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Table 1 Recommendations for assessment of ADHD

From: Revisiting best practices: a reflection on the online evaluation and treatment of ADHD and implications for future practice

• Screening for Medical Conditions that can mimic the symptoms of ADHD—thyroid conditions, anemia, concussion, traumatic brain injury, sleep or vision problems

• Measurement of Physical Parameters at baseline that can be associated with side-effects of ADHD medication—heart rate, blood pressure, body weight, height

• Use Rating Scales to assess initial baseline symptom severity and monitor ADHD symptom change with treatment

• Screening and assessment for psychiatric conditions that can present with inattention symptoms—Depression or Bipolar Disorder, Anxiety, Psychosis, Substance use disorders, Trauma or PTSD, Learning Disorders, executive functioning difficulties, etc

• Checking of relevant controlled-substance prescription monitoring services to (1) examine past prescribed controlled substance use and (2) assess compliance with previous treatment

• Consideration of urine drug screening to (1) screen for recent substance use and (2) compliance with prescribed stimulant medications

• Use of collateral sources to verify childhood ADHD diagnosis and to assess the current level of impairment associated with ADHD symptoms

  1. Pliszka S and AACAP Work Group on Quality Issues [14].