ADHD/ADD

What it is:

Attention Deficit, Hyperactivity Disorder (ADHD) has 3 main types:

• ADHD, Inattentive Type

• ADHD, Hyperactive/Impulsive Type

• ADHD, Combined Type

When kids have only the Inattentive Type the name ADHD is misleading because it implies hyperactivity which does not exist.  In fact, some kids with ADHD, Inattentive Type (called just ADD from now on) are so lethargic that they fall asleep in class. 

Diagnosis:

The diagnosis of ADHD or ADD with children and adults is best done by an experienced psychologist who has all the testing tools needed.  We believe the minimum necessary for accurate diagnosis requires the following Psychological Evaluation procedures:

• A complete history of the problem.  If the client is a child this is done with the parents.  It covers birth to the present. 

• It the client is a child we ask for a copy of as many progress reports from school as is feasible.  When the client is an adult we just listen closely to the client's description of being in school.

• Several adults need to fill out at least 2 different ADHD Rating Scales. With kids, this is commonly the parents and one or two teachers.  With adults this is typically the client and a spouse or significant other. 

• The Test of Variables of Attention (TOVA) is often used to help establish the diagnosis, and to establish the correct level of medication for clients who choose to use medication.

• An interview with the child or the adults in which they are tested for anxiety, depression, and self-esteem.

When the client is a child, we often also recommend the Academic Skills Workshop after the the child is on medication (or has finished an alternative therapy) if the child has been underachieving or failing in school.

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