ADHD Assessment

A Complete ADHD Assessment can include:

  1. Self Rating Reports

  2. Biopsychosocial Assessment

  3. ADHD Clinical Interview

  4. Objective Testing*

  5. Collateral Reports*

(*Not required and depends on each individual)

Book an Appointment for ADHD Assessment

Also available online/virtually

1. Self Rating Reports (ASRS-v1.1)

The Adult ADHD Self-Report Scale (ASRS-v1.1) Symptom Checklist is a widely used screening tool designed to help identify symptoms of Attention-Deficit/Hyperactivity Disorder (ADHD) in adults. It was developed in conjunction with the World Health Organization (WHO) and is based on the diagnostic criteria for ADHD outlined in the Diagnostic and Statistical Manual of Mental Disorders (DSM).

What is the ASRS-v1.1 Symptom Checklist?

The ASRS-v1.1 consists of 18 questions that assess the frequency of ADHD symptoms over the past six months. These questions are divided into two parts:

  1. Part A: Contains 6 questions that focus on the most predictive symptoms of ADHD. These are used as the primary screening tool.

  2. Part B: Contains 12 additional questions that provide a broader assessment of ADHD symptoms.

Why is the ASRS-v1.1 Important as a start?

  1. Screening Tool:

    • The ASRS-v1.1 is a quick and effective way to screen for ADHD symptoms in adults. It helps identify individuals who may need further evaluation by a mental health professional.

  2. Evidence-Based:

    • The ASRS-v1.1 is based on DSM criteria and has been validated in multiple studies, ensuring its reliability and accuracy in identifying ADHD symptoms.

  3. Raises Awareness:

    • Many adults with ADHD go undiagnosed because their symptoms (e.g., difficulty focusing, disorganization, impulsivity) are often mistaken for stress, anxiety, or personality traits. The ASRS-v1.1 helps raise awareness and encourages individuals to seek help.

Time Frame: before the first session

ADHD Assessment, ADHD Testing or ADHD evaluation near you or virtually/remotely/telehealth for diagnosing ADHD in Mind Trek Counseling.

2. Biopsychosocial Assessment

What is a Biopsychosocial Assessment?

A biopsychosocial assessment is a comprehensive evaluation approach that examines an individual’s condition through three interconnected lenses:

Biological Factors

  • Genetic Predisposition: Family history of ADHD or other mental health conditions.

  • Medical History: Birth complications, head injuries, or other medical conditions that may impact attention and behavior.

  • Physical Health: Sleep patterns, nutrition, and overall physical well-being.

Psychological Factors

  • Cognitive Functioning: Attention, memory, executive functioning (e.g., planning, organization).

  • Emotional Regulation: Ability to manage emotions, frustration tolerance, and impulsivity.

  • Behavioral Patterns: Hyperactivity, inattention, and impulsivity in various settings.

  • Co-occurring Conditions: Anxiety, depression, learning disabilities, or other mental health issues.

Social Factors

  • Family Dynamics: Parenting styles, family stress, and support systems.

  • School/Work Environment: Academic or occupational challenges, accommodations, and relationships with peers or colleagues.

  • Cultural Influences: Cultural norms, stigma, and access to resources.

  • Social Relationships: Friendships, social skills, and community involvement.

Why is a Biopsychosocial Assessment Important in ADHD?

Provides a Holistic Understanding

ADHD is a complex condition that cannot be fully understood by looking at symptoms alone. A biopsychosocial assessment helps clinicians identify the root causes and contributing factors of ADHD, ensuring a more accurate and comprehensive diagnosis.

Tailors Treatment to the Individual

By considering biological, psychological, and social factors, clinicians can develop personalized treatment plans that address the unique needs of each client. For example:

  • Biological: Medication, dietary changes, or sleep interventions.

  • Psychological: Cognitive-behavioral therapy (CBT), mindfulness, or skills training.

  • Social: Family therapy, school accommodations, or social skills groups.

Identifies Co-occurring Conditions

Many individuals with ADHD also experience other mental health conditions (e.g., anxiety, depression) or learning disabilities. A biopsychosocial assessment helps identify these overlapping issues, ensuring that all aspects of the individual’s well-being are addressed.

Addresses Environmental and Social Barriers

Social factors, such as family stress or lack of school support, can exacerbate ADHD symptoms. By identifying these barriers, clinicians can recommend interventions to improve the individual’s environment and relationships.

Empowers Clients and Families

A biopsychosocial assessment helps clients and their families understand ADHD in the context of their lives. This knowledge can reduce stigma, foster empathy, and empower individuals to take an active role in their treatment.

Tracks Progress Over Time

Because ADHD is a lifelong condition, ongoing assessment is essential. A biopsychosocial framework allows clinicians to monitor changes in biological, psychological, and social factors over time, ensuring that treatment remains effective and relevant.

Time Frame: one session

ADHD Assessment, ADHD Testing or ADHD evaluation near you or virtually/remotely/telehealth for diagnosing ADHD in Mind Trek Counseling in Ohio.

3. ADHD Clinical Interview

What is the ADHD Clinical Interview Based on DIVA 5?

The DIVA 5 (Diagnostic Interview for ADHD in Adults) is a structured, evidence-based clinical interview tool designed to assess ADHD symptoms in adults. It is an updated version of the DIVA 2.0 and is widely recognized for its thoroughness and accuracy in diagnosing ADHD. The DIVA 5 is based on the diagnostic criteria outlined in the DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, 5th Edition), the standard classification of mental health conditions used by clinicians.

The interview is divided into three key areas:

  1. Childhood Symptoms: Assesses the presence of ADHD symptoms before the age of 12.

  2. Current Symptoms: Evaluates ADHD symptoms in adulthood.

  3. Functional Impairment: Examines how ADHD symptoms impact daily life, including work, relationships, and self-care.

Key Features of the DIVA 5 Interview

  1. Structured Format: The interview follows a clear, standardized structure, ensuring consistency and reliability.

  2. Comprehensive Coverage: It assesses all 18 DSM-5 criteria for ADHD, including inattention, hyperactivity, and impulsivity.

  3. Lifespan Perspective: It evaluates symptoms across the lifespan, from childhood to adulthood, which is critical for accurate diagnosis.

  4. Functional Impairment Focus: It emphasizes how symptoms affect daily functioning, providing a clearer picture of the individual’s challenges.

Why is the DIVA 5 Important in ADHD Assessment?

Ensures Accurate Diagnosis

ADHD is a complex condition that can be easily misdiagnosed or overlooked, especially in adults. The DIVA 5’s structured approach ensures that all diagnostic criteria are thoroughly evaluated, reducing the risk of errors.

Captures Lifespan Symptoms

ADHD is a neurodevelopmental disorder that begins in childhood but often persists into adulthood. The DIVA 5 assesses symptoms both in childhood and adulthood, ensuring that the diagnosis is based on a complete history.

Highlights Functional Impairment

ADHD is not just about having symptoms—it’s about how those symptoms impact daily life. The DIVA 5 places a strong emphasis on functional impairment, helping clinicians understand the real-world challenges faced by individuals with ADHD.

Supports Differential Diagnosis

ADHD symptoms can overlap with other conditions, such as anxiety, depression, or bipolar disorder. The DIVA 5’s thoroughness helps clinicians differentiate ADHD from other mental health conditions, ensuring that clients receive the most appropriate treatment.

Time Frame: two to three sessions

ADHD Chat Box

References:

QbTech. (n.d.). QbCheck: ADHD testing made simple. Retrieved from https://www.qbtech.com/qbcheck

U.S. Food and Drug Administration (FDA). (2018). FDA clearance for QbTest and QbCheck. Retrieved from https://www.fda.gov

Riccio, C. A., Reynolds, C. R., & Lowe, P. A. (2001). Continuous Performance Tests: A review of the literature. Journal of Clinical Psychology, 57(3), 253-268.

DIVA Foundation. (n.d.). DIVA 5: Diagnostic Interview for ADHD in Adults. Retrieved from https://www.divacenter.eu

American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.

Kooij, J. J. S., & Francken, M. H. (2010). DIVA 2.0: Diagnostic Interview for ADHD in Adults. DIVA Foundation.

Engel, G. L. (1977). The need for a new medical model: A challenge for biomedicine. Science, 196(4286), 129-136.

Barkley, R. A. (2015). Attention-Deficit Hyperactivity Disorder: A handbook for diagnosis and treatment (4th ed.). New York: Guilford Press.

National Institute for Health and Care Excellence (NICE). (2018). Attention deficit hyperactivity disorder: Diagnosis and management. NICE Guideline NG87. Retrieved from https://www.nice.org.uk

Adler, L. A., & Cohen, J. (2004). Diagnosis and evaluation of adults with attention-deficit/hyperactivity disorder. Psychiatric Clinics of North America, 27(2), 187-201.

Biederman, J., & Faraone, S. V. (2005). Attention-deficit hyperactivity disorder. The Lancet, 366(9481), 237-248.

CDC. (n.d.). Attention-Deficit/Hyperactivity Disorder (ADHD). Retrieved from https://www.cdc.gov/ncbddd/adhd

CHADD. (n.d.). About ADHD. Retrieved from https://chadd.org