HEALTH INFORMATION

How is Attention Deficit Hyperactivity Disorder (ADHD) diagnosed?

Deciding if a child has ADHD is a several step process. There is no single test to diagnose ADHD, and many other problems, like anxiety, depression, and certain types of learning disabilities, can have similar symptoms.

The American Psychiatric Association’s Diagnostic and Statistical Manual, Fifth edition (DSM-5) is used by health professionals to help diagnose ADHD. It was released in May 2013 and replaces the previous version, the text revision of the fourth edition (DSM-IV-TR). This diagnostic standard helps ensure that people are appropriately diagnosed and treated for ADHD.

There were some changes in the DSM-5 for the diagnosis of ADHD: symptoms can now occur by age 12 rather than by age 6; several symptoms now need to be present in more than one setting rather than just some impairment in more than one setting; new descriptions were added to show what symptoms might look like at older ages; and for adults and adolescents age 17 or older, only 5 symptoms are needed instead of the 6 needed for younger children.

What are the symptoms of ADHD?

If a parent or other adult is concerned about a child’s behaviour, it is important to discuss these concerns with the child’s health care provider.

Inattention- examples

  • Often does not give close attention to details or makes careless mistakes in schoolwork, work, or other activities.
  • Often has trouble keeping attention on tasks or play activities
  • Often does not seem to listen when spoken to directly
  • Often does not follow through on instructions and fails to finish schoolwork, chores, or duties in the workplace (loses focus, gets sidetracked).
  • Often has trouble organizing activities
  • 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).
  • Often loses things needed for tasks and activities (e.g. toys, school assignments, pencils, books, or tools).
  • Is often easily distracted.
  • Is often forgetful in daily activities.

Hyperactivity / Impulsivity- examples

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

  • Often fidgets with hands or feet or squirms in seat when sitting still is expected
  • Often gets up from seat when remaining in seat is expected
  • Often excessively runs about or climbs when and where it is not appropriate (adolescents or adults may feel very restless).
  • Often has trouble playing or doing leisure activities quietly
  • Is often “on the go” or often acts as if “driven by a motor”.
  • Often talks excessively
  • Often blurts out answers before questions have been finished
  • Often has trouble waiting for his/ her turn
  • Often interrupts or intrudes on others (e.g., butts into conversations or games).

Please note that the criteria (in shortened form) provided here are just for your information. Only trained health care professionals can diagnose or treat ADHD.

Demo