
Contents
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Behavioral Variability Related to Context Behavioral Variability Related to Context
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AACAP and AAP Guidelines for Preschool ADHD Assessment AACAP and AAP Guidelines for Preschool ADHD Assessment
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Evaluation Process Evaluation Process
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Evaluation Setting Evaluation Setting
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Reasons for Evaluation Request Reasons for Evaluation Request
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Preparing/Informing the Preschooler Regarding the Reasons and Process of Assessment Preparing/Informing the Preschooler Regarding the Reasons and Process of Assessment
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Diagnostic Process Diagnostic Process
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History of Present Illness History of Present Illness
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Review for Comorbid Disorders Review for Comorbid Disorders
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Family and Social History Family and Social History
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Developmental and Medical History Developmental and Medical History
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Child Interview and Observation of Child Behavior Child Interview and Observation of Child Behavior
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Social relationships. Social relationships.
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ADHD symptoms. ADHD symptoms.
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Associated and comorbid psychiatric symptoms. Associated and comorbid psychiatric symptoms.
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Child Observation and Mental Status Examination Child Observation and Mental Status Examination
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Limitations of the Child Interview and Clinic Observation of the Preschooler Limitations of the Child Interview and Clinic Observation of the Preschooler
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Observation of Parent–Child Interaction Observation of Parent–Child Interaction
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Diagnostic Formulation and Comprehensive Treatment Planning and Recommendations Diagnostic Formulation and Comprehensive Treatment Planning and Recommendations
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Summary Summary
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Disclosures Disclosures
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References References
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2 Evaluation Process and Essentials of Clinical Assessment
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Published:December 2013
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Abstract
This chapter describes the evaluation process and essentials of clinical assessment in preschool children with ADHD and comorbid conditions. After a careful review of the challenges in the assessment of preschool children presenting with ADHD symptoms, the AACAP and AAP guidelines for preschool ADHD assessment are presented. A detailed description of the evaluation process includes information on scheduling, evaluation setting, preparing the preschooler for the assessment process, child interview, and observation of parent–child interaction. Various components of clinical assessment are discussed, including history taking and specific questions and play interactions with the preschooler to elicit information regarding symptoms of ADHD and comorbid conditions, child observation, and mental status examination. The importance of obtaining information from multiple settings and contexts is emphasized. A table describing examples of caregiver complaints related to each of the specific DSM-5 ADHD criteria is included. The chapter concludes with a discussion of the integration of data to formulate the diagnosis, treatment plan, and recommendations to parents.
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