What are the consequences of misdiagnosis of ADHD?
Misdiagnosing children as having ADHD may also mask other serious psychiatric issues, such as anxiety, obsessive compulsive disorder, learning disabilities, or bipolar disorder, to name a few. These children are placed on powerful medications with many potential side effects, including being addictive.
There are two reasons for this. Clinicians are given little or no training in recognizing ADHD. ADHD is the only medical condition for which there is no textbook. Even if a doctor wants to learn how to diagnose and treat ADHD, there are few places to get the information.
ADHD can't be diagnosed from simple observation or a quick conversation. Diagnosis in adults can be complex because many adults have learned to hide or mask many of their symptoms over the years. Additionally, other conditions such as learning disabilities or mood disorders will need to be ruled out in some cases.
ADHD is not overdiagnosed, but it may be often misdiagnosed. Sometimes people think ADHD is overdiagnosed because diagnoses have increased over time. It could be true that some diagnosed people do not really have ADHD. There are college students who fake ADHD to get medications that help them study faster.
Sleep apnea is a common culprit that's often misdiagnosed as ADHD — and vice versa. Fortunately, researchers are devising simple tests to definitively diagnose and get kids the treatment they need.
Overall, the study found that about 20 percent – or 900,000 – of the 4.5 million children currently identified as having ADHD likely have been misdiagnosed.
Studies have shown that symptoms of bipolar disorder often overlap with those of ADHD, making it hard to diagnose both of these disorders. Bipolar disorder is marked by mood swings between periods of intense emotional highs and lows.
The gold-standard diagnostic procedure for ADHD is an interview and physical exam to identify ADHD symptoms and other potential mental and physical health conditions.
“Nobody has perfect memory… but for [people with ADHD], it's extreme. They feel like they're lost all the time,” Almagor said. He believes this is why people don't take ADHD seriously. “I think that's why some people don't respect the severity of what [a person with ADHD] can experience,” he said.
If you are concerned about whether a child might have ADHD, the first step is to talk with a healthcare provider to find out if the symptoms fit the diagnosis. The diagnosis can be made by a mental health professional, like a psychologist or psychiatrist, or by a primary care provider, like a pediatrician.
What is the fastest way to get an ADHD diagnosis?
There's no simple test to determine whether you or your child has ADHD, but your specialist can make an accurate diagnosis after a detailed assessment. The assessment may include: a physical examination, which can help rule out other possible causes for the symptoms. a series of interviews with you or your child.
Untreated ADHD in adults can lead to mental health disorders like anxiety and depression. This is because ADHD symptoms can lead to focus, concentration, and impulsivity problems. When these problems are not managed effectively, they can lead to feelings of frustration, irritability, and low self-esteem.
Understand the Cause of Inattention
People with anxiety will struggle with focus and attention, but it's because their minds are so preoccupied with anxious and worry-filled thoughts. Whereas the ADHD brain struggles with focus and attention due to being easily distracted (Drake Institute).
- athlete.
- sports coach.
- emergency responder (firefighter, EMT)
- ER doctor or nurse.
- police officer.
- emergency dispatcher.
- retail worker.
- daycare provider.
High-functioning ADHD isn't a formal diagnosis. It's a phrase used to describe people living with ADHD who see little to no major impact on daily life. Just because you've reached great success or have found ways to work around ADHD symptoms doesn't mean ADHD might not be affecting you.
Issues with overtreatment
Although it is true that overdiagnosis means that some people without ADHD receive treatment, on the whole, people with ADHD are actually undertreated. Most treatment guidelines point to the benefit of both medication and behavioral and lifestyle interventions.
Symptoms of Mood Swings in ADHD
Switching from excited one moment to sad, angry, or anxious the next. Fluctuating between having trouble paying attention and hyperfocusing on an activity. Having bursts of energy and fatigue through the day. Feeling emotions intensely and having difficulty regulating them.
- Depressive Disorders.
- Anxiety.
- Oppositional Defiant Disorder.
Bipolar is one of the most frequently misdiagnosed mental health issues. Somewhere between 1.4 and 6.4 percent of people worldwide are affected by bipolar disorder. However, it's hard to say which number is more accurate due to the frequency of wrongful diagnosis.
To get diagnosed with ADHD, you'll need to be evaluated by a medical professional. An accurate and well-rounded ADHD diagnosis is a complex, multi-step process including a clinical interview, a medical history review, and the completion of normed rating scales by loved ones, educators, and/or colleagues.
Do people with ADHD fail tests?
Whether you are the parent of a child that is struggling in school or are a college, graduate school or professional school student, if you have ADHD, you may have difficulty in fully demonstrating your mastery of a subject when taking a test. There can be many reasons why a student may be a poor test taker.
It's important to note that not every person with ADHD will experience tendencies toward messiness or disorganization in their space. And for some people, certain treatment and management strategies for ADHD may help them get more organized. Of course, it's also entirely possible to be disorganized and not have ADHD.
If you hide your adult ADHD symptoms from other people, that's called masking. Basically, you're trying to seem more “normal” or “regular.” ADHD causes some people to act hyperactive or impulsive. It makes other folks have trouble paying attention. And still other adults have a combination of those symptoms.
One type of ADHD masking — known as mirroring — involves intentionally or unintentionally mimicking the speech, movements, or behaviors of someone else. While ADHD mirroring and body doubling may seem similar at first glance, you can work alongside a body double without imitating them in any way.
- The Vanderbilt Assessment Scale. This 55-question assessment tool reviews symptoms of ADHD. ...
- The Child Attention Profile (CAP). ...
- Behavior Assessment System for Children (BASC). ...
- Child Behavior Checklist/Teacher Report Form (CBCL). ...
- Conners Rating Scale.
Rating scales will ask you to score behaviors, typically on a point scale of 0-3 or 4. Usually, 0 means never, and 3 or 4 means very often and the higher the score, the more severe the symptom. Each test has a different way of adding up the scores to determine the likelihood of ADHD.
Adults with ADHD may find it difficult to focus and prioritize, leading to missed deadlines and forgotten meetings or social plans. The inability to control impulses can range from impatience waiting in line or driving in traffic to mood swings and outbursts of anger.
Though brain scans cannot yet reliably diagnose ADHD, some scientists are using them to identify environmental and prenatal factors that affect symptoms, and to better understand how stimulant medications trigger symptom control vs. side effects.
“The hardest thing about ADHD is that it's 'invisible' to outsiders. It's not like other conditions that people can clearly see. People just assume that we are not being good parents and that our child is a brat, when they don't have an idea how exhausted we truly are.” —Sara C.
People with ADHD can be effectively treated without drugs, improving brain dysregulation and help optimize brain function, leading to a reduction and/or resolution of symptoms and improved quality of life.
What is the first line choice for ADHD?
Two medicines, methylphenidate and amphetamines, are the most commonly used stimulants for the treatment of ADHD. Methylphenidate – Methylphenidate (sample brand names: Concerta, Focalin, Metadate, Methylin, Ritalin) is available as a tablet, capsule, liquid, oral disintegrating tablet, or patch (brand name Daytrana).
ADHD is a neurodevelopmental disorder found in children, teens, and adults. Its core symptoms are inattention, impulsivity, and hyperactivity. In an adult with ADHD, symptoms of hyperactivity may be less obvious, but difficulties with inattention, poor planning, and impulsivity may persist.
Though it varies, a typical assessment for ADHD in children or adults may last around one to three hours. Every practitioner conducts the assessment in their own way, but you can expect an in-person interview covering topics such as development, health, family, and lifestyle history.
Our current wait time for Adult ADHD is approximately 6 months* between initial assessment and the start of titration.
- Step 1: Don't Worry About Your Doctor Labeling You. ...
- Step 2: Make a Specific Appointment to Discuss Your ADHD Symptoms. ...
- Step 3: Explain Your Symptoms of ADHD With Real-Life Examples.
Lack of consistency. Toxic communication — such as contempt, criticism, and sarcasm. Controlling behavior and distrust. Abusive — this is also inclusive of emotionally abusive behaviors, such as gaslighting, love bombing, breadcrumbing etc.
- Lack of Exercise. 1/11. If your memory is hazy, your ADHD may be to blame. ...
- Eating Out Often. 2/11. ...
- Too Much Junk Food. 3/11. ...
- Skipping Breakfast. 4/11. ...
- Messy Homes and Offices. 5/11. ...
- Too Much Stuff. 6/11. ...
- The Wrong Meds. 7/11. ...
- Lack of Sleep. 8/11.
Age itself doesn't necessarily make ADHD worse. The way your symptoms show up depends on several factors. The good news is that most adults are able to manage their lives well with therapy and medications.
It's a chronic state of stress related to the struggle to live with ADHD, a stress that breaks down emotional tolerance, stamina, and a sense of wellbeing and spiritual health. The chronic, lifelong nature of ADHD-related stress can increase to become a syndrome akin to post-traumatic stress disorder (PTSD).
Both disorders bring mood problems, forgetfulness, and inability to focus, but there are slight differences. Emotions: ADHD moods are transient, precipitated by a setback. Depressive moods are pervasive & chronic. Motivation: Individuals with ADHD are overwhelmed by deciding what to do first.
Can undiagnosed ADHD cause weight gain?
Merely having ADHD may lead to weight gain. Not being able to control your impulses can lead to junk food cravings and overeating. That can make it easy to put weight on and hard to take it back off.
Having attention deficit disorder (ADD/ADHD) is not an automatic qualification for Supplemental Security Income (SSI), but a documented diagnosis can be helpful if the condition and the impairments are severe enough. ADHD is included in the category of Listed Impairments, under the SSI guidelines.
The Americans with Disabilities Act
The ADA includes ADHD as a recognized disability. For an employee who has ADHD, the act can require the employer to provide reasonable accommodations, as long as it doesn't create undue hardship for the business.
The symptoms may peak in severity when the child is seven to eight years of age, after which they often begin to decline. By the adolescent years, the hyperactive symptoms may be less noticeable, although ADHD can continue to be present.
For instance, among the 18 studies under scrutiny that did not explicitly state an IQ cut-off point the mean range of IQ among individuals with ADHD reported in the studies is from 102 to 110. Given that lower IQ is associated with ADHD this suggests that individuals with ADHD may be inaccurately represented.
The ADHD brain also gets easily consumed. This means ADHD and overthinking kind of go hand in hand. The ADHD brain grasps hold of your thoughts and runs away with them, while emotions keep the engine running.
The cons of undiagnosed ADHD
Untreated ADHD can cause challenges, from impulsive decision-making to difficulty focusing, both of which can seriously impact jobs, academics, and relationships. You may also feel frustration with yourself, or even feel like a failure, but - Plot twist!
ADHD does not get worse with age if a person receives treatment for their symptoms after receiving a diagnosis. If a doctor diagnoses a person as an adult, their symptoms will begin to improve when they start their treatment plan, which could involve a combination of medication and therapy.
Some of these misconceptions include: ADHD only affects children. It's a common myth that ADHD is a condition that individuals will outgrow once they reach adulthood, based on the most prevalent symptom, hyperactivity.
Untreated ADHD in adults can lead to mental health disorders like anxiety and depression. This is because ADHD symptoms can lead to focus, concentration, and impulsivity problems. When these problems are not managed effectively, they can lead to feelings of frustration, irritability, and low self-esteem.
What looks like ADHD but isn t?
If your child seems hyperactive--fidgety, impulsive, and inattentive--don't automatically assume that they have attention deficit hyperactivity disorder (ADHD). Anxiety, depression, learning disorders, physical health, and many other conditions can cause symptoms that look like ADHD but aren't.
“Nobody has perfect memory… but for [people with ADHD], it's extreme. They feel like they're lost all the time,” Almagor said. He believes this is why people don't take ADHD seriously. “I think that's why some people don't respect the severity of what [a person with ADHD] can experience,” he said.
ADHD meltdowns are sudden outbursts of frustration and anger that seem to come out of nowhere. If your child is struggling to control their emotions, there are ways to help them. For children with attention deficit hyperactivity disorder (ADHD), impulsivity can present in many ways.
Inattentiveness and difficulty concentrating may cause fatigue, especially among students and full-time employees working long days. Distractibility and poor focus can cause people with ADHD to quickly lose interest in activities or objects that once gave them pleasure as well.
The symptoms may peak in severity when the child is seven to eight years of age, after which they often begin to decline. By the adolescent years, the hyperactive symptoms may be less noticeable, although ADHD can continue to be present.
These may include hyperfocus, resilience, creativity, conversational skills, spontaneity, and abundant energy. Many people view these benefits as “superpowers” because those with ADHD can hone them to their advantage. People with ADHD have a unique perspective that others may find interesting and valuable.
Being repeatedly misunderstood causes people with ADHD to deeply misunderstand themselves and their situations. Feeling deficient and mistrusting yourself from an early age makes it extraordinarily difficult to properly evaluate yourself as an adult.
Although genetics account for the majority of the risk, Strathearn points out that if we are seeing a true rise in ADHD, it seems likely that environmental factors play a role in the recent rise, “because genetics don't change that quickly,” he says, i.e. over the course of 20 years.
