![]() ![]() The patient does not remember or denies symptoms in childhood, and school report cards are not available.The patient was clearly hyperactive, impulsive and inattentive when younger, but currently has difficulty with only a few residual symptoms.Other patients may, on further exploration, give a very convincing account of unusual coping strategies, such as excess time on homework or increased need for assistance. The patient is very bright, and early school report cards do not describe problems with attention or behaviour.The patient is well-educated or employed in a high-level position.A partner or parent suggests symptoms of ADHD, which the patient dismisses.The patient has read about ADHD and thinks he or she has this problem.The patient reports a great deal of problems with organization, time management and executive function, but is reliable in keeping appointments, filling out forms and paying for treatment.You do not observe hyperactivity in the office.difficulty paying bills, completing reports or assignments (paperwork is “kryptonite” to someone with ADHD).ĭo NOT use the following clinical observations to dismiss a diagnosis of ADHD:.difficulty delivering on promises (e.g., missed deadlines).appearing not to take responsibility for themselves. ![]()
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