People often have preconceived ideas about ADD testing. It is important to keep in mind that the goal of ADD testing is to provide objective data to help identify the type and severity of the ADD.

Objective data helps us to see how the individual compares with others their age, and also helps us to identify strengths and weakness within the child or adult that can guide diagnosis and treatment planning.

I use the Woodcock Johnson Tests of Cognitive Ability along with history taking to assess ADD. This is an excellent assessment tool that provides a wide range of attention related measures. For more information about this test (click here).

Common misconceptions about testing:

  • I´ll fail and be embarrassed; the reality is that there are no grades, just standard scores that describe relative strengths and weaknesses.
  • It will be all academic stuff and I hate tests like that; the reality is that the tests are mostly a series of puzzles and tasks that are new and somewhat interesting.
  • It will take many hours; the reality is that it will generally take about two hours to complete the cognitive ability tests.
  • It will be very tiring and uncomfortable; the reality is that the pace is fast and there are enough short breaks to make the time pass quickly.
  • It will be very expensive; although insurance does not cover ADD testing, the cost is relatively low; use of a single comprehensive test helps reduce cost.
  • Test data and reports will be relatively useless and just gather dust; the reality is that the report is extensive but easily understood and highly useful in planning.
  • Testing is useful only for diagnostic purposes; the reality is that retesting on several key subtests can measure improvements with treatment.
  • Testing isn't necessary to obtain extended testing time for the SATs or for accommodations at college; the reality is that a recent evaluation of cognitive abilities and academic skills is required for the SATs and for accommodations at college.
  • Any testing will be sufficient for the SATs and colleges; the reality is that the evaluation and report must be very comprehensive and thorough. The Woodcock Johnson battery is accepted; others may not be acceptable.

Preparation and testing procedures:

  • A diagnostic interview and history taking, generally an hour
  • A brief introductory discussion of the purpose and procedures
  • An explanation that it will be easy, then more difficult for each subtest
  • A plan for breaks and checks on fatigue level at several points
  • Parents generally sit in on testing; children don´t mind!
  • Children find the varied tasks interesting and are often eager to continue

Interpretation Session:

  • An extensive written report is prepared
  • Results are explained in clear layman´s language
  • A copy of the report is given to parents
  • Copies of the report are sent to the primary care provider and others as needed
  • Recommendations are discussed and refined
  • Counseling needs, if any are discussed
  • I will offer counseling services if needed, or provide appropriate referrals
  • I will often consult with the primary care physician
  • I often provide retesting on several subtests at a later time to evaluate medication
  • Children are generally seen at a separate session to review the report and plan


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