Getting Tested For ADHD As an Adult
Testing for ADHD as an adult involves more than just taking an online self-test or rating scale. A qualified medical professional will evaluate your symptoms and identify other conditions that mimic ADHD like anxiety or depression.
They will also discuss your symptoms and how they affect you and your loved ones. The current guidelines require that a person meet the following criteria to be diagnosed with ADHD:
1. Self-Report Scales

The adult ADHD self-report scale is a test that asks a person to assess how often they experience symptoms of attention deficit hyperactivity disorder (ADHD) over the last six months. The scale is composed of 18 questions divided into two sections. Part A is a screening questionaire, while Part B focuses on specific symptoms. It takes less than five minutes to complete the test.
This questionnaire is a key component of the evaluation of ADHD in adults. Healthcare professionals, such as mental health specialists, primary care physicians and other healthcare professionals, employ it to detect ADHD among adults. It is also employed for research and clinical purposes. It has been demonstrated that it has good reliability and validity. It is widely used to diagnose ADHD in adults.
As with all diagnostic tests, the results of this questionaire should be taken with caution. It should be used as the first step of an extensive evaluation, and not to replace a thorough medical exam or other diagnostic tests. The test cannot be used to assess all aspects of ADHD It is possible for a person to be misdiagnosed due to the test's limitations.
The ASRS-v1.1 Symptom Checklist has been confirmed as an effective tool to diagnose ADHD in adults. The scale comprises 18 items, reflecting the DSM-5 criteria for ADHD in adults. It is divided into two sections: inattention and impulsivity/hyperactivity. Each item is rated on a four-point scale, with zero representing never, 1 representing rarely 2 representing occasionally and 4 representing very often.
This assessment also includes an open-ended question which will require the person to explain how their ADHD symptoms impact their lives. This will help a health professional understand the impact of ADHD on a person's life and how it can affect their performance in different contexts such as at home or at work.
In addition to that, the ASRS-v1.1 Symptom Checklist includes data that is normed based on demographic groupings (sex and age). This allows healthcare professionals to compare the symptom severity of their patients with that of the general public.
2. Behavioral Rating Scales
Many doctors use standardized behavior ratings scales to determine ADHD symptoms in adults. These tests are based on research that compares the behavior of those with ADHD with people who do not have it. They can be used to determine the presence of the disorder and to determine its severity. These questionnaires are typically completed by the person being assessed and other significant people in their life.
These questionnaires ask about the frequency of certain symptoms, like difficulty staying focused or staying focused at work or school. The evaluator may also ask about the impact the symptoms have on everyday functioning, including relationships and job performance. The examiner can also inquire whether the patient has trouble keeping the track of their schedules and possessions, and how often they lose items.
Most behavioral rating scales include a separate section for each of the main symptoms of ADHD such as inattention, hyperactivity and impulsivity. These sections typically contain questions that assess specific behaviors, like interfering, fidgeting and excessive talking. Certain forms may have separate questions for each gender due to the fact that girls and boys have different types of ADHD symptoms. Some forms include questions based on age due to the fact that a child's development affects how he or she reacts to certain situations.
It is crucial that the person being evaluated for ADHD exposes all signs and symptoms including those that are uncomfortable or difficult to admit. If they don't disclose all of their symptoms can result in an inaccurate diagnosis and improper treatment. It's important that the evaluator also look for other conditions that may be similar to ADHD, such anxiety or depression.
The evaluator could also use questionnaires to determine the severity of an individual's ADHD. One of these tools is the Barkley Adult ADHD Rating Scales that includes self-report as well as observer prompts to assess a person's symptoms compared to those of people who don't have ADHD.
The evaluation will then look at the results and then provide an evaluation in writing. The report should contain the evaluation's findings and suggestions for ways to help someone deal with their ADHD symptoms.
3. Psychological Tests
The American Psychiatric Association provides clinical guidelines to diagnose ADHD in adults in its Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). A thorough evaluation typically begins by conducting an interview with the individual undergoing testing. This interview can review the patient's medical, psychiatric and personal history dating back to childhood. This interview may also include questions regarding family, work, and academic performance. The clinician may ask the individual to fill out one or more standardized behavior scales that are based on research that compares the behaviors of people with and without ADHD. While the scores on rating scales don't give a diagnosis, they provide valuable information that helps doctors determine if the symptoms are in line with DSM-5 criteria for ADHD.
The psychologist might also speak with other people about the person's behavior and behavior, including family members, teachers and coworkers. This is done to gain an overall view and ensure that the issues aren't caused by other medical conditions, such as thyroid problems or seizure disorders. adhd testing might request that the person fill out a questionnaire asking about any symptoms they've seen in others and if the individual has difficulties with tasks or performing well at work, school or social events.
A neuropsychologist or psychologist may conduct tests for neurological or psychological issues in addition to a behavioral test. These tests can be used to determine how ADHD symptoms affect a person's capabilities and aid a doctor in determining conditions that resemble ADHD like depression or anxiety. These tests usually don't yield immediate results, but can help doctors decide on the best course of action.
QbTest is a good example. It incorporates motion tracking and an ongoing performance task in order to objectively measure hyperactivity. The test takes between 15 and 20 minutes to complete, and the participant responds to geometric shapes on the screen while a camera tracks the person's movements. The result shows whether the individual has trouble staying on track or reacting quickly when faced with an easy task. The test has been proven to be a reliable method to assess cognitive impairment in patients suffering from ADHD.
4. Physical Exam
If the results of your ADHD screening suggest that you or someone you know might be suffering from the condition the next step is an evaluation by a health care professional who is competent to conduct one. This usually involves a lengthy conversation and information from other sources, such as spouses or friends. It may also comprise DSM-5 scales for symptom severity or behavior ratings scales for ADHD.
The most important part of the clinical interview is a discussion of the person's health issues and how they impact their daily lives. The evaluator asks questions regarding the person's development from the age of a child and their health history, their experiences at school and work, and social activities. The evaluator will also review the DSM-5 diagnostic criteria for ADHD and determines if any of them apply to the individual.
In addition to the interview, the evaluator will often employ standardized checklists and rating scales for ADHD to determine specific symptoms, such as inattention and impulsivity as well as hyperactivity. They may also ask about depression or anxiety, which may affect the ability to concentrate.
A physical exam is typically recommended to identify medical conditions that may mimic the symptoms of ADHD for example, seizure or thyroid disorders. The examiner may also look for general health issues such as hearing or vision loss.
A person must show signs of impairment in at least two settings, such as school, home or work. The symptoms must also be present since childhood (normally prior to the age of 12). It is essential to locate health professionals who are experts in ADHD assessments. You can inquire with your family physician or local mental health clinics within hospitals and graduate schools offering doctoral degrees to psychology for suggestions. Insurance companies may also provide lists of specialists qualified to perform ADHD evaluations.