ADHD diagnostic criteria are important to observe. What questions during ADHD diagnostic evaluation are often missed? Is it possible to diagnose attention deficit hyperactivity disorder by remote consultation? Leading expert on holistic treatment of ADHD discusses how to follow diagnostic criteria for ADHD.
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ADHD diagnostic criteria. Definition of ADHD diagnosis. Dr. Anton Titov, MD. Video interview with top expert in holistic treatment of ADHD. ADHD Without Drugs. Dr. Sanford Newmark interview. What are diagnostic criteria for ADHD? Standardized forms that help teachers and parents to diagnose ADHD are very limited. Child with suspected ADHD should be referred to ADHD pediatric neurologist. Evaluation of ADHD takes time and patience. Many kids do not need ADHD medications (stimulants) because they have no ADHD. Sleep apnea can cause ADHD-like symptoms. ADHD diagnostic criteria have to be followed by all doctors. Dr. Anton Titov, MD. Medical second opinion in ADHD diagnosis helps to make sure treatment is correct. Behavioral problems at school can be misinterpreted as ADHD. Bad fit between child and teacher can be mistaken for ADHD. Specialist needs to take time to evaluate the situation. Video interview with top expert in pediatric attention deficit hyperactivity disorder (ADHD, ADD) and autism. Medical second opinion confirms that ADHD diagnosis is correct and complete. Children are over-diagnosed with ADHD if ADHD diagnostic criteria are ignored. Medical second opinion also confirms that ADD treatment is required. Medical second opinion helps to choose the best treatment for autism and ADHD. Get medical second opinion on ADHD and autism spectrum disorder and be confident that your treatment is the best. ADHD diagnostic criteria. Dr. Anton Titov, MD. This brings us to the question. What are the diagnostic criteria for ADHD? What is the minimal testing necessary to establish ADHD diagnosis? Many children can be characterized as having a certain impulsivity or certain inattention. As you previously mentioned, ADHD is a spectrum. Almost all cases of ADHD fall alongside this spectrum of inattention and hyperactivity. Dr. Anton Titov, MD. What are the minimal diagnostic criteria for ADHD? Dr. Sanford Newmark, MD (Integrative Medicine ADHD specialist, UCSF). The minimal diagnostic criteria for ADHD is inattention and hyperactivity. But you don’t have to have the hyperactivity and impulsivity. Hyperactivity and impulsivity causes impact both at home and at school. That is really the definition. Dr. Anton Titov, MD. How do you figure out if that’s true? It’s all history. There is no lab tests or MRI or any other tests that are necessary for the diagnosis of ADHD. It’s very subjective. We do have these kind of standardized forms that teachers and parents will fill out. There is the CADDRA form and the Vanderbilt form. Forms ask a number of questions about these ADHD-related traits. Dr. Sanford Newmark, MD. Does your child have trouble focusing? Does your child lose things all the time? Is your child disorganized? Is he always getting up from his seat? Then for each these forms there is standardized grading criteria. That should be part of ADHD work up. But it’s not the whole thing. But forms are very subjective. Dr. Anton Titov, MD. Is it possible to diagnose ADHD by remote consultation? Or perhaps for specialists such as yourself to assess somebody else’s evaluation of a child? Can you arrive to the certainty of the ADHD diagnosis by consultation online or remotely? Can you refute the diagnosis of ADHD by remote consultation? Because you mention a lot of ADHD is over-diagnosed or misdiagnosed. Dr. Sanford (Sandy) Newmark, MD. To a certain extent you could diagnose ADHD remotely. Sometimes you had the time to talk to not only with the child, but also to the parents, teachers. You may talk to other people who interact with the child. There is a certain value in seeing a child. The second part of your question is really interesting. The specialist might be able to help very much here. ADD expert can make sure that kids aren’t over-diagnosed with ADHD. ADHD specialist can help by looking at what’s been done and saying. “Oh, wait, did you ask about that? or, what about this problem? or… You forgot to ask this. Are they sleeping at night?” For example, sleep apnea can cause ADHD sometimes. Sometimes you are obstructed from big tonsils and adenoids, allergies and you don’t sleep well – that can look like ADHD. You can find that out. You can then assess whether a child has been asked that question. Whether a physician has looked at that issue. You can assess if the ADHD diagnosis has been made carefully or not. Dr. Anton Titov, MD. Such questions are perhaps the part of the standardized questionnaires that is used in the ADHD diagnosis? Dr. Sanford Newmark, MD. No, they are not part of standardized questionnaire. The standardized questionnaires only focus on the behavioral traits that are diagnostic of ADHD. They don’t ask about those other things, unfortunately. Dr. Anton Titov. Carefully constructed history is the mainstay of the ADHD diagnosis. It remains so. Dr. Newmark. Exactly! ADHD diagnostic criteria. Video interview with top expert in holistic ADHD treatment. Dr. Anton Titov, MD. What are exact criteria for ADHD diagnosis? Sleep apnea masks as ADHD.