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by vector_spaces 474 days ago
> A typical ADHD diagnosis in America is done by a paediatrician or a family doctor in an office visit as brief as 15 minutes.

I'm in my 30s, and in the process of receiving a diagnosis after it had been suggested to me my entire life by teachers, colleagues, and friends. I avoided diagnosis and medication mainly because I was skeptical of the safety record of medications -- probably because that's why my parents never sought a diagnosis for me when I was younger.

After doing more research the past few years, I learned that ADHD medications are the success story of medical management of psychiatric illness, and they have a strong safety record

In any case, for me so far it has involved four (4) 2-hour appointments with a clinician, having trusted colleagues and close friends fill out detailed "external rater" forms in which they rated my executive dysfunction, and (yesterday) a marathon 4-hour long testing session in which I took a sequence of standardized tests under the supervision of a clinician.

I know that diagnosis of ADHD in children is a different animal, and even for adults there are clinics that provide a diagnosis and prescription in a half hour or so -- but not everyone with ADHD is diagnosed after a single 30 minute session with a provider. And contrary to another sibling comment, there are fairly robust objective metrics for identifying the hallmark features of ADHD and executive dysfunction.

1 comments

> there are fairly robust objective metrics for identifying the hallmark features of ADHD and executive dysfunction

What are they?

If you are truly interested, these can be found with a quick search query -- I won't do that here for you.

But you will find that ADHD is one of the most widely studied psychiatric illnesses with strong neurobiological basis and well known measurable correlates, and as I mentioned, has the highest response rates to medication for a psychiatric condition. So you should have no trouble finding out more!

No, a description of ADHD features is easy to find, but not "robust metrics".

When searching specifically for metrics used in diagnosis, some choice words come up from med central:

"A challenge with diagnosing ADHD is that the characteristics associated with the disorder – such as difficulties with focusing, shifting/dividing attention, managing frustration, organization/poor time-management, working memory, and staying engaged – are common symptoms that could have a breadth of etiologies.

As noted, *more often than not*, ADHD coincides with another disorder. "

Then for narrow-band symptoms will list examples of neuropsychological measures like D-KEFS, and finding details for each of these is again like pulling teeth. But looking at the description, all of what is tested could be impacted by other issues, including instability in home life, lifestyle factors, anxiety and depression, insomnia, etc