How to CORRECTLY Diagnose Attention Deficit Hyperactivity Disorder (ADHD) in Adults? - Dr Sanil Rege

In this video, Dr Sanil Rege outlines the clinical evaluation of Attention Deficit Hyperactivity Disorder (ADHD) in adults. He uses a diagnostic hierarchy in his evaluation to ensure other comorbidities are taken into account.
ADHD is a diagnosis of exclusion and requires a longitudinal assessment.
Attention deficit hyperactivity disorder is a neurodevelopmental disorder characterised by inattention, hyperactivity, impulsivity or both. It has traditionally been recognised as a childhood condition.
However, the current population estimations put 4.4 to 5.2% of adults aged 18 to 44 years old as currently suffering from ADHD.
ADHD can impair psychosocial functioning and impair quality of life significantly.
Clinical assessment should be supplemented with questionnaires for the patient including collateral information and childhood history.

Step 1: History Taking
Step 2: Medical Review Including Review of Diet and Lifestyle
Step 3: ADHD Specific Interview if ADHD is suspected

[leoparddog]

I like that you speak at a reasonable speed. So many times when people try to explain things they speak too slowly which makes them impossible to understand as by the time they finish their sentence, I've forgotten how they began.

[meniversal]

imagine going through adhd videos/symptoms but cant even focus on what this shi really is

[CptRoboto]

Man I wish I could see someone like you. Just the attention and care to detail you give in this video is so refreshing. I’m still in the middle of narrowing down diagnosis and am tired of the run around. This seems so thorough and matter-of-fact. I love it!

[haraluppnow]

Had to listen to this at 1.75x, then it was pretty good content!

[lilbrit]

I have c-ptsd and a panic disorder, but was also diagnosed with “long term depression” which I didn’t agree with. I mentioned how I have always been messy, I physically sometimes cannot bring myself to complete a fast like clean, I’m either 0% or 110%, sometimes I take a nap to avoid dealing with things like cleaning etc. Noises cause physical pain in my brain, I feel like my brain moves extremely fast so when people are teaching me something or training me on something I get really frustrated because my brain is already 10 steps ahead of what they’re saying. Work during the week is painful for me, by 9-10am my brain is done. I can’t focus, concentrate and also have to take a nap during my lunch break and also take a nap right after work.
I have pernicious anemia (autoimmune b12 deficiency) that went missed for many years to the point where I was falling over and had severe vertigo. Interesting to hear you talk about those vitamin deficiencies and also estrogen

[HollywoodTarah]

I got overwhelmed by how slow he was talking as soon as the video started because I knew I was not about to pay attention😭 well I guess there’s my answer

[wzwcat]

Great info. I am searching for this info for helping diagnose my patients.

[kracklinkamphyre]

I really liked going through all the other things that could be going on with me. I have an assessment tomorrow for ADHD and am just watching these videos to learn a bit more. I have a hard time admitting I might have ADHD but have to admit that i. I'm definitely losing the battle in certain areas of life and work and if a medication could help me get stuff done that that would be worth while. But I also want to make sure I'm not missing something else, so going over these other possibilities was helpful. I don't think any of them explain away what seem to be true ADHD stuff, but that makes me feel more confident in what it is.

[한을.]

TYSM for the video!!!! It was sooo much information that i craved to know

I'm really exited to watch your other videos

[mermish]

best talk on adhd iv heard, so much info in such little time, thanks for posting

[glassyjosh]

Great stuff I love how thoroughly key points were so well addressed, and always nice to hear words that can confirm the conclusions that I've thought

[Hope-uqvn]

Such a fascinating and comprehensive session on diagnostic factors in ADHD. I am a 54 year old woman with a recent referral for ADHD. Menopause symptoms are similar to ADHD.

[paulcousins]

Absolutely fascinating and i understood you perfectly. And so ruled me out of having adhd.

[en-mainvocalheeseung]

My grades have been flunking for years
I have severe procrastination and zone out often
I can't focus even when I want to, even if I turn off all distractions I still am not able to focus.
Also I tend to complete sentences of other people when in a conversation
When I'm on a one to one conversation, I zone out in between and I have to bring myself back to listen to the person
I forget things very very often, and I think it is because of the lack of focus
For me sleep does not come at night even when I'm tired maybe because I think alot before sleeping and even if I've slept well I want to sleep again in the afternoon, sometimes I think I have narcolepsy
I am 23 and this has been going on for 7 years
Should I go see a doctor if I have ADHD ?

[lucyking]

As someone working within an adult ADHD service this video is excellent and informative - thank you.

[pongop]

Excellent lesson. Thank you! I am trying to determine whether I have anxiety or ADHD (comorbid with anxiety). This is helpful and gives me other related issues and diagnostic procedure to consider. After watching this, I just found your video on Generalized Anxiety Disorder, so I will check out that next!

[AK-vxdy]

My head spins around...
I have much respect to you that you can discriminate this symptoms!

[eirini]

Wonderful professor and psychiatrist. I learned a lot, and the video actually confirmed a lot of what I have been thinking about in relation to ADHD.

I have ADHD and OCD, but lisdexanfetamine lifts my OCD to the point that I can finally function in life. Before, I would be paralysed by compulsions for hours every day. I'm not sure if this is widespread, but what you said about the link between dopamine and OCD really touched me. I hate SSRIs and I refused to take them anymore as they made me feel worse.

My ADHD diagnosis led to the prescription of Vyvanse, and over a year later I'm still experiencing the benefits of productivity, low impact of OCD on my everyday life, better relationships, etc.

After all this, my question is whether the link between dopamine and OCD is widely accepted among psychiatrists, and if it is, why are people mostly restricted to SSRIs or SNRIs?

[leen]

I've been living and struggling with ADHD since early childhood, spent years with medication and therapy, and yet I still learned so many new things from your video that might help me make an actual difference in the future... very well done, thank you so much.

[Littlemouse_]

Being a girl or a woman makes it almost impossible for you to be properly diagnosed honestly. I had several reports from the school psychologist pointing my inhability to pay attention or focus + all the trouble in class with teachers and no one ever considered it. Now I am 29 and I’ve had all kinds of difficulties in every aspect of my life that could have been avoided or controlled better…