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The majority of CRS-R measures appear to have been developed out of distinctly different item pools, resulting in sets of scales that may complement rather than duplicate each other.From: Comprehensive Clinical Psychology, 1998 Attention-deficit hyperactivity disorder (ADHD) can't be diagnosed with a physical test, like a blood test or an X-ray.
Instead, a health professional uses an evaluation process to diagnose ADHD. During the evaluation, a professional gathers information to determine if the criteria for ADHD are met. The criteria come from the Diagnostic and Statistical Manual of Mental Disorders (DSM), the official diagnostic guide used in the United States. Such tests can be used to
diagnose ADHD in both children and adults. Verywell / Brianna Gilmartin Some of the specific assessments that may be used when testing for ADHD include: Behavior Assessment System for Children (BASC): Looks for symptoms related to aggression, hyperactivity, conduct issues, attention problems, learning issues, anxiety, and depression Conners
Rating Scale: Looks at symptoms related to behavior, school, interpersonal functioning, and work to determine how symptoms impact home life, relationships, academics, and other life areas; also available as the Conners Adult ADHD Rating Scales to assess ADHD in adults Child Behavior Checklist/Teacher Report Form (CBCL): Used to assess
behavioral and social issues, including aggression, physical complaints, and withdrawal Tests of Variable Attention (TOVA): Used to assess the ability to pay attention to non-preferred tasks; usually used in conjunction with other assessments Adult ADHD Self-Report Scale (ASRS): A self-report test used to look for ADHD symptoms in adults In addition
to self-report and interview-based assessments, health professionals may also utilize the Neuropsychiatric EEG-Based Assessment Aid (NEBA) System. This involves measuring brain wave patterns, which tend to be higher in children with ADHD. This ADHD test is approved for use in children from ages six through 17. There are three main types of
ADHD—inattentive, hyperactive-impulsive, or combined. Regardless of the specific presentation of ADHD, several conditions must be met in order to arrive at an official diagnosis: Several symptoms present before age 12Symptoms are present in multiple settings (home, school, work)Symptoms interfere with or reduce daily functioningSymptoms are
not better explained by another mental health condition For children up to 16 years old, six or more symptoms of inattention must be present, while people 17 and older must exhibit five or more symptoms.

These symptoms must be present for at least six months to suggest a diagnosis of ADHD:​​ Often makes careless mistakes or disregards detailsHas difficulty staying attuned to specific tasks or activitiesDoes not seem to listen when spoken toFails to finish tasks or follow through on instructionsDifficulty organizingAvoids or dislikes long-term tasksOften
loses track of important items (wallets, school materials, etc)Easily distractedOften forgetful The same age- and time-based criteria as above are necessary for an ADHD diagnosis based on symptoms of hyperactivity-impulsivity: Regular fidgeting or squirmingIgnores instructions to remain seated or stay in one placeMoves about or feels restless in
situations where such movement is inappropriateCannot participate in leisure activities quietlyExcessive talkingBlurts out answers before a question is finishedTrouble waiting for their turnOften interrupts or intrudes in conversation While ADHD is typically diagnosed in childhood, symptoms persist as people age but may go undiagnosed until
adulthood. The results of one study suggest that people may also experience "late-onset" ADHD in which they develop ADHD symptoms in young adulthood, a syndrome that appears to be distinct from childhood-onset ADHD. In the process of diagnosing someone with ADHD, a doctor will also indicate severity: Mild: You or your child exhibit minor
impairment in functioning while having enough symptoms to meet the criteria for diagnosis.Moderate: Impairment is more significantSevere: Many more symptoms are present than would be minimally required for an ADHD diagnosis, along with significant impairment as a result of symptoms. You might be tempted to avoid getting an official
diagnosis for yourself or your child.

After all, what's the point if you don't plan to take medication? Or, perhaps you're concerned that being labeled with ADHD might hurt more than it helps. But, there are many advantages to getting an ADHD diagnosis. Getting a diagnosis can help you or your child get the appropriate treatment and help rule out other conditions. While conditions such
as autism, bipolar disorder, sleep disorders, conduct disorders, and anxiety disorders can mimic symptoms of ADHD, they are distinct diagnoses. Getting diagnosed can be the key to getting help—even if you don't plan to use medication as part of your treatment.
There is also an emotional benefit. The symptoms associated with ADHD can lead to feelings of guilt, shame, or embarrassment about underachieving. Or, it can lead to a lot of frustration over the amount of time it takes to complete tasks. A diagnosis may help reduce those emotions. Accommodations at school or in the workplace can be granted
when you show written evidence of a diagnosis.​​ Small changes, like moving your workspace to a quiet area or being granted more time on tests can make a big difference. Once you've been tested for ADHD, you can begin a course of treatment that will help make life more manageable. Several different professionals are qualified to provide testing for
ADHD and make a diagnosis. A psychiatrist, psychologist, psychotherapist, neurologist, and some physicians can diagnose ADHD. Before booking an appointment, ask if the care provider has experience diagnosing ADHD.

If you're interested in being assessed for ADHD, you might start by talking to your doctor. Your family doctor might not carry out the detailed evaluation but can give you a referral to a professional who can adequately assess you. Some pediatricians and general practitioners do diagnose ADHD.
If your physician suspects you or your child has ADHD, you might ask for a referral to a specialist to conduct further assessment.
ADHD cannot be diagnosed online. However, there are many ADHD quizzes and questionnaires available online that act as a helpful self-screening process. Taking a quiz can give you the confidence to reach out to a health professional for a formal diagnosis. If possible, bring copies of any appropriate records such as medical, psychological,
school/employment records to the appointment. Be prepared to give a detailed social and family history. Many healthcare providers will send you a questionnaire to complete the appointment. Be sure to bring the completed forms with you to the appointment. They may also send the questionnaire to other people with your consent, such as your child's
teacher or daycare provider. Get our printable guide for your next doctor's appointment to help you ask the right questions. Though it varies, a typical assessment for ADHD in children or adults may last around one to three hours.
Every practitioner conducts the assessment in their own way, but you can expect an in-person interview covering topics such as development, health, family, and lifestyle history. The clinician may request to interview other people. For adults, they might want to talk to their partners or other family members. In the case of children, the clinician may
want to talk to a teacher, coach, or daycare provider. Questionnaires, rating scales, intellectual screenings, and measures of sustained attention and distractibility may all be part of the assessment. You may be asked to elaborate on things such as: How often do you quit a task before you're done?How often do you misplace things?How often do you
forget appointments or other important matters?Do you have trouble sitting still?Do you struggle to relax?How often are you distracted by things around you? Your medical history is an important part of the evaluation. If you have not had a medical exam recently, one might be recommended to rule out medical causes for your symptoms. While
psychological testing is not the sole basis for diagnosing ADHD, it may be recommended to support conclusions and provide a more comprehensive assessment. You may also be screened for learning disabilities.

An ADHD diagnosis can cause you to feel a flood of emotions. You might feel relieved to have an explanation for your symptoms. Or, you may feel overwhelmed by what to do next. Don't feel rushed to make decisions about treatment; allow yourself a little time to process the new information before moving on to the next steps. Once you're ready, you
can meet with your doctor to determine what course of treatment is best for you, which may include therapy, medication, and/or lifestyle changes. The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), published by the American Psychiatric Association, outlines diagnostic criteria for making a diagnosis of ADHD in children
and adults. For a formal diagnosis of ADHD, symptoms of hyperactivity-impulsivity and/or inattention should meet the diagnostic criteria outlined in DSM-5 (DSM-5 Diagnostic Criteria for ADHD). Differential Diagnosis The symptoms of ADHD are common in other mental health disorders and non-psychiatric conditions. An appropriate evaluation must
consider whether the symptoms belong to ADHD, another mental health condition, another physical health condition, or if they represent more than one disorder. Other explanations for presenting symptoms should also be ruled out (Overview of Possible Causes for Presenting Symptoms Similar to ADHD and Differential Diagnosis of ADHD in Adults).
Screening and Assessment Tools The following scales have been developed to screen, evaluate and monitor adults with ADHD. Since rating scales are based on self-reported perceptions, and are, therefore, subjective, it is recommended that significant persons in the adult’s life also complete the forms. These can include the person’s spouse, a close
relative, employer and/or colleague. ADHD Screeners: (see ADHD Screeners and Quality of Life Assessments) ADHD Rating Scale IV (ADHD-RS-IV) With Adult Prompts Adult ADHD Clinical Diagnostic Scale (ACDS) v1.2 Adult ADHD Investigator Rating Scale (AISRS) Adult ADHD Self-Report Scale (ASRS) v1.1 Adult ADHD Self-Report Screening Scale
for DSM-5 (ASRS DSM-5) Screener Adult ASRS Symptom Checklist v1.1 Barratt Impulsiveness Scale (BIS-11) Brown Attention-Deficit Disorder Symptom Assessment Scale (BADDS) for Adults Clinical Global Impression (CGI) Conners’ Adult ADHD Rating Scales (CAARS) Diagnostic Interview for ADHD in Adults (DIVA) 2.0 Wender Utah Rating Scale
(WURS) Informant Questionnaires: Note: there may be a fee associated with the use of some of these tools for you and/or the patient.
Quality of Life Assessments: Adult ADHD Quality of Life Measure (AAQoL)2 Driving Behavior Survey (DBS)3 Work Productivity and Activity Impairment Questionnaire General Health V2.0 (WPAI:GH)4 References: 1. Ginsberg Y, Quintero J, Anand E, Casillas M, Upadhyaya HP. Underdiagnosis of Attention Deficit/Hyperactivity Disorder in Adult
Patients: A Review of the Literature. Prim Care Companion CNS Disord. 2014;16(3). 2. Brod, M., Perwien, A., Adler, L., Spencer, T., & Johnston, J. (2005). Conceptualization and Assessment of Quality of Life for Adults with Attention-Deficit/Hyperactivity Disorder. Primary Psychiatry, 12(6), 58-64. 3. Clapp JD, Olsen SA, Beck JG, et al. The Driving
Behavior Survey: Scale Construction and Validation. J Anxiety Disord. 2010;25(1):96–105. doi:10.1016/j.janxdis.2010.08.008 4. Reilly MC, Zbrozek AS, Dukes EM. The Validity and Reproducibility of a Work Productivity and Activity Impairment Instrument. Pharmaco Economics 1993; 4(5):353-65.