I have a curiosity with understanding Adult ADHD. I think I would have been a good candidate as a child. I have developed some coping mechanisms, but I feel there are a lot of underlying symptoms. What would be the first or best steps in testing/treating?

Attention-deficit/hyperactivity disorder (ADHD) seems to be receiving a lot of attention these days in the press, although I only hear about it occasionally from patients. ADHD is increasingly diagnosed in children. Some of the children with ADHD may continue to have symptoms as an adult.

There is no easy way to make the diagnosis. There is a list of typical symptoms. If there are enough symptoms that have been present for a substantial period of time, have started in childhood and are interfering with someone’s life, then the diagnosis can be made.

While some primary care doctors may be knowledgeable about ADHD, I suspect that most will ask a patient to see a psychiatrist or psychologist to evaluate an individual.

If a diagnosis of ADHD is made or suspected, then several medications may be recommended including various types of amphetamines and some other medications that are mostly used for depression.

I would suggest that you start with your primary care physician to discuss your concerns. He or she may suggest further evaluation. You might also consider if you are perhaps coping well enough and if you would be willing to take ongoing medications.

Thanks very much for your question.

Dr. Joshua Rassen

-- Joshua Rassen, MD, is a board-certified internist and geriatrician in northern California. He has a private practice in geriatrics and internal medicine and is the Chief of the Division of General Internal Medicine at California Pacific Medical Center.

First published March 30, 2005
Copyright © 2005 Consumer Health Interactive