ADHD Evaluation and Medication Management in Virginia DMV

Attention Deficit Hyperactivity Disorder (ADHD)

What is ADHD?

ADHD (Attention Deficit Hyperactivity Disorder) is a condition that affects how a person thinks, focuses, and controls their behavior. It is most commonly diagnosed in childhood, though symptoms often continue into adulthood. ADHD can also be diagnosed in adulthood. People with ADHD may have trouble sitting still, paying attention, or following through with tasks. They might act impulsively or get distracted easily.

Attention-Deficit Hyperactivity Disorder (ADHD) can significantly impact work and school performance, and interfere with interpersonal relationships. Symptoms are usually present from childhood and can include difficulty with focus and concentration, impulsivity, learning/processing difficulties, disorganization, and hyperactivity.

If any of this sounds familiar, it may be time for a formal evaluation.

With treatment, people with ADHD can be successful in school, work and lead productive lives. Researchers are using new tools such as brain imaging to better understand the condition and to find more effective ways to treat and prevent ADHD.

For more information visit National Alliance on Mental Illness (NAMI).

Types of ADHD

ADHD is commonly classified into three types, based on the symptoms that are most evident in an individual. These types are:

  1. ADHD, Inattentive Type
    People with this type primarily struggle with inattention. They may have difficulty focusing, staying organized, or completing tasks. Symptoms include being easily distracted, making frequent mistakes due to carelessness, forgetfulness, struggling with executive function tasks, difficulties staying focused on tasks or conversations, difficulties with organization, and trouble remembering and following through with instructions or processes.

  2. ADHD, Hyperactive-Impulsive Type
    In this type, hyperactivity and impulsivity are the dominant features. People may act without thinking, have difficulty sitting still, fidget constantly, have difficulties waiting, and may talk excessively or interrupt others frequently.

  3. ADHD, Combined Type
    This is the most common type of ADHD, where both inattentive and hyperactive-impulsive symptoms are present. People with combined type ADHD show a combination of inattention (difficulty focusing, forgetfulness) and hyperactivity/impulsivity (impulsive actions, fidgeting) symptoms.

Colorful craft decorations on a green surface, including pipe cleaner spirals in blue, pink, green, and yellow, flower-shaped cutouts, and a foam cutout of a white head with multicolored letters.

ADHD Signs and Symptoms in Adults

While children tend to show hyperactivity and impulsive behaviors, adults with ADHD may experience difficulties with focus, organization, time management, and emotional regulation. Some signs and symptoms include:

  • Difficulty concentrating: Adults may have trouble staying focused during work meetings, conversations, or while reading.

  • Easily distracted: They may get sidetracked by external stimuli or stray thoughts, making it hard to complete tasks.

  • Poor time management: Chronic lateness, missed deadlines, or procrastination are frequent issues.

  • Forgetfulness: Forgetting appointments, commitments, or daily tasks like paying bills or returning phone calls.

  • Disorganization: Problems with keeping track of important documents, tasks, or items, often resulting in a cluttered workspace or home.

  • Feeling restless: A constant need to move, whether it’s fidgeting, tapping, or pacing, especially when expected to sit still for long periods.

  • Difficulty relaxing: Adults may find it hard to unwind or stay calm, often feeling like they need to be doing something constantly.

  • Impulsivity: Making hasty decisions without thinking through the consequences, such as spending money impulsively, acting without considering risks, or interrupting others in conversations.

  • Interrupting conversations: Adults may frequently interrupt others or struggle to wait their turn in discussions.

  • Risk-taking behaviors: Engaging in impulsive behaviors, such as risky driving, substance abuse, or gambling.

  • Difficulty in maintaining relationships: Impulsive or reactive behaviors, such as being quick to anger, can strain personal and professional relationships.

  • Low frustration tolerance: A tendency to get easily frustrated or upset over minor issues.

  • Mood swings: Rapid changes in mood, such as feeling elated one moment and deeply discouraged the next.

  • Chronic stress: Feeling overwhelmed by daily tasks, which can lead to anxiety or depression.

  • Chronic procrastination: Avoiding tasks until the last minute, leading to rushed, incomplete, or poor-quality work.

  • Underachievement: Despite being capable, adults with ADHD may underperform in their careers or personal lives because of difficulties with focus and organization.

  • Frequent job changes or issues with employment: A pattern of switching jobs or struggling to maintain a consistent work routine due to issues with time management or focus.

Diagnosing ADHD

ADHD is diagnosed through a comprehensive process that involves gathering detailed information from multiple sources and using standardized evaluation tools. The process differs slightly between children and adults but generally includes similar steps.

Diagnosing ADHD in adults can be more challenging because many individuals with ADHD were not diagnosed as children, and symptoms may be more subtle or masked by coping strategies. The process may include clinical interviews, self-report questionnaires, collateral information from family members, psychological testing, and ruling out other mental health conditions.

Treating ADHD

The treatment of ADHD typically involves a combination of behavioral therapies, educational interventions, and, in many cases, medication (stimulant, non-stimulant medications). Treatment is individualized, with the approach depending on the age of the individual, the severity of symptoms, and any co-existing conditions. In addition to medical treatment and therapy, certain lifestyle changes can support the treatment of ADHD such as regular physical exercise, a healthy diet, getting enough sleep, and practices such as meditation and mindfulness may help individuals with ADHD improve focus and reduce stress.

Colorful jigsaw puzzle pieces on a pastel background, including pink, blue, peach, and lavender pieces with some featuring a small heart.

How does it work?

  1. Request an Appointment here.

  2. We will discuss your symptoms and medical history.

  3. We will discuss treatment options.

  4. Medication will be prescribed as appropriate an sent to your local pharmacy.

  5. Once you are stable we will meet regularly for follow up to make sure you stay on the right track.

GRACE PSYCHIATRY

Ready to get started?