Attention-deficit hyperactivity disorder physical examination
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Haleigh Williams, B.S.
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Differentiating Attention-Deficit Hyperactivity Disorder from other Diseases |
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Overview
ADHD is not associated with any particular physical characteristics. A diagnosis is made following a psychiatric evaluation, which consists of a subjective assessment of the patient's behavior. Clinicians often encourage several informants, including parents and teachers, to fill out rating scales based on their knowledge of the patient's symptoms and behaviors.[1]
Psychiatric Evaluation
- A psychiatric evaluation of a patient who may be suffering from ADHD consists of an assessment of the behavior of the patient.
- It is common practice for clinicians to administer rating scales to those who have frequent contact with the patient, often including parents and teachers.[1] It is important that rating scales be completed by people who observe the patient in different settings, such as at home and at school, since ADHD symptoms can be situation-specific.[2]
- One commonly used scale is the Vanderbilt Rating Scale, which was developed by the National Institute for Children's Health Quality (NICHQ).
- Other standardized evaluations include the Brown Rating Scale and the Wender Utah Rating Scale. The latter is administered specifically to adults who present with symptoms of ADHD.[1]
- It is important to note that these rating scales are subjective, and informants regularly differ in their reports.[1]