Why ADHD Is a “Fuzzy Diagnosis”

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There is no single test that can diagnose ADHD. The most crucial part of an evaluation is an extensive conversation among the ADHD expert, parents, and child.

is less helpful.An ADHD diagnosis in adulthood emerges only from a careful clinical interview. Experts agree that an adult needs to meet only four of the nine criteria to signal that he may have ADHD. “Thefinally addresses ADHD in preschoolers, opening the door for an ADHD diagnosis in children as young as 4. For younger children, “you want to

Susan Scarpiello first saw her pediatrician when her son, Frank, began having difficulty following directions and interacting with his peers, at the age of 7. After discussing her son’s problems, Scarpiello filled out a rating scale, and it was quickly determined that Frank did indeed have ADHD. Without hesitation, the pediatrician prescribed stimulant medication.

This wouldn’t be unusual. “Over 80 percent of kids with ADHD have a second disorder, which really complicates the diagnosis of ADHD,” says Russell Barkley, Ph.D., a clinical professor of psychiatry and pediatrics at the Medical University of South Carolina. Anxiety, mood disorders, and learning disorders often go along with ADHD.As Scarpiello is finding out, determining whether a child with ADHD has a secondary disorder isn’t straightforward.

In clinical trials, the NEBA system has shown that the ratios of particular brain waves are different in children with ADHD. The device has not been tested on adults, and many experts doubt the test’s utility. “The field has been through a number of these machines that purport to work, but anyone who’s been in this for a while will always be skeptical,” says Dodson.

, score children on their ability to follow along with simple computer games. While these tests are good at measuring attention to a particular game, Brown worries that some children with ADHD are good at playing games. “I’ve seen 1,000 children and adults with ADHD who have no difficulty playing video games, but they can’t sit still in math class,” he says.

 

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