Clinical psychologist Thomas Brown tells why middle-aged women suddenly develop ADHD, why brain imaging is worthless in diagnosing the condition, and why many doctors just don’t understand attention deficit.
I teach in medical school, and if doctors get an hour of lecture on ADHD, that’s a lot. There are people with ADD who suffer from the fact that their doctor doesn’t have the training or experience to recognize ADD or comorbidities when they see it — or to be skilled enough to make the necessary fine-tuning of medication in order for it to be effective.For a lot of people, ADHD symptoms are invisible until after — sometimes well after — the age of seven.
Can a doctor diagnose ADD in 15 minutes? And if an adult or a child receives a quick diagnosis for ADD, would you be suspicious of the doctor? I can’t diagnose ADD in 15 minutes. If a doctor talks with you for 15 minutes and reaches for the prescription pad, alarm bells should go off. I typically spend a couple of hours with my patients in the initial interview. I ask a lot of questions and listen carefully to the answers. I get a detailed history, but I do it in a semi-structured way. What’s more, it’s not just a matter of looking for ADD.
None. ADD is not a structural problem in the brain. It’s primarily a chemical problem. There are certainly some structural differences that brain imaging shows — this part of the brain is a little smaller than normal and that part is a bit bigger. Brain imaging is a snapshot of the brain’s structure that is taken in a fraction of a second and tells you nothing about whether a patient has ADD.
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