Attention-Deficit / Hyperactivity Disorder (ADHD) is often misunderstood and overlooked as a diagnosis, even by those in the mental health community.  It is relatively common, with close to 1 in 10 children in the US being diagnosed (CDC, 2022).  Prevalence in adults is estimated at about 5%, though it is likely under-diagnosed (Kessler et al., 2006).  

If you’ve found yourself googling symptoms or felt validated by social media posts on ADHD, you’re not alone.  ADHD assessment can be the first step towards coping far more effectively with these differences.  Whether you’re searching for answers yourself, or for a loved one, here’s some info on how we go about diagnosing ADHD. 

Why ADHD Testing Matters

Getting an appropriate and valid diagnosis isn’t just about answering a couple of questions then getting stimulant medications.  ADHD often occurs with other mental health symptoms, like anxiety and depression; to complicate it, other conditions can also look like ADHD.  For example, one person may struggle with depressive symptoms as a result of their experiences coping with un-diagnosed ADHD, while another person may struggle with inattentiveness and concentration issues because of depression. 

The goal of a thorough assessment is to differentiate ADHD symptoms from other symptoms so that efforts to cope with them can be far more tailored and effective.

What Happens in ADHD Testing?

A comprehensive ADHD assessment typically includes several components:

  • Clinical Interview: The psychologist will gather your developmental, academic, occupational, and emotional history. If the client is a child or young adult, parents or teachers may also be interviewed. 
  • Symptom Checklists: These are standardized questionnaires used to assess ADHD  and other symptoms across different settings (home, work, school). 
  • Cognitive Testing: These tests are meant to measure underlying abilities, such as verbal comprehension and the speed a person processes information. 
  • Achievement Testing: These tests are meant to measure how effectively a person applies their underlying abilities to completing school- and work-like tasks 
  • Rule-Outs: A thorough assessment includes evaluation of other symptoms that might look like ADHD (e.g., anxiety, depression, learning disorders). 
  • Collateral Information: When possible and appropriate, reports and measures may be completed by parents, teachers, or other professionals to help understand how these symptoms present in different settings.

Who Can Diagnose ADHD?

In the United States, ADHD can be diagnosed by psychiatrists, neurologists, and certain medical doctors (e.g., pediatricians or family medicine doctors). However, the most thorough and evidence-based assessments are typically performed by licensed psychologists, especially those trained in psychoeducational or neuropsychological testing. 

What Does a Diagnosis Look Like?

Assessment results are interpreted by the psychologist, who will give any appropriate diagnoses based on these results.  

If appropriate, your psychologist will diagnose you with one of three subtypes of ADHD:

  • Predominantly Inattentive Presentation 
  • Predominantly Hyperactive-Impulsive Presentation 
  • Combined Presentation

Each ADHD assessment results in a comprehensive report and a detailed feedback session to help walk you through it.  These reports include a detailed discussion of your results, diagnosis, and comprehensive recommendations to help you move forward and manage these symptoms more effectively.  These recommendations include treatment recommendations, as well as recommendations for academic or workplace accommodations (e.g., extended-time on testing, work supports).

A Note on ADHD in Women and Late Diagnosis

ADHD is still underdiagnosed in women and girls, in part because they often present with fewer hyperactive symptoms and more internalized struggles like overwhelm, disorganization, and mental fatigue. Many women aren’t diagnosed until adulthood—often after their child is diagnosed first.

If you’re a woman who always felt like you had to work harder just to stay afloat, it’s worth seeking an evaluation. You’re not making it up. You’re just long overdue for some answers.

Next Steps- ADHD Testing in Dallas

If you suspect ADHD, the best step is to connect with a licensed professional who can provide a comprehensive evaluation. At Dallas CBT, our psychologists specialize in the assessment and treatment of ADHD in both children and adults. We offer thoughtful, evidence-based evaluations that not only clarify diagnoses but also help guide meaningful treatment.

Curious whether an evaluation is right for you?

Learn more about our ADHD Testing here, and contact our office to schedule an appointment.