How is ADHD Diagnosed?

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I have seen many people posting that they have been recently diagnosed with ADHD.

The symptom list is incredibly vague and only useful as a reference for lifelong problems in that general area.

There are many problems which can cause a lack of attention that are not ADHD, and many official disorders that may present themselves in similar fashion to ADHD.

I can't remember the proportion of the population diagnosed with ADHD but last time I read it was over 10%, which seems to me like it is over-diagnosed to the extreme.

If you have ADHD, how did the diagnostic process occur, and how sure are you that it really is ADHD and not anything else? How can you be sure?

In other words, how are real cases of ADHD determined?

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Unapologetically, Norny.
-chronically drunk