I think I have ADHD as an adult. How do I get diagnosed?

To get diagnosed with adult ADHD, you should schedule an evaluation with a licensed mental health professional or physician (such as a psychiatrist, clinical psychologist, neurologist, or family doctor) who specializes in ADHD: [1][5][7].

Key Steps in the Diagnosis Process

1. Initial Consultation and Screening

   • Start by talking to your primary care provider. They can perform an initial screening using validated tools like the Adult ADHD Self-Report Scale (ASRS) or refer you to a specialist: [1][4][6].
   • Be aware that online tests are not diagnostic; they only indicate if you should follow up with a professional: [4].

2. Comprehensive Clinical Evaluation

   • The evaluation typically requires at least two visits to explore symptoms, confirm persistence, and rule out other conditions: [1].
   • You will undergo a thorough review of your personal, medical, and psychiatric history from childhood to the present: [3][5].
   • Childhood onset is required: Several symptoms must have been present before age 12. This often requires corroboration from a parent, spouse, or other informant: [1][3][5].

3. Diagnostic Criteria (DSM-5)

   • To be diagnosed, an adult must present with at least five symptoms of inattention and/or hyperactivity/impulsivity: [1][4].
   • These symptoms must persist for at least six months: [1][4].
   • Symptoms must cause measurable impairment in at least two settings (e.g., work and home): [1][4][5].
   • The diagnosis must not be better explained by another condition (e.g., anxiety, depression, sleep disorders, or learning disabilities): [1][4][7].

4. Collateral Information and Testing

   • Clinicians often seek collateral information from spouses, partners, or colleagues to confirm current dysfunction: [1][3].
   • If there are concerns about learning disabilities or the timing of onset, a referral to a neuropsychologist for specialized testing (e.g., vigilance tests) may be recommended: [2].
   • There is no single medical test (blood test, genetic test, or brain scan) to diagnose ADHD; it is determined entirely by clinical evaluation: [2][4][5][7].

Recommended Professionals to Contact

• Psychiatrists (medical doctors specializing in mental health): Prescribe medication and diagnose.
• Clinical Psychologists: Provide extensive testing and diagnosis.
• Neurologists: Specialize in brain-related disorders, including ADHD.
• Family Doctors or General Practicians: Can screen and refer to specialists: [1][5].

Action Item: Contact your health insurance provider or use a directory like CHADD.org or the Attention Deficit Disorder Association (ADD.org) to find a specialist in your area who evaluates adult ADHD: [5][4].