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ADHD testing and evaluation.

Most children referred for ADHD testing have already been told they are not trying. The evaluation separates attention from the anxiety, sleep and learning problems that look exactly like it, and says which one is actually there.

Scope

What an ADHD evaluation measures.

Attention is the straightforward part. The differential is the reason to test at all.

01

Attention and sustained effort

Performance measures alongside history, because effort that collapses after ten minutes is the thing being assessed.

02

Impulsivity and self-regulation

Rating scales from home and school, scored against norms rather than against a sibling.

03

Executive function and organisation

Planning, working memory and task initiation, which is where most of the daily difficulty actually sits.

04

What ADHD is commonly mistaken for

Anxiety, an undiagnosed learning difficulty, and sleep. Each is considered explicitly rather than assumed away.

05

Conducted in English or Spanish

Directly by the evaluator, so nothing depends on a parent translating a question mid-session.

06

What you can do with the report

Written for the family and, on request, the school or the prescribing clinician. This practice does not prescribe medication.

Fit

Who this is for.

01

Parents of a child called lazy or disruptive

Where the school has an opinion and nobody has measured anything.

02

Adolescents and adults never assessed

Often a first ADHD evaluation, requested after a child is diagnosed.

03

Families who want the differential, not a label

Where anxiety or a learning difficulty may explain more than attention does.

Questions

Questions parents ask.

How much is a full ADHD evaluation?

The fee depends on the case and how many sessions it takes. You get a number at the free consultation before anything is booked.

How do I know whether testing is worth it?

It usually helps when the difficulty shows up in more than one place, at home and at school, and when it has lasted long enough that it is not explained by a rough few months. If attention is not the likeliest explanation, you should hear that at the consultation rather than after paying for testing.

Could it be something other than ADHD?

Often, and that is the reason to evaluate rather than assume. Anxiety, an undiagnosed learning difficulty and poor sleep all produce the same picture in a classroom. The evaluation looks at each of those directly instead of ruling them out by guesswork.

Can you prescribe medication?

No. This practice does not prescribe. The report goes to you, and on request to your child's school or to the clinician who does prescribe.

Ask what an ADHD evaluation would settle.

If attention is not the likeliest explanation, that is worth knowing before testing.