Clinical Approach to Diagnosis of Adult ADHD (Attention Deficit Hyperactivity Disorder)

Posted on: February 7, 2021
Last Updated: February 25, 2022

Dr Sanil Rege is a consultant psychiatrist and founder of Vita health care, a boutique mental health clinic in Mount Eliza, Victoria.

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

Read more about the neurobiology of ADHD

A detailed article on Diagnosis and management of Adult ADHD.