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Avoiding ADHD Diagnosis Affects Life Satisfaction

People may avoid going to the doctor when they fear what the medical test results may reveal. Other times they may avoid seeking treatment for troubling conditions or concerns that they are experiencing. When an issue or problem is suspected, seeking help or treatment is often delayed and sometimes never sought. With adults, avoiding ADHD diagnosis and treatment, even when they feel they may have ADHD, is a common occurrence.

Avoiding ADHD Diagnosis Impacts Whole Life

For those who think they have “a little” ADHD, or feel they have ADHD that is “not too bad,” it is difficult to understand and see the full extent of how their symptoms are impacting their lives and the lives of those around them. While recognizing they may have a “little issue,” they may not realize how diagnosis and treatment for adult ADHD can potentially be life-changing, life-improving and allow greater life satisfaction.

Reasons for Avoiding ADHD Diagnosis

There can be any multitude of reasons for avoiding ADHD diagnosis and treatment, however some of the more common explanations include:

  • Belief that treatment will not improve your life very much
  • Thinking that symptoms are not that bad or if they tried harder their symptoms would go away
  • Feelings that their symptoms are normal as they are used to living with their symptoms
  • Previous bad experience with mental health professionals – either through personal opinions or through listening to others giving their own opinions
  • Thoughts of appearing weak or crazy for seeking mental health treatment
  • Telling yourself, “I’ll get to it later,” but that time never comes around
  • Feeling that the only treatment option is long-term medication and want to try managing the ADHD on their own
  • Other personal, family, or cultural reasons that interfere with decision to work toward positive changes through diagnosis and treatment

Avoiding ADHD Diagnosis Keeps Problems in Place

While there can be many reasons to delay or avoid mental health evaluation for possible adult ADHD diagnosis, it is important to remember that the problem will not go away on its own. The benefits gained from accurate diagnosis and treatment may continue to be missed, and the life struggles currently impacting on you and your loved ones will continue to interrupt and challenge on a day-to-day or week-to-week basis.

Adult ADHD Psychiatrist in Atlanta

Gaining insight into an accurate diagnosis along with seeing what your life could be like without the interference of ADHD symptoms will allow you to make an informed decision as what is right for you and your life. Call Dr. Hege for a complete comprehensive evaluation and discussion of a treatment plan individualized to meet your needs and lifestyle.

Multiple Psychiatric Diagnoses Need Skilled Management

Research data has shown that while approximately one out of every five Americans experience a mental health disorder, approximately 45% of those numbers have multiple psychiatric disorders, meeting the criteria for two or more mental health disorders. Multiple psychiatric disorders may occur at the same time or one after the other, with the combination often worsening the disease course, symptoms and complaints.

Multiple Psychiatric Disorders Also Known as Comorbidity

Having more than one medical illness is also known as having comorbidity or a comorbid condition, a fairly common occurrence. As an example, it is often found that many adults with substance abuse issues are nearly twice as likely to also experience mood and anxiety disorders; and vice versa. While substance abuse disorders commonly occur with other mental health issues, it does not mean that one causes the other even if one of the problems appeared first.

Multiple Psychiatric Illness a Challenge to Treat

Those who are diagnosed with multiple psychiatric disorders make treatment challenging. Adults in this group very often require higher doses of medication, longer periods of medication prescribed, and may be more resistant to treatment overall. It takes a skilled psychiatrist to make the correct multiple diagnoses and one experienced enough to accurately plan and strategize a successful treatment approach.

Multiple Psychiatric Disorders Evolve Over Time

Having one mental illness can change your life and the way you interact at home, on the job and socially. Having to live life with two or more mental illness disorders make everyday life more difficult and often impossible for many. Mental health diagnoses can evolve and change over time where combinations of issues can manifest in a variety of ways making a diagnosis even more difficult.

Examples of Evolving Multiple Psychiatric Disorders

There is no one set combination of multiple mental health disorders. Having one psychiatric illness such as PTSD for example can evolve into Social Anxiety Disorder, addictive disorders, Generalized Anxiety Disorder, eating disorders, and so on. A diagnosis of Major Depression may also be impacted by cocaine or alcohol addiction, panic disorder, or poly-drug abuse. The combinations that impact one’s life vary with severity, and degree of impairment with the multiple disorders each be severe or mild, or one more severe than the other; in addition the severity or impact of both or one can also change over time.

Multiple Psychiatric Diagnostic Psychiatrist

Diagnosis and treatment is often difficult to get right. Finding the psychiatrist that is able to evaluate and treat for multiple mental health diagnoses is critical in the development of the right plan for you. Call Dr. Hege for a convenient confidential appointment and comprehensive evaluation of your individual concerns.

ADHD Spectrum Disorders Make Life Challenging

ADHD spectrum disorders affects 4% to 5% of adults. The disorder presents a number of ongoing challenges for individuals. Some of the traits associated with the disorder can undermine a person’s best of intentions throughout normal life situations. ADHD is divided into three different types: inattentive type, hyperactive-impulsive type, and combined type.

ADHD Inattentive Type

Being diagnosed with the predominantly inattentive subtype of ADHD, which is also called ADD (attention deficit disorder) finds more women than men falling into this category. This type of ADHD/ADD spectrum disorder is often missed by professionals without the background and experience to recognize the more subtle symptoms and complaints.

ADHD Hyperactive-Impulsive Type

For those with the hyperactive-impulsive type of ADHD, all aspects of their life are typically challenged due to problems with focus, restlessness, forgetfulness, organization, distractibility and memory issues. Receiving a comprehensive evaluation by a mental health professional can accurately pin-point if this type of ADHD is the problem or if another diagnosis is discovered.

ADHD Combined Type

The most common type of ADHD is the combined type, characterized by inattention, distractibility, hyperactive and impulsive behaviors. For those with the combined type, they may find they are full of ideas, yet impatient and restless where plans and thoughts become lost and never fully realized. The symptoms and complaints with this diagnosis may vary widely and as with the other sub-types of ADHD, the treatment plan depends on an accurate and complete diagnosis.

ADHD Disorder Symptoms

Some of the more common complaints and symptoms of ADHD spectrum disorder follow. ADHD/ADD is not just a black and white diagnosis. All the symptoms fall on an ADHD spectrum where some traits may be a constant challenge for you, others less often, or rarely:

  • Poor attention to detail and making simple errors due to not paying attention or rushing things
  • Easily distracted; struggle to finish long or complex tasks; trying to work on several things at once; feeling disorganized at home or work; noise and activity distracting; tend to daydream; is absent-minded
  • Poor listening skills; tune out during a conversation; lose track of what you are talking about
  • Do not follow instructions well, jumping in without reading directions or guide; difficulty sticking to routines, schedules or plans; dislike repetitive tasks
  • Often misplace or lose common items like a phone, keys or remote; work space is often cluttered; often forgetful and lose track of what is being worked on; buy things already owned forgetting you have it
  • Feel restless and often fidget; often feel the need to get up and move around; very difficult to sit still and listen quietly
  • Difficulty with waiting your turn; often blurt out thoughts and ideas; interrupt and intrude when others are talking; often very talkative and dominate the conversation
  • Hard to unwind and relax; falling asleep is difficult; feel like you are driven by a motor and often go, go, go, until crashing
  • Easily bored and often move on from one idea to another, one job to another, one hobby to another

ADHD Spectrum Disorder Psychiatrist

Life is challenging enough without ADHD. Call Dr. Hege for a comprehensive evaluation for an ADHD spectrum disorder diagnosis. Correct treatment depends on an accurate diagnosis. Call the office today for an appointment.

New Year’s Resolutions Include Mental Health

It is time once again to start thinking about setting New Year’s resolutions. While most people plan to work on or accomplish many great goals which include weight loss, working out, eating healthier meals, or quitting smoking for example, few think about setting mental health New Year’s resolutions.

Mental Health New Year’s Resolutions

Working to achieve or improve one’s own mental health is as equally important as becoming physically healthier. In fact, becoming more mentally clear, stable, or generally “happier” in life can have an impact on general health and feelings of well-being. It may seem easier to stop smoking, find a new job, make new friends, lose weight, or achieve any other goal you are working toward when your mental health is at its optimum level.

Changing “I Should” to “I Would Like”

With the New Year upon us it is a great time to take stock of how you are doing, or how you are feeling, as well as looking at where you may like to make a change. Mental health resolutions are positive goals – think of any changes you want to achieve as “I want to be,” or “I would like to be.” Avoid telling yourself that you “should” do this or you “should” do that as you are working to improve an aspect of your life, not judging current behaviors.

New Year’s Resolutions About You

When thinking about what resolutions to work on in the new year, make your mental health a priority. While losing weight or quitting smoking are very positive goals, remember that your mental health can make a big difference on how you and your family enjoy the new year together.

Mental Health Psychiatrist

Do something nice for yourself – make an appointment where any mental health issues you may be experiencing can be accurately evaluated and treated. Call the office for a convenient confidential appointment and put all your new year resolutions on the positive track to live better and feel better.

Mental Illness Affects 1 in 4 Americans

According to a report in the New England Journal of Medicine, the number of Americans experiencing at least one episode of mental illness over the past year continues to rise, up to 46%. The National Institute of Mental Health published a statement that 25% of North Americans suffer from a diagnosable mental condition. Along with a rise of those with a mental health disorder is a documented increase, of up to a third, in the number receiving treatment.

Global Mental Health Conditions

The most common mental health disorders which are diagnosed globally include anxiety, addiction, eating disorders, depression, ADD/ADHD spectrum, bipolar disorder, insomnia, and schizophrenia. Recent studies show that mental disorders and substance abuse are the leading cause of non-fatal illness worldwide.

Mental Illness Criteria

Looking at the criteria established by the American Psychiatric Association (APA), research of the National Institute of Mental Health found that 46% of adults were found to have at least one mental illness within the categories of anxiety disorders, mood disorders, impulse-control disorders, and substance use disorders. While the percentage indicates those with at least one disorder, most met the criteria for more than one diagnosis.

Common Mental Illness Categories

The mental illness categories reviewed fall into four broad groupings, with American adults having at least one, if not more, mental health disorder within one of these four categories at some point in their lives.

  • Anxiety Disorders including all types of anxiety, phobia, PTSD
  • Mood Disorders which include major depression and bipolar disorders
  • Impulse-Control Disorders which include various behavioral issues, ADHD
  • Substance Use Disorders including alcohol and drug abuse

Mental Illness Diagnosis and Treatment

Receiving an accurate diagnosis and treatment for your mental illness can change your daily struggles into living your life with a positive outlook and plan. Call Dr. Hege for a convenient appointment that meets your busy life schedule.

Neurofeedback Treatment Options for ADD/ADHD

Neurofeedback, or EEG Biofeedback, is a useful adjunct tool being used in the treatment of ADD/ADHD, depression, anxiety, and other mental health issues. Neurofeedback is a learning strategy where a person is taught to alter their brain waves or electrical activity so that new brain wave patterns are produced that are more “in line” with those seen in individuals who do not have a mental health diagnosis or disability.

Neurofeedback and Therapeutic Applications

Use of neuro or EEG biofeedback has been extensively researched with findings freely shared with the professional community. Clinical reports show that neurofeedback has been effective as a therapeutic tool with:

  • ADHD/ADD
  • Addiction disorders
  • Anxiety disorders
  • Depression
  • Sleep disorders
  • Numerous other mental health issues and concerns that affect personal happiness, work, family, or social relations

Common Procedure for Neurofeedback

The use of EEG biofeedback or neurofeedback is painless and non-invasive. Sensors are placed on the scalp and on both ears. Brain waves are measured with use of an amplifier and a computer-based instrument that processes the brain activity and then provides the proper feedback. As the brain responds to the training and cues given, new learning takes place where new brain wave patterns are established in response to the stimuli given.

Successful Outcomes of Neuro or Biofeedback

The brain is able to use the training and feedback to make adjustments and improve its own performance, with the ultimate goal of changing the brain patterns to those comparable of those without a mental health disturbance. Training is a learning process and results occurs gradually. Progress may be seen or felt in 10 sessions, with more severe cases taking 40 or more training sessions.

Neurofeedback as Adjunct to Psychiatric Therapy

Dr. Hege, a well experienced and regarded Georgia psychiatrist, utilizes a select network of mental health therapists, some who use advanced clinical strategies such as neuro or biofeedback, as an adjunct to the services he offers. Call the office to discuss your needs and the treatment options available to you.

Sleep Problem Connection with Adult ADHD

Recent research presented at the 2017 European College of Neuropsychopharmacology Conference (ECNP) in Paris, France, has presented the theory that many of ADHD cases may be in fact an issue associated with a lack of regular circadian sleep. Past data does show that approximately 75% of adults with ADHD also have sleep problem but the medical field has thought that to be a separate problem.

Sleep Problem and Adult ADHD

There is extensive evidence that indicates adults with ADHD also tend to display sleep problems. In a theory presented at this year’s ECNP data was presented that suggests that ADHD and circadian problems (sleep issues) are intertwined in a majority of patients. While all ADHD problems may not be associated with circadian patterns, it does appear to be an important element.

ADHD and Physiological Sleep Phase

Symptoms and behaviors indicating a connection between adult ADHD and circadian or sleep problem rhythm include:

  • Changes in level of sleep hormone melatonin delayed by 1.5 hours from those without diagnosis of ADHD
  • Changes in sleep-related movement patterns are delayed
  • Core body temperatures associated with sleep are delayed which corresponds to the delay of melatonin changes
  • Those with ADHD often have great alertness in the evening (opposite of the general population)
  • Sleep related disorders associated with adult ADHD include restless leg syndrome, sleep apnea, and delayed sleep phase syndrome
  • Approximately 70% of those diagnosed with adult ADHD show over-sensitivity to light, with many needing to wear sunglasses during the day; this light sensitivity may be associated with a circadian shift.

While a disturbance of the natural sleep or circadian system may be physiologically connected to ADHD, it may also have links to other mental illnesses like depression or bipolar disorder. Further research will help in the development of alternative or adjunct therapies, such as bright light therapy or use of melatonin in the evening, to be used as part of a comprehensive ADHD treatment plan for those with a sleep problem.

Adult ADHD Treatment Options

Call Dr. Hege for a comprehensive mental health evaluation to determine all adult ADHD treatment options, including medication and adjunct therapies, available for your individual needs.

Adult ADHD and Major Functional Impairments

Millions of adults in the U.S. remain undiagnosed and thus untreated for adult ADHD. The estimated number of adults with ADHD, aged 18 to 44, range from 4.4% to 5.2% of the nation’s population, with only 10%-12% of those numbers receiving any kind of treatment at all. Adults who remain undiagnosed face the potential consequences of major functional impairments in education, work performance, or family and community life.

Adult ADHD Symptoms of Impairment

For an accurate diagnosis the symptoms of ADHD subtypes of inattention, hyperactivity impulsivity, or combined, must cause some type of impairment in two or more areas with clear evidence of significant impairment in social, academic or occupational functioning. Receiving a proper diagnosis from a qualified psychiatrist is critical as part of the diagnosis of adult ADHD follows a comprehensive evaluation to determine that the symptoms noted above are not due to another mental disorder.

Symptoms of Inattention

As part of the assessment for adult ADHD, at least six of the following inattention symptoms needs to persist for at least six months of time, with reported functional impairment involved:

  • Forgetfulness in daily activities
  • Easily distracted by extraneous stimuli
  • Difficulty with organizing tasks and activities
  • Difficulty sustaining attention on tasks or during an activity
  • Fails to pay close attention to details or makes careless mistakes
  • Does not appear to listen when spoken to directly
  • Frequently loses necessary items for work, tasks, or activities
  • Often avoids or reports dislike for tasks that require mental effort
  • Fails to follow through on instructions or direction, failing to finish work or duties

Symptoms of Hyperactivity – Impulsivity

Of the following symptoms, at least six must be present and have persisted for at least six months’ time. As with the symptoms for inattention, functional life impairment must also be seen.

  • Fidgeting with hands or feet; squirms around in seat
  • Excessive talking
  • Appears “on the go” or acts as if “driven by a motor”
  • May run or jump about during inappropriate times, or reports feelings of restlessness
  • Impulsive behaviors
  • Difficulty waiting your turn
  • Difficulty engaging in quiet leisure time activities
  • May blurt out answers
  • May abruptly interrupt others with opinions, or butt into other’s conversations
  • Often getting up from seat when situation dictates remaining seated

Adult ADHD Psychiatrist for Comprehensive Diagnosis

It is time to discover if your functional impairments and life difficulty are from undiagnosed adult ADHD. Call Dr. Hege for a comprehensive evaluation and receive an accurate diagnosis and individualized treatment plan.

Mobile Mental Health Apps Can Be Risky

Digital health smartphone apps have shown unprecedented growth in the medical field along with the development of mHealth (mobile health) technology. Psychiatry and mental health services are enjoying the potential of mHealth technology with Mobile mental health apps that put personal health information into easily accessible smartphones, smart watches, and personal health monitoring sensors.

Mobile Mental Health Apps Risk

With the explosion of smart apps that can be found and downloaded from the App Store or Google Play for example, come the question of the usefulness and risk of these mobile mental health apps. The majority of apps for mental health have been developed without research, lack of scientific evidence that shows proof of effectiveness, or may have poor protection of your personal data.

Mobile Mental Health Apps Evaluation

Digital health technology is still fairly new; however, the American Psychiatric Association has taken a proactive step by developing an App Evaluation Model to help guide clinicians and patients in the quality of a mobile mental health app or mHealth tool being considered.

Five Steps in App Evaluation Model

The APA’s App Evaluation Model has five steps where each step is a foundation for the next level. It is important to evaluate each app to make an informed decision before “trying it out.” Apps that make it through the fourth and fifth step are worth your consideration and review by you and your therapist for functional use in your treatment program.

Five Steps of Review in App Evaluation Model

  1. Background Information: Is there a fee for the app or is it free? If free how does it support its development? Who is the developer? Is there advertising within the app? What platforms does it work with? When it was last updated and what were the updates (security, glitches, added services, etc.)? Are there in-app purchases or upgrades?
  2. Risk, Security, and Privacy: Is there a privacy policy? What data is being collected? Is personal data de-identified? Can you opt-out of data collection? Are cookies placed on your device? What data is shared? Who is it shared with? Can your information be sold to third parties? Is data kept on the device or uploaded to the web or cloud? What are the security measures? Is data encrypted? Is the app HIPAA compliant?
  3. Evidence: If your app review has proven acceptable for the first two levels, then it is time to evaluate evidence for potential benefits. What does the app claim to do versus what it actually will do? Are there any peer reviews or published evidence about the tool or science behind the app? Is there any feedback from users available? Does the app appear to be of value for your needs?
  4. Ease of Use: Is it easy to access? Can it be used on a long-term basis? Can you customize the features? Do you need an active internet connection to use? Does it work on the platforms that you have? Is it appealing and simple to use? Apps that are difficult to understand or manage will most likely fail to be used.
  5. Interoperability: Can it work with other electronic tools and devices? Can you export or print the data from the app? Can you upload the data to an electronic health record that your psychiatrist or medical professional can use?

mHealth Psychiatric Treatment

Dr. Hege is a leader in offering convenient options such as video psychiatry, evening or weekend treatment scheduling, and use of new technology in providing the best psychiatric treatment available to you. Call the office today for a comprehensive evaluation of your needs. You may qualify for video sessions, so if that interests you please be sure to ask about it.

Video Psychiatry Brings Sessions to You

The world today is fast paced, with often hectic and stressful schedules. Use of technology with smart phones, Wi-Fi tablets, Skype, and interactive video conferencing have transformed the way we live our lives and impact on how we connect personally, socially and professionally with others. The American Journal of Psychiatry reports Video Psychiatry, also called Tele-psychiatry, has become an accepted option in this high-tech world we live in. It may be a good option for you!

Ease of Access for Video Psychiatry

The availability to access video psychiatry sessions is more than a convenience and viable option to receiving needed mental health services – live video psychiatry sessions bring mental health services to those who are unable to travel due to medical, physical or emotional limitations, to those who are out of town, who have family or work obligations that make it difficult to schedule a workable time to come into the office.

Technology and Security of Video Sessions

Video psychiatric sessions can be set up from anywhere there is a Wi-Fi connection. Smart phones, laptops and computers can all be utilized for a session. The application used during set up of your session is secure and meets the federal government HIPAA requirements keeping your medical and personal privacy information safe.

Starting Video Mental Health Sessions

Dr. Hege, a leader in expanding his psychiatric practice to meet the needs and lifestyles of his patients, offers video psychiatric sessions. To receive this therapy option the doctor does require an initial in-office evaluation to determine what treatment plan will be most effective for you. While video sessions may be able to be arranged to begin by the second visit, some medical or psychological issues may require additional in-office visits — or may not be eligible. Be sure to ask about video sessions if this is something that interests you.

Georgia Video Psychiatry Appointments

Call Dr. Hege for a confidential appointment and evaluation of your needs. Weekend and evening appointments available. See if video psychiatry sessions are the right fit for you and your lifestyle.