This is an unprecedented time. itis the dedication of healthcare workers that willlead us through this crisis. COVID-19 Resource Center Thank you far everything you do. it (| Search “QT interval” or “QT” or “EKG” = 2) Adult Self-Report Scale (ASRS v1.1) for ADHD , Diagnoses adult ADHD (Attention Deficit-Hyperactivity Disorder) IMPORTANT Variation in screen resolution and text size may impact accuracy. INSTRUCTIONS This is intended for patients 18 years and older. When to Use v Pearls/Pitfalls v Why Use ~ + Adult ADHD is thought to be relatively common (4.4% prevalence in one study, (http://www.ncbi.nim.nih. gov/pubmed/17623385)) and underdiagnosed. * The ASRS provides an overview of symptoms that can guide further assessment. Select the response that best describes how the patient has felt and conducted his/herself over the past 6 months. How often do you have trouble wrapping up the final details of a Never I he chall projec, ance the challenging parts ayy have been done? Sometimes Often Very often How often do you have difficulty . . Never getting things in order when you have to doa task that requires ° Rarely organization? Sometimes Often Very often How often do you have problems ‘ . Never remembering appointments or bligati 2 obligations narely SometimesWhen you have a task that requires a lot of thought, how often do you avoid or delay getting started? How often do you fidget or squirm with your hands or feet when you have to sit down for along time? How often do you feel overly active and compelled to do things, like you were driven by a motor? 5 points Often Very often Never Rarely Sometimes Often Very often Never Rarely Sometimes Often Very often Never Rarely Sometimes Often Very often Scores 24 may be consistent with Adult ADHD. Next Steps ADVICE Next Steps Evidence Creator Insights ‘The screener is meant to detect cases that warrant further clinical assessment, and cannot be used alone for diagnosis MANAGEMENT+ Presence of 24 points indicates symptoms highly consistent with adult ADHD; these cases warrant further clinical assessment. * Further clinical assessment includes: © Clinical interview © Mental status examination © Neuropsychological testing may be considered (e.g., subthreshold symptoms, diagnostic uncertainty) © Labsand medical work-up when clinically warranted * Clinical interview may be guided by questions in the screener and the remaining DSM criteria, Assess the level of impairment associated with each symptom (including at work, school and in social situations) and evaluate for presence of symptoms in childhood. CRITICAL ACTIONS Symptoms of inattention and hyperactivity are relatively nonspecific and are encountered in many psychiatric and some medical disorders. Comprehensive clinical evaluation should include consideration of mood, anxiety, learning or substance use disorders as underlying ‘cause or comorbid condition. Workup for underlying organic disorders, if there is clinical suspicion, should be considered. Content Contributors + Ferda Sakman, MD (/contributors/#ferda-sakman) Related Cales * GAD-7 (/gad-7-general-anxiety-disorder-7) * CAGE Questions (/cage-questions-alcohol-use) ‘* Hamilton Anxiety Scale (/hamilton-anxiety-scale) Have feedback about this calculator? (/contact) TooLs EDUCATION Cales CME (/erne) Most Popular (/#most-popular) CME with Gift Cards (/cmestgift-card-offers) ‘My Specialty (/#my-specialty) Practice Pearls (/search?s=Practice%20Pearls) All: A->Z (/tall) Paging MDCalc (http://paging.mdcalc.com) Newest (/#newest) Physicians Guide (/physicians-guide) Guidelines (/guidelines) EBM Guide (/ebm-guide) Get MDCalc in Your EHR (https://ehr.mdcalc.com/) ABOUTAbout (/about-us) MDCalc on Race (/race) FAQs (/faq) Featured Press (/featured-press) For Advertisers (/media) Partners (/partners) Contact Us (/contact) (https://twitter.com/MDCalc)(https://www.facebook.com/MDCalc/)(https://www.linkedin.com/company/mdcalc/) TEAM Join Us (/join-us) Scientific Advisory Board (/scientific-advisory-board) Editorial Board (/editorial-board) Contributors (/contributors) MDCalc Fellows (/fellows) Por (https://play.google.com/store/apps/details? ics id=com.mdaware.mdcalc&hl=en) (https://itunes apple.com/us/app/mdcale- medical-calculators-clinical- scores/id1001640662?! &mt=8) Calculations must be re-checked and should not be used alone to guide patient care, nor should they substitute for clinica judgment. See our full discla er (/disclaimer) MbCale ©2005-2021 - All Rig