Recognizing the Signs: Diagnosing Adult ADD and Exploring Treatment Options

By Richard J. Capiola, MD

Attention Deficit Disorder (ADD), now commonly referred to as Attention-Deficit/Hyperactivity Disorder (ADHD), predominantly inattentive type, is a neurodevelopmental disorder that can persist into adulthood. While often associated with childhood, many adults struggle with undiagnosed ADD, facing challenges in their personal and professional lives. Recognizing the signs and seeking proper diagnosis and treatment can significantly improve quality of life for those affected.

Diagnosing Adult ADD
Diagnosing ADD in adults can be complex, as symptoms may manifest differently than in children and can overlap with other conditions. Common signs of adult ADD include:

1. Difficulty concentrating and staying focused
2. Procrastination and trouble completing tasks
3. Forgetfulness in daily activities
4. Poor time management and organizational skills
5. Impulsivity in decision-making
6. Restlessness or feeling “on edge”
7. Mood swings and low frustration tolerance
8. Difficulty multitasking or prioritizing

To receive a diagnosis, adults should consult with a mental health professional, such as a psychiatrist or psychologist, who specializes in ADHD. The diagnostic process typically involves:

. A comprehensive clinical interview
. Review of medical and psychiatric history
. Standardized rating scales and assessments
. Gathering information from family members or
close friends
. Ruling out other potential causes of symptoms

It’s important to note that many adults with ADD have developed coping mechanisms over time, which may mask some symptoms. A thorough evaluation by a professional is crucial for an accurate diagnosis.

Treatment Options
Once diagnosed, there are several treatment options available for adult ADD. A comprehensive treatment plan often involves a combination of approaches:

1. Medication: Stimulant medications, such as methylphenidate or amphetamines, are often prescribed to improve focus and reduce impulsivity. Non-stimulant options, like atomoxetine, may also be considered.

2. Cognitive Behavioral Therapy (CBT): This form of psychotherapy helps individuals develop coping strategies, improve time management skills, and address negative thought patterns associated with ADD.

3. Psychoeducation: Learning about ADD and how it affects daily life can empower individuals to better manage their symptoms and advocate for themselves.

4. Lifestyle modifications: Implementing structure, creating routines, and using organizational tools can significantly improve functioning for adults with ADD.

5. Mindfulness and meditation: These practices can help improve focus and reduce stress associated with ADD symptoms.

6. Coaching: ADD coaches can provide practical strategies for managing symptoms in personal and professional settings.

7. Support groups: Connecting with others who have ADD can offer emotional support and practical advice.

It’s essential to work closely with healthcare providers to find the right combination of treatments, as what works best can vary from person to person. Regular follow-ups and adjustments to the treatment plan may be necessary to achieve optimal results.

While living with adult ADD can be challenging, proper diagnosis and treatment can lead to significant improvements in daily functioning, relationships, and overall quality of life. With increased awareness and understanding of how ADD manifests in adulthood, more individuals are seeking help and finding effective ways to manage their symptoms.

Dr. Richard J. Capiola is the Chief of Psychiatry for Physicians Regional Medical Center.  He received his medical degree from Tulane University School of Medicine and has been in practice for more than 20 years. Call Dr. Capiola today at 239-649-7494.