Areas › Focus, starting, and ADHD › What ADHD actually is
Use the established rating scales and a proper developmental history rather than working from the impression someone makes in a first meeting. What you see in a room is a small and unrepresentative sample.
A structured set of questionnaires covering childhood, school, work and daily life turns vague instability into something countable, and it prompts questions you would otherwise forget to ask. Gather more than one perspective where you can, since a parent, a partner and the person themselves will each notice different things. Keep the completed forms, because they also give you a baseline to compare against later.
Qur’an and Sunnah
You can ask those who have knowledge if you do not know (Quran 16:43). Working from what has been carefully built by others is the pattern being commended there.
وَمَآ أَرۡسَلۡنَا مِن قَبۡلِكَ إِلَّا رِجَالࣰ ا نُّوحِيٓ إِلَيۡهِمۡۖ فَسۡـَٔلُوٓاْ أَهۡلَ ٱلذِّكۡرِ إِن كُنتُمۡ لَا تَعۡلَمُونَ
[Prophet], all the messengers We sent before you were simply men to whom We had given the Revelation: you [people] can ask those who have knowledge if you do not know
Qur’an 16:43read it in the library
Translation: M.A.S. Abdel Haleem, The Qur'an, Oxford University Press, 2004.
What the research says
A long term follow up of 515 children into young adulthood found that reports of how a young person was doing differed depending on who was asked. That is a direct argument for collecting more than one account rather than trusting a single impression. It was a follow up study rather than a comparison of assessment methods.
Swanson JM, Arnold LE, Molina BSG, Sibley MH, Hechtman LT, Hinshaw SP, Abikoff HB, Stehli A, Owens EB, Mitchell JT, Nichols Q, Howard A, Greenhill LL, Hoza B, Newcorn JH, Jensen PS, Vitiello B, Wigal T, Epstein JN, Tamm L, Lakes KD, Waxmonsky J, Lerner M, Etcovitch J, Murray DW, Muenke M, Acosta MT, Arcos-Burgos M, Pelham WE, Kraemer HC, MTA Cooperative Group. (2017). Young adult outcomes in the follow-up of the multimodal treatment study of attention-deficit/hyperactivity disorder: symptom persistence, source discrepancy, and height suppression.. Journal of child psychology and psychiatry, and allied disciplines doi
Strength of evidence: one line of research. A single study, or a theoretical account.
Why it works
A standard set of questions asks the same things every time, which is what makes patterns visible rather than memorable.
This one is still a draft. It is waiting on a scholar and a clinician to read it before it is published.
Near this one
If sport or a club is the reason a struggling student still turns up, do not let it be the first thing taken away when grades slip. Removing it usually removes what was holding the rest together.
Far more people have ADHD than are ever assessed for it. If you have wondered about yourself for years, the odds that an assessment would be worth your time are better than you think.
Being able to disappear into something for six hours does not cancel the diagnosis out. Getting stuck on and getting stuck off are the same switch failing in two directions.