. To simply diagnose an individual with ADHD is not enough either; it’s more important to find the cause of the disorder than to find the right label for it.
For a more effective and holistic approach, the first step to evaluating ADHD should involve getting to know the individual child through his or her medical history, and an interview with the parents. During the interview, we can learn a lot about the person’s unique symptoms and lifestyle habits. For children, we usually ask key indicator questions about the mother’s pregnancy and early childhood experiences. Often, the causes of childhood ADHD have to do with traumatic childbirth, a lack of nutrients, or exposure to certain toxins in the womb.
After the interview, the person goes through a rigorous testing program to identify the causes of ADHD and rule out other conditions. The next step is to make a precise definition of the individual’s behavior using behavioral scales and checklists. These are useful in identifying which symptoms need to be treated. We may also use a computer test called Test of Variables of Attention, which can provide an objective measure of the person’s impulsivity and inattention. Afterwards, we obtain a neuropsychological profile in order to identify co-morbid conditions like dyslexia or learning disorders. A comprehensive physical and neurological exam can also provide us with a complete picture of the nervous system, which is helpful for detecting other conditions.
The last two tests are best performed by medical doctors trained in nutrition, functional medicine, or a chiropractor specializing in functional neurology. A basic blood test can rule out other abnormalities like thyroid dysfunctions, as well as identify nutritional deficiencies that may be triggering ADHD. Another step called advanced functional testing can see if a problem in bodily functions, chemical exposure, or food allergies is related to the person’s ADHD symptoms.
All these tests might sound tedious, but they are all needed to find out the root cause and exact conditions afflicting the individual. ADHD is a very complex disorder and there is no single test that can diagnose it. The first step to overcoming ADHD is to find out its underlying causes. From there, you can work with your doctor on the appropriate treatments for your symptoms.