Understanding an ADHD Diagnosis: More Than Just a Checklist


Dr. Lara Honos-Webb

Dr. Lara Honos-Webb

Ph.D. and Clinical Psychologist

Jan 1, 2024

Understanding an ADHD Diagnosis: More Than Just a Checklist

As parents, it’s only natural for us to want the best for our children. As parents, navigating our kids’ mental and emotional landscape is no small feat. Our goal? To ensure they receive top-notch care in their mental and emotional health journey.

We’re aiming for the highest level of care: the right support, the best guidance, and maybe even a metaphorical cape to help them soar over life’s little hiccups. Because let’s face it, if parenting came with a manual, it would definitely need a chapter titled ‘Being the Superhero Your Kid Didn’t Know They Needed!’

However, it’s crucial to approach a potential ADHD diagnosis with care and understanding. A recent study highlighted the importance of this approach by revealing that “difficulty concentrating” is a key symptom in 17 different diagnoses, making it the second most non-specific symptom.

This research was focused on identifying the symptoms that are most ambiguous as indicators of diverse forms of psychopathology. The results were quite revealing: Insomnia was associated with 22 different diagnoses across 8 chapters. Difficulty concentrating was linked to 17 diagnoses across 7 chapters.

These findings underscore the importance of seeking a comprehensive diagnosis that rules out other potential conditions. It’s evident that ticking off symptoms from a checklist is not enough. It’s essential to adopt a comprehensive strategy that guarantees our children get an accurate diagnosis and, as a result, appropriate treatment.

This is not to say that ADHD isn’t a genuine concern or that medication isn’t beneficial. In fact, according to the National Community Pharmacists Association, there was a significant shortage of Adderall reported by 97% of independent pharmacy owners in early 2023. Other generic amphetamine mixed salts are anticipated to be in short supply for most of the year.

However, these shortages emphasize the importance of accurate diagnoses. With limited resources, it’s crucial to ensure that those who genuinely need these medications can access them.

There are also various insightful resources that delve deeper into the topic of cognition and attention. Adam Gazzaley’s “Crisis of Cognition” delves into the difficulties encountered in today’s digital era and screen time. Similarly, “Stolen Focus: Why You Can’t Pay Attention” by Johann Hari offers an in-depth look into the reasons behind our modern attention deficits.

For those seeking an academic viewpoint, the study conducted by Forbes, M. K., Neo, B., Nezami, O. M., can be a helpful resource for those interested in understanding the intricacies of various psychopathological diagnoses.

While it’s essential to be proactive about our children’s well-being, it’s equally vital to approach potential ADHD diagnoses with a discerning eye. Let’s prioritize understanding over haste and knowledge over assumptions.

Forbes, M. K., Neo, B., Nezami, O. M., Fried, E. I., Faure, K., Michelsen, B., Twose, M., & Dras, M. (2023). Elemental psychopathology: Distilling constituent symptoms and patterns of repetition in the diagnostic criteria of the dsm-5. Psychological Medicine. Advance online publication.

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