No evidence ADHD is being over-diagnosed, say experts

https://lemmus.org/post/20644289

My cousin was diagnosed by a brain scan. She signed up to be part of a clinical trial for something else, got kicked out of the trial because her fMRI showed she had ADHD.

So if we can literally scan someone’s brain and diagnose them from a picture instead of all these vague “describe your symptom” guessing… why don’t we?

It’s quite costly to run an fMRI. Not needed if you can get the same results more or less from a questionnaire.

In my professional experience, it can be hard to tell between ADHD symptoms and CPTSD symptoms. The checklist is not a great way to diagnose people. We usually do a lot more assessments, I also use a computerized test to measure reaction time and error commission.

I wish we (therapists) at least had the option to order an MRI or recommend a doctor orders one in difficult cases (I can do the latter but they will just laugh at me).

Wait, is there an actual chance to “see” ADHD in an MRI image? I was under the impression that we can’t do that (yet) and the only way to diagnose was through questionnaires, attention testing and such. That’s what I was told by the doctor who ultimately diagnosed me two years ago

Like @[email protected] said, it would need to be an fMRI, which is primarily used in research as far as I know. And while it alone could not tell you definitively “this person has ADHD,” it could help rule out other conditions (like TBI, which can also present similar to ADHD). Ultimately, your doctor is right that a standard MRI cannot diagnose it.

I like to combine the checklist with interviews (like DIVA, Diagnostic Interview for ADHD in Adults) and computerized continuous performance tests, like QBTest. Of course, there is also a lot of observation and sometimes even asking humorous questions, like “Do you have The Chair^TM^ at home?”

The Chair^TM^

@yucandu - Lemmy.World

Lemmy

Yes except the chair is the floor 😭
Thank you very much for the insight! I have had The Chair for as long as I can remember :)