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Diagnostic Steps:

Comprehensive History Taking

First and most crucial step in the diagnosis is the specialized medical consultation and clinical assessment of the symptoms. The medical conversation primarily focuses on gathering information on the current symptoms, their course over the lifespan, and the resulting impairments.

A comprehensive medical history is first obtained, with a focus on the developmental course, symptoms in childhood and adulthood, and the impact on various areas of life (school, study, work, family, friends).

In addition to the patient's life history, the medical history is also examined to ensure that there are no other underlying medical conditions that could be causing the symptoms.

Detailed Testing

In addition to the medical history interview, a neuropsychological assessment is conducted using diagnostic interviews, as well as other tests and questionnaires to assess AD(H)D typical behavioral characteristics in adulthood. 
Family members or other significant individuals may also be involved in the diagnostic process if necessary, as they can often provide valuable information on the behavior of the individual being assessed.

In practice, it is often helpful to involve family members, as they can provide valuable information about the behavior of those affected. Behavioral observations outside of the actual examination situation are useful and should be used especially when the symptoms cannot be clearly explored.

In combination with self-assessment, this can provide a comprehensive picture of the development of the problem and its current situation.

Accurate Diagnosis

The entire diagnostic process is divided into three parts:
First part involves the medical examination in a personal setting to capture the symptomatology, any accompanying symptoms, and possible differential diagnoses, followed by a diagnostic interview.
Second part involves the evaluation of questionnaires, including self-report questionnaires, medical briefings, and previous diagnoses.
Final discussion takes place online in a personal setting. During this session, the examination results are discussed, and you will receive a specialized medical consultation regarding therapeutic treatment options.
This comprehensive approach ensures a thorough assessment of the individual's condition, allowing for an accurate diagnosis and appropriate recommendations for treatment. 

In the second step, the questionnaires are evaluated, including self-report questionnaires, medical letters from other doctors, and previous diagnoses.

In a third step, the closing interview takes place - also online - in person. In this context, the results of the examination are discussed. You will receive a medically sound consultation about therapeutic treatment options.

After completing these steps, the diagnosis can be made or other diseases can be excluded.

Transparent Discussion of Costs

Diagnostic and counseling services are available for those with private health insurance or on an invoice basis. These services are reimbursable by private health insurance. Please inquire with your health insurance provider in advance.
You will receive an invoice from our billing service provider and are required to make the payment accordingly. The billing for the diagnostic and the therapeutic services will be in according to the Fee Schedule for Doctors (GOÄ) and will be based on the specific effort and service provided. Therefore, we are unable to provide a binding estimate of the costs in advance. 

Dr. med. Brunkhorst-Kanaan Dr. med. Brunkhorst-Kanaan

Dr. med. Nathalie Brunkhorst-Kanaan

Specialist in psychiatry and psychotherapy with many years of medical experience (since 2016) at the University Clinic Frankfurt am Main with a clinical and scientific focus on the treatment of affective disorders and ADHD in adulthood, as well as the treatment of older patients.

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