Evaluations for Attention Deficit Disorder

The first important fact to know is that there is no test for Attention Deficit Disorder (ADD/ADHD).  The diagnosis is made based on the history and current behaviors or symptoms comprising this syndrome.  Other factors which could cause these symptoms (e.g., a learning disability, lack of motivation, depression) also must be ruled out in the diagnostic process. 

The evaluation consists of an extensive behavioral history and completion of behavior rating scales that provide some objectivity regarding the frequency and severity of behaviors that comprise the syndrome.  Rating scales are completed by parents, significant others and/or teachers.

The second important fact about Attention Deficit Disorder is that there are several types.  ADHD, Combined Type is an impulse control disorder that causes acting and speaking without thinking, fidgetiness, hyperactivity, and problems sustaining attention to tasks that are not interesting.  ADD, Predominantly Inattentive Type does not include impulsive/hyperactive behavior.  This type of ADD creates problems with starting and finishing tasks, memory and concentration, organization, and usually reading comprehension.  ADHD, Predominantly Hyperactive/Impulsive Type occurs mostly in young children who aren’t yet required to pay attention very long to anything so they won’t manifest problems with attention until they are older.  These youngsters exhibit excessive impulsivity, hyperactivity and sometimes aggression.

A learning disability is not the same as Attention Deficit Disorder.  A person can have one or both of these problems.  If you are unsure whether you or your child has a learning disability or ADD/ADHD or both, you can schedule an initial consultation with Dr. Cooley. After he learns more about the problem, he will advise you about the type of evaluation that seems appropriate. 

An evaluation for a child usually requires at least two appointments.  The child accompanies the parent(s) for the first appointment but spends a good deal of time in the waiting room while the parents provide the history to Dr. Cooley.  Dr. Cooley may or may not interview young children but he will interview older children and adolescents.  If Dr. Cooley suspects that a learning disability or other problem may be contributing to the presenting problem, additional assessments may be recommended.  At the conclusion of the consultation, parents are usually given behavior rating scales to mail back.  A second appointment is scheduled to discuss Dr. Cooley’s conclusions.  If additional assessments are indicated to rule out other problems, this second appointment will follow these other assessments. 

Adult Evaluation for ADD/ADHD

An evaluation for adult ADD/ADHD is more extensive and can involve three or more consultations.  There is much more behavioral history to obtain dating back to childhood.  Information is gathered from multiple areas of functioning including academic, social, family, and occupational.  In addition to the adult being evaluated, a significant other (e.g. spouse, parent) is usually asked to complete rating scales. 

Evaluations Based on ADD/ADHD for Educational Accommodations in high school, college & professional school

An evaluation for these purposes must be more extensive according to guidelines established by the Association on Higher Education & Disability. :: Learn More

Results of the Evaluation

Depending on Dr. Cooley’s diagnosis and the age of the patient, various recommendations for interventions will be offered to address the problem.    Dr. Cooley can provide some of these interventions (e.g., consultation for parents regarding behavior management, strategy instruction for adolescents and adults) and he will make referrals to other resources in the community for other necessary interventions. If ADD/ADHD is diagnosed, educational accommodations may be recommended.    However, although schools will consider a psychologist’s recommendations, they make their own decisions in compliance with various laws and guidelines regarding services they offer students.