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

It's great that you're taking steps to understand yourself better and explore the possibility of ADHD as an adult. Getting a proper diagnosis is the first crucial step.

Here’s a general guide on how to pursue an adult ADHD diagnosis, including specific brands and services that can help you find the right professionals:

1. Start with Your Primary Care Physician (PCP)

Your family doctor or internist is an excellent first point of contact.

• Why: They can rule out other medical conditions (like thyroid issues, sleep disorders, or vitamin deficiencies) that might mimic ADHD symptoms. They can also discuss your general health, mental health history, and provide a referral to a specialist if needed.
• How to find one:
  • Your insurance provider's website: Look for a directory of in-network providers.
  • Zocdoc: This platform (available as an app and website) allows you to find doctors in your area, read reviews, see their availability, and book appointments online. You can filter by insurance and specialty.

2. Seek a Specialist for Diagnosis

ADHD diagnosis in adults typically requires a comprehensive evaluation by a mental health professional specializing in adult ADHD. These can include:

• Psychiatrists (MD): Medical doctors who specialize in mental health and can diagnose and prescribe medication.
• Clinical Psychologists (Ph.D. or Psy.D.): Mental health professionals trained in psychological assessment and therapy. They can diagnose but cannot prescribe medication (though they can work with a psychiatrist who can).
• Neurologists (MD): While less common for primary diagnosis, they may be involved if there are other neurological concerns.
• Specialized ADHD Clinics: Some centers focus specifically on ADHD diagnosis and treatment.

What the diagnostic process usually involves:

• A detailed interview about your current symptoms and how they impact your life.
• A review of your developmental and medical history, including childhood experiences.
• Questionnaires and rating scales (for yourself and sometimes family members).
• Potentially neuropsychological testing.
• Ruling out other conditions that might present similarly (e.g., anxiety, depression, bipolar disorder).

3. Finding a Specialist: Specific Brands and Services

Finding the right specialist often involves a combination of your PCP's referral and your own research.

• Online Directories for Mental Health Professionals:

  • Psychology Today: This is an excellent resource. You can search for psychiatrists, psychologists, and therapists in your area, filter by insurance, and importantly, filter by "ADHD" as a specialization. Most profiles provide detailed information about their approach and contact details.
  • Your insurance provider's directory: Again, always check their list of in-network providers to minimize out-of-pocket costs.

• Telehealth/Online ADHD Assessment Services (Use with caution and research thoroughly):

  • These platforms offer convenient access to assessments, often from home. However, it's crucial to ensure the service is reputable, the providers are licensed in your state, and they conduct a thorough assessment, not just a quick screening.

  • DoneFirst: Specializes in ADHD diagnosis and ongoing care via telehealth. They aim for comprehensive evaluations.

  • ADHD Online: Another service dedicated to adult ADHD diagnosis and treatment plans through online assessment.

  • Talkiatry: Connects you with psychiatrists for various mental health conditions, including ADHD, via telehealth.

  • Teladoc Health: A broader telehealth platform that offers psychiatric consultations, which can include ADHD assessments.

  • Important Note on Telehealth: While convenient, some individuals and professionals prefer in-person assessments for their depth. If you choose a telehealth service, ensure they gather a comprehensive history (including childhood), interview family members if possible, and rule out other conditions effectively. Look for services with strong reviews and transparent processes.

• Local University Hospitals or Medical Centers: These institutions often have psychiatry departments or specialized clinics that focus on adult ADHD. They tend to have experienced professionals and robust diagnostic protocols.

4. What to Prepare For Your Appointment

• Detailed notes: Jot down specific examples of how ADHD symptoms affect your daily life (work, relationships, organization, focus, impulsivity) both currently and historically (back to childhood).
• Childhood history: Talk to parents or guardians about your behavior in school and at home as a child. Old report cards or school records can also be helpful if you have them.
• Medical history: Bring a list of any current medications and past diagnoses.

Remember, getting a diagnosis can take time, and finding the right professional might require a few attempts. Be patient with the process, and advocate for yourself. A diagnosis is a powerful tool to help you understand your brain better and access appropriate support and strategies.