ADD TESTING. 2. History of not living up to potential in school or work (report cards with comments such as "not living up to potential")

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Transcription:

ADD TESTING No ADD adult has all of the symptoms, but if you notice a strong presence of more than 20 of these symptoms, there is a strong likelihood of ADD. 0 = never 1 = rarely 2 = occasionally 3 = frequently 4 = very frequently IMPORTANT: This is not a tool for self-diagnosis. Its purpose is simply to help you determine whether ADD may be a factor in the behavior of the person you are assessing using this checklist. An actual diagnosis can be made only by an experienced professional. If you need a referral to such a professional in your area, contact your local chapter of CH.A.D.D. (Children and Adults with Attention Deficit Disorder). Past History 1. History of ADD symptoms in childhood, such as distractibility, short attention span, impulsivity or restlessness. ADD doesn't start at age 30. 2. History of not living up to potential in school or work (report cards with comments such as "not living up to potential") 3. History of frequent behavior problems in school (mostly for males) 4. History of bed wetting past age 5 5. Family history of ADD, learning problems, mood disorders or substance abuse problems Short Attention Span/Distractibility 6. Short attention span, unless very interested in something 7. Easily distracted, tendency to drift away (although at times can be hyper focused) 8. Lacks attention to detail, due to distractibility 9. Trouble listening carefully to directions 10. Frequently misplaces things 11. Skips around while reading, or goes to the end first, trouble staying on track 12. Difficulty learning new games, because it is hard to stay on track during directions 13. Easily distracted during sex, causing frequent breaks or turn-offs during lovemaking

14. Poor listening skills 15. Tendency to be easily bored (tunes out) Restlessness 16. Restlessness, constant motion, legs moving, fidgetiness 17. Has to be moving in order to think 18. Trouble sitting still, such as trouble sitting in one place for too long, sitting at a desk job for long periods, sitting through a movie 19. An internal sense of anxiety or nervousness Impulsivity 20. Impulsive, in words and/or actions (spending) 21. Say just what comes to mind without considering its impact (tactless) 22. Trouble going through established channels, trouble following proper procedure, an attitude of "read the directions when all else fails" 23. Impatient, low frustration tolerance 24. A prisoner of the moment 25. Frequent traffic violations 26. Frequent, impulsive job changes 27. Tendency to embarrass others 28. Lying or stealing on impulse Poor Organization 29. Poor organization and planning, trouble maintaining an organized work/living area 30. Chronically late or chronically in a hurry 31. Often have piles of stuff 32. Easily overwhelmed by tasks of daily living 33. Poor financial management (late bills, check book a mess, spending unnecessary money on late fees) 34. Some adults with ADD are very successful, but often only if they are surrounded with people who organize them.

Problems Getting Started and Following Through 35. Chronic procrastination or trouble getting started 36. Starting projects but not finishing them, poor follow through 37. Enthusiastic beginnings but poor endings 38. Spends excessive time at work because of inefficiencies 39. Inconsistent work performance Negative Internal Feelings 40. Chronic sense of underachievement, feeling you should be much further along in your life than you are 41. Chronic problems with self-esteem 42. Sense of impending doom 43. Mood swings 44. Negativity 45. Frequent feeling of demoralization or that things won't work out for you Relational Difficulties 46. Trouble sustaining friendships or intimate relationships, promiscuity 47. Trouble with intimacy 48. Tendency to be immature 49. Self-centered; immature interests 50. Failure to see others' needs or activities as important 51. Lack of talking in a relationship 52. Verbally abusive to others 53. Proneness to hysterical outburst 54. Avoids group activities 55. Trouble with authority Short Fuse 56. Quick responses to slights that are real or imagined 57. Rage outbursts, short fuse

Frequent Search For High Stimulation 58. Frequent search for high stimulation (bungee jumping, gambling, race track, high stress jobs, ER doctors, doing many things at once, etc.) 59. Tendency to seek conflict, be argumentative or to start disagreements for the fun of it Tendency To Get Stuck (thoughts or behaviors) 60. Tendency to worry needlessly and endlessly 61. Tendency toward addictions (food, alcohol, drugs, work) Switches Things Around 62. Switches around numbers, letters or words 63. Turn words around in conversations Writing/Fine Motor Coordination Difficulties 64. Poor writing skills (hard to get information from brain to pen) 65. Poor handwriting, often prints 66. Coordination difficulties The Harder I Try The Worse It Gets 67. Performance becomes worse under pressure. 68. Test anxiety, or during tests your mind tends to go blank 69. The harder you try, the worse it gets 70. Work or schoolwork deteriorates under pressure 71. Tendency to turn off or become stuck when asked questions in social situations 72. Falls asleep or becomes tired while reading Sleep/Wake Difficulties 73. Difficulties falling asleep, may be due to too many thoughts at night 74. Difficulty coming awake (may need coffee or other stimulant or activity before feeling fully awake)

Low Energy 75. Periods of low energy, especially early in the morning and in the afternoon 76. Frequently feeling tired Sensitive To Noise Or Touch 77. Startles easily 78. Sensitive to touch, clothes, noise and light When you have completed the above checklist, calculate the following: 1. Total Score: 2. Total Number of Items with a score of three (3) or more: 3. Score for Item #1: 4. Score for Item #6: 5. Score for Item #7: Dr. Amen suggests: "More than 20 items with a score of three or more indicates a strong tendency toward ADD. Items 1, 6, and 7 are essential to make the diagnosis."