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Ages 5 and up

ADHD Testing for Children

What ADHD looks like in children, what a full evaluation measures, and how the results turn into help at school and home.

Every child is distractible sometimes. ADHD is different in degree and in staying power: the problems show up in more than one setting, they've been there for a while, and they get in the way of learning, friendships or family life.

What ADHD Looks Like in Children

ADHD is usually described in three presentations:

Mostly inattentive

Daydreams, loses things, misses steps in directions, makes careless mistakes, starts homework and drifts off. These children are often quiet and easy to miss, especially girls.

Mostly hyperactive-impulsive

Constantly moving, talks over people, grabs, can't wait a turn, acts before thinking. These children are usually noticed early.

Combined

A mix of both inattentive and hyperactive-impulsive symptoms.

For a diagnosis, symptoms need to have started in childhood, appear in at least two settings such as home and school, and cause real problems in daily life. That's why a careful history and teacher input matter as much as the testing itself.

Why Testing Goes Beyond a Checklist

Checklists ask how often a child seems inattentive. They can't tell you whether the inattention comes from ADHD, from a reading problem that makes worksheets exhausting, from worry, or from not sleeping. A full evaluation tests those possibilities directly. It also catches the many children who have ADHD and something else, such as a learning disability or anxiety, which changes what help they need.

What the Evaluation Measures

  • Visual and auditory attention
  • Executive functioning: planning, organizing, working memory
  • Auditory and visual memory
  • Processing speed
  • Cognitive ability (IQ)
  • Reading, writing and math
  • Social and emotional functioning
  • Behavior at home and at school

What You Leave With

A clear answer about whether ADHD is present, what else may be contributing, and a written plan. The recommendations are specific: which classroom accommodations to ask for, which home routines are worth the effort, and what your child's pediatrician should know. Families who need a 504 plan or IEP can bring the report to the school. See 504 plans and IEPs.

Young for the Grade?

The youngest children in a class are more likely to be seen as inattentive simply because they're younger than their classmates. Comparing a child with others of the same age, rather than the same grade, is one of the things standardized testing does well.

Questions Parents Ask

Can a 5-year-old be tested for ADHD?

Yes. Dr. Tutty evaluates children from age 5. With young children it's especially important to compare them with others their age, since a lot of restlessness and distractibility is normal at 5 or 6.

Should my child take ADHD medication on the testing day?

Ask about this during the consultation and follow your prescribing doctor's advice. Don't stop or change a medication on your own.

Do you prescribe medication?

No. Dr. Tutty is a psychologist. The report gives your child's pediatrician or psychiatrist the information they need for treatment decisions.

Will the teacher be involved?

When it's appropriate, information may be gathered from teachers, since ADHD symptoms need to show up in more than one setting.

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353 Lexington Ave,
New York, NY 10016

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IN PERSON AND/OR VIDEO APPOINTMENTS AVAILABLE

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Tell us your child's age and what you're seeing at home or at school. We'll get back to you to set up a free 15-minute consultation by phone or video.