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ADHD Assessment For Adults<br><br>There are a variety of tests you can use to determine ADHD in adults. They include the Conners Adult ADHD Self Report Scale and the BADDS for Adults. Also, you should look at the CADDRA form as well as the TOVA test for adults.<br><br>Conners Adult ADHD Self-Report Scale<br><br>The Conners Adult ADHD Self-Report Scale (ASRS) is an instrument for screening that is used to evaluate ADHD symptoms in adults. It includes nine items that evaluate impulsiveness, hyperactivity and attention deficit.<br><br>The self-report scale can be used to determine ADHD in adults, but it's not for free. Healthcare professionals can employ several rating scales to determine the severity of ADHD. Some of them are based on the DSM-IV criteria for the disorder, whereas others were developed by the World Health Organization (WHO).<br><br>Rating scales can help in identifying disorders that share similar symptoms. A score of more than 60 suggests that the patient has ADHD. In addition to rating scales, there are checklists that are designed to collect information on the clinical history of the patient.<br><br>Conners Abbreviated Syndrome Questionnaire is the most favored rating scale for adults. The self-report scale can be utilized to determine ADHD. It is easy to use and precise. Parents and teachers can also use a shorter version of this scale.<br><br>The NICHQ Vanderbilt Assess Scale Diagnostic Rating Score Scale is another assessment tool that can be used to identify the disorder. These tools have been used in research and have been found to have a high degree of discrimination. To be considered to have the disorder, the individual must score at minimum four on at least two questions on the scale.<br><br>Another screening tool is the Weiss ADHD Comorbid Screen. It is used to detect the presence of comorbid conditions. A score of more than 2 indicates that the patient has co-occurring ADHD and a different psychiatric disorder.<br><br>You can also utilize other scales for rating to measure hyperactivity or impulsiveness. While these scales can be used to distinguish between ADHD and other disorders but there is no definitive information about their efficacy in treating the disorder. They can help to identify possible comorbidities.<br><br>In 2006 there was at least one psychiatric complicaiton was found in approximately 70% of adult patients diagnosed with ADHD. It is important to identify if there are complications.<br><br>Brown Attention-Deficit Disorder Symptom Assessment Scale (BADDS) for Adults<br><br>The Brown Attention-Deficit-Disorder Symptom Assessment Scale is used to evaluate the symptoms of ADHD and associated affective impairments. It is an assessment tool that self-reports and evaluates 40 items. This assessment tool is useful for screening and diagnosing ADD as well as in testing the effects of ADHD medication.<br><br>There are a myriad of rating scales available for adults with ADHD. They include the Adult Attention Deficit Disorder Rating Scale the Behavior Rating Inventory of Executive Function, the Adult ADHD Self-Report Scale v1.1 Checklist of Symptoms, as well as the Adult Attention Deficit Disorder Evaluation Scale.<br><br>All of these assessment tools are frequently employed in the clinical examination of ADHD. They are also utilized in schools and research trials for ADHD medication.<br><br>BADDS is a validated self-report questionnaire. The scores are then evaluated against age-based norms as well as gender-based norms. BADDS is classified into five clusters. Each cluster has items that are conceptually related to [https://edgarfpwcg.anchor-blog.com/8728266/15-best-twitter-accounts-to-find-out-more-about-adhd-assessments-uk adhd assessment psychiatry uk].<br><br>The BADDS42 is one of the most well-known Brown EF/A scalars. The scale has sections for corroborative ratings. Similar scales to the BADDS are the Adult [https://private-adhd-assessment69998.blogsuperapp.com/28950740/we-ve-had-enough-15-things-about-adhd-assessments-for-adults-we-re-tired-of-hearing book adhd assessment uk] Self-Report Scale and the Behavior Assessment System for Children.<br><br>Apart from self-report These tests are typically performed by a physician. The examiner will question the patient to discuss a range of problems during the assessment. The evaluator might ask questions about hyperactivity, restlessness and impatience as well being able to identify memory issues.<br><br>Adults suffering from ADHD are able to rate their symptoms on a scale that ranges from seldom as never or as often as they like. These assessments are intended to determine the frequency and severity of symptoms in relation to situational variations.<br><br>The Behavior Rating Inventory for Executive Function (BFIS52) is another assessment tool for adults suffering from ADHD. The self-report inventory is designed to measure impairments related to thinking, concentration, emotional regulation, and more. BFIS52 is also an observer-report form.<br><br>The BADDS and BFIS52 can be used to assess the symptoms of ADD in adolescents or children. They are based on the six cluster model of executive function developed by Dr. Thomas E. Brown and are designed to provide complete assessments of [https://iampsychiatry-uk99192.birderswiki.com/793605/the_no_1_question_everyone_working_in_assessing_adhd_in_adults_must_know_how_to_answer Adhd assessment women] symptoms.<br><br>CADDRA forms<br><br>CADDRA forms for adults were created to be used as a diagnostic tool for primary health professionals. The form includes questions about a patient's functioning in different situations.<br><br>This questionnaire asks questions about hyperactivity and impulsivity as well as [https://dallasecxrk.collectblogs.com/74070093/you-ll-never-guess-this-adhd-assessments-s-tricks how do i get assessed for adhd] you can concentrate and unwind. Adults should be looking for signs that started in early childhood, like issues with attention. They might also wish to check for comorbid conditions. These include ADHD and depression, anxiety, bipolar disorder and obsessive-compulsive disorder.<br><br>Symptoms of ADHD can impact the relationship between a person's friends and family and can affect their work or academic relationships. The condition can be treated by taking medication. Ritalin and other stimulant drugs are commonly used. But these medicines can cause adverse effects, such as the risk of suicidal ideas.<br><br>Many doctors have a special interest adult ADHD. This includes family medicine, pediatrics and child and adolescent psychotherapy.<br><br>Adults may have a difficult time finding a qualified practitioner. Many people have found counseling helpful in recognizing and managing their issues. It is also essential to seek an additional opinion from a different person.<br><br>Many people with ADHD do not realize they are suffering until it's too late. In addition, they could be confused about how it affects their lives. There are resources to give the answers you require.<br><br>Patients with ADHD are often asked to fill out a variety of forms based on the assessment of the doctor. A questionnaire, a checklist and an assessment form are a few of the forms required. All of them must be reviewed by an experienced medical professional.<br><br>Rating scales are an additional evaluation of the symptoms of a patient. The scales usually ask the patient to rate their behavior on a point scale that includes 0-3 or 4. Some scales have only several items, whereas others may have more than 100 items.<br><br>Parents can also request their children to complete SNAP IV forms. This permits them to ask for details about their behavior. Teachers can also write a report about the child's behavior.<br><br>Once you have a clear idea of your child's ailments then it's time for treatment. This could be a combination of treatment that is pharmacological or non-pharmacological.<br><br>TOVA test<br><br>The Test of Variable Attention is an exam in neuropsychology that tests for attention deficit disorder. The test focuses on the most important aspects of inhibitory control such as speed, response time, and vigilance.<br><br>A TOVA score can be divided into two portions of target frequent and target infrequent. In general the TOVA score is significantly deviant when it is 1.33 standard deviations lower than the normal range. In an TOVA patient, the patient has to respond to specific targets by activating a micro switch.<br><br>The test is administered by a qualified psychometric technician who is blinded by the results. Subjects are exposed to a variety of geometric stimuli. Targets are presented at an amount of 1:3.5. When multiple targets are displayed subjects must press the micro switch for every target.<br><br>Participants are usually Caucasian and male. The results are presented as tables and infographics. They are also compared to those of other subjects without ADHD.<br><br>FDA-cleared The TOVA has been used in a variety of clinical settings. It is typically used in conjunction with the clinical interview. Additionally, it is frequently employed in New York City as part of a regular cognitive testing battery.<br><br>A TOVA-A takes approximately 21.6 minutes. Patients are informed that their results will be kept confidential. A specialist in the field of behavioral health reviews the results.<br><br>While the TOVA may be a useful screening tool, it is not a conclusive diagnosis. It is possible for a test to fail to provide the most accurate information. The TOVA's error subscale may be associated with omissions or excessive anticipatory responses.<br><br>Although the TOVA test is a helpful diagnostic tool, it should not be the only method used to diagnose ADHD. It is essential to consider other measures to get a complete picture. For instance an extensive evaluation of the patient's past and current symptoms.<br><br>To diagnose ADHD correctly, it's necessary to have a thorough knowledge of the patient's family background and the context in which the symptoms are displayed. It could take several hours to assess the patient's situation.<br><br>To avoid this, it is important to speak with a qualified healthcare provider. The patient's history should contain any symptoms lasting at least six months. Additionally, symptoms shouldn't be of a degree that is not appropriate or hinders academic or social functioning.
ADHD Assessment For Adults<br><br>If you're considering an ADHD assessment for an adult, there are a number of tests you can take. They include the BADDS for adults and the Conners Adult [https://mysocialfeeder.com/story2959817/how-to-find-the-perfect-adhd-assessment-near-me-online adhd self assessment test] Self-Report Scale. Also, be sure to examine the CADDRA and TOVA tests for adults.<br><br>Conners Adult ADHD Self-Report Scale<br><br>Conners Adult ADHD Self-Report Scale is an assessment tool that can be used to assess ADHD symptoms in adults. It is comprised of nine items that focus on hyperactivity, impulsiveness, as well as attention deficit.<br><br>Although it is free to use, the self-report scale isn't the only instrument that can be used to determine adult ADHD. There are various rating scales that are utilized by healthcare professionals to diagnose the disorder. Some of these are based on the DSM-IV criteria for the disorder, while others have been developed by the World Health Organization (WHO).<br><br>Rating scales can be used to identify between disorders with similar symptoms. A score of at least 60 suggests that the patient has ADHD. In addition to the rating scales, there are checklists, which are designed to gather data regarding the medical background of the patient.<br><br>Conners Abbreviated Disorder Questionnaire is the most sought-after rating scale for adults. The self-report scale is simple to use and has been proven to be reliable in measuring ADHD. A short version of the scale is available for parents and teachers.<br><br>The NICHQ Vanderbilt Assess Scale Diagnostic Rating Score Scale is an additional assessment tool that can be used to determine the disorder. These instruments have been utilized in studies and found to have high discrimination. To be considered for the disorder, the patient must score at minimum four on at least two questions on the scale.<br><br>Another screening tool is the Weiss ADHD Comorbid Screen. It can be used to identify comorbid conditions. If the score is greater than 2 this means that the individual has ADHD as well as another psychiatric disorder.<br><br>Other rating scales are used to assess impulsivity and hyperactivity. While these can be used to differentiate between ADHD and other conditions however, there is not any specific information about their efficacy in treating the disorder. However they could be helpful in identifying comorbidities that might be present in the patient.<br><br>In 2006 at least one psychiatric co-morbidity was noted in around 70% of adult patients diagnosed with ADHD. Therefore, it is crucial to determine if the patient has any co-morbidities.<br><br>Adults: Brown Attention-Deficit-Disorder Assessment of Symptoms Scale (BADDS).<br><br>The Brown Attention Deficit Disorder Symptom Assessment Scale (BADDS) is used to determine the signs of ADHD and other related affective impairments. It is a self-report 40-item assessment scale, designed for adults. This assessment tool is beneficial to screen and diagnose ADD as well as in evaluating the effects of ADHD medication.<br><br>There are many rating scales for adults suffering from ADHD. They include the Adult Attention Deficit Disorder Rating Scale the Behavior Rating Inventory of Executive Function, the Adult ADHD Self-Report Scale v1.1 Checklist of Symptoms, and the Adult Attention Deficit Disorder Evaluation Scale.<br><br>All of these assessment tools are frequently used in the clinical examination of ADHD. They are also used in the classroom and in research trials of ADHD medication.<br><br>BADDS is a validated self-report questionnaire. The scores are then assessed against norms of age and gender-based norms. BADDS is divided into five clusters, and each cluster includes items that are conceptually related to [https://private-psychiatry19706.wikibestproducts.com/837570/the_reasons_assessments_for_adhd_in_adults_is_harder_than_you_imagine adhd assessment for women].<br><br>One of the most well-known scales for Brown EF/A is the BADDS42. It has a section for corroborative ratings. Similar scales to the BADDS are the Adult ADHD Self-Report Scale and the Behavior Assessment System For Children.<br><br>These tests are typically conducted by a physician, and may include self-report. The examiner is likely to ask the patient questions about a variety of problems during the assessment. The examiner could ask questions about restlessness, hyperactivity and impatience, as well as memory problems.<br><br>Adults with ADHD can evaluate their symptoms on a scale that ranges from one to many, or even every other day. These tests are used to evaluate the severity and frequency of symptoms in relation to the varying circumstances.<br><br>The Behavior Rating Inventory for Executive Function (BFIS52) is another assessment tool for adult ADHD. This self-report inventory measures problems with thinking, concentration, emotional regulation, and more. BFIS52 can be used as an observer-reporting tool.<br><br>The BADDS and BFIS52 can be used to evaluate the symptoms of ADD in adolescents or children. They are constructed on the six cluster model of executive functions devised by Dr. Thomas E. Brown, and are designed to provide complete assessments of ADHD symptoms.<br><br>CADDRA forms<br><br>CADDRA forms for adults were created to be used as a diagnostic tool by primary health professionals. The form asks questions about the patient's behavior in different situations.<br><br>The questionnaire includes questions about hyperactivity and impulsivity, as well being able to concentrate and unwind. Adults should be seeking out signs that started in childhood, such as attention issues or hyperactivity. They may also want to examine for comorbid conditions. These include ADHD depression, anxiety, depression bipolar disorder and obsessive compulsive disorder.<br><br>ADHD symptoms can impact an individual's relationships as well as professional and academic relationships, as well as their relationships with family members and their friends. Treatment is essential to aid a person with this condition. Ritalin and other stimulant drugs are often used. However, these medications can cause side effects, including a higher risk of suicidal ideas.<br><br>Many doctors have a particular interest adult ADHD. This includes pediatrics, family medicine, and child and adolescent psychiatry.<br><br>It may be difficult for adults to find a qualified counselor. Many have found counseling to be helpful in recognizing and managing their problems. It's also important to [https://social-lyft.com/story7392595/speak-yes-to-these-5-adhd-assessment-near-me-tips get an adhd assessment] a second opinion from a third-party.<br><br>Many adults suffering from ADHD do not know they have it until it's too late. They may also be confused about how do You get assessed for adhd ([https://mariozdcsl.blogadvize.com/35074962/12-statistics-about-adhd-private-assessment-to-inspire-you-to-look-more-discerning-around-the-cooler-water-cooler mariozdcsl.blogadvize.com]) ADHD affects their lives. There are resources that can assist you in finding the answers.<br><br>Patients with ADHD are often asked to fill out several forms based on the assessment of the doctor. A checklist, a questionnaire and an assessment form are just a few of the forms that will be required. Each one of these forms should be reviewed by an experienced medical professional.<br><br>Rating scales can give an additional assessment of the patient's symptoms. These scales require the patient to rate their behavior on an 0-3, or 4. Some of these scales are just several items long and some are longer than 100.<br><br>Parents can also ask their children fill out SNAP-IV forms, which ask their children to share their symptoms. Teachers can also prepare a report about the child's behavior.<br><br>Once you have a complete knowledge of the signs and symptoms of your child, it is time to start treatment. This may include a combination of pharmacological and non-pharmacological therapies.<br><br>TOVA test<br><br>The Test of Variable Attention (TOVA) is a neuropsychological assessment that screens for attention deficit disorder. The test focuses on the most important aspects of inhibitory control, such as speed in response time, speed of response, and the ability to stay alert.<br><br>A TOVA score is always divided into two parts targets frequent and targets infrequent. A TOVA score is considered to be significantly deviant when it is 1.33 standard deviations lower than the normal range. A TOVA requires that the patient respond to the targets by activating micro switches.<br><br>A certified psychometric technician administers the test blinded to the results. The test subjects are presented with various geometric stimuli. The targets are displayed at an inverse ratio of 1:3.5. When multiple targets are displayed the subject has to activate the micro switch for each target.<br><br>Participants are typically male and Caucasian. The results are presented as infographics and tables. They are also compared with those of other subjects who do not have ADHD.<br><br>The TOVA is FDA-cleared and has been used in various clinical settings. It is often combined with an interview in a clinical setting. It is also used frequently in New York City as part of a typical cognitive test battery.<br><br>A TOVA-A test takes around 21.6 minutes. Patients are informed that their results will be kept confidential. The results are reviewed by a behavioral health specialist.<br><br>Although the TOVA could be a valuable screening tool, it is not a definitive diagnosis. Additionally, it is possible that a test will yield inaccurate results. The TOVA's error subscale may be linked to omission errors or excessive anticipatory responses.<br><br>While the TOVA test is an effective diagnostic tool, it's not the only method used to identify ADHD. To obtain a complete picture, it is recommended to employ other measures, such as an exhaustive examination of the patient's past and the present symptoms.<br><br>A reliable diagnosis of ADHD requires extensive knowledge of the patient's history along with family history and the context of the symptoms. It may take several hours to fully evaluate the patient's situation.<br><br>It is essential to speak with a qualified healthcare professional to be sure to avoid this. The patient's history should contain any symptoms lasting at minimum six months. Also, symptoms shouldn't be of a developmental level that is insufficient or impairs academic and social functioning.

Revision as of 03:46, 1 November 2024

ADHD Assessment For Adults

If you're considering an ADHD assessment for an adult, there are a number of tests you can take. They include the BADDS for adults and the Conners Adult adhd self assessment test Self-Report Scale. Also, be sure to examine the CADDRA and TOVA tests for adults.

Conners Adult ADHD Self-Report Scale

Conners Adult ADHD Self-Report Scale is an assessment tool that can be used to assess ADHD symptoms in adults. It is comprised of nine items that focus on hyperactivity, impulsiveness, as well as attention deficit.

Although it is free to use, the self-report scale isn't the only instrument that can be used to determine adult ADHD. There are various rating scales that are utilized by healthcare professionals to diagnose the disorder. Some of these are based on the DSM-IV criteria for the disorder, while others have been developed by the World Health Organization (WHO).

Rating scales can be used to identify between disorders with similar symptoms. A score of at least 60 suggests that the patient has ADHD. In addition to the rating scales, there are checklists, which are designed to gather data regarding the medical background of the patient.

Conners Abbreviated Disorder Questionnaire is the most sought-after rating scale for adults. The self-report scale is simple to use and has been proven to be reliable in measuring ADHD. A short version of the scale is available for parents and teachers.

The NICHQ Vanderbilt Assess Scale Diagnostic Rating Score Scale is an additional assessment tool that can be used to determine the disorder. These instruments have been utilized in studies and found to have high discrimination. To be considered for the disorder, the patient must score at minimum four on at least two questions on the scale.

Another screening tool is the Weiss ADHD Comorbid Screen. It can be used to identify comorbid conditions. If the score is greater than 2 this means that the individual has ADHD as well as another psychiatric disorder.

Other rating scales are used to assess impulsivity and hyperactivity. While these can be used to differentiate between ADHD and other conditions however, there is not any specific information about their efficacy in treating the disorder. However they could be helpful in identifying comorbidities that might be present in the patient.

In 2006 at least one psychiatric co-morbidity was noted in around 70% of adult patients diagnosed with ADHD. Therefore, it is crucial to determine if the patient has any co-morbidities.

Adults: Brown Attention-Deficit-Disorder Assessment of Symptoms Scale (BADDS).

The Brown Attention Deficit Disorder Symptom Assessment Scale (BADDS) is used to determine the signs of ADHD and other related affective impairments. It is a self-report 40-item assessment scale, designed for adults. This assessment tool is beneficial to screen and diagnose ADD as well as in evaluating the effects of ADHD medication.

There are many rating scales for adults suffering from ADHD. They include the Adult Attention Deficit Disorder Rating Scale the Behavior Rating Inventory of Executive Function, the Adult ADHD Self-Report Scale v1.1 Checklist of Symptoms, and the Adult Attention Deficit Disorder Evaluation Scale.

All of these assessment tools are frequently used in the clinical examination of ADHD. They are also used in the classroom and in research trials of ADHD medication.

BADDS is a validated self-report questionnaire. The scores are then assessed against norms of age and gender-based norms. BADDS is divided into five clusters, and each cluster includes items that are conceptually related to adhd assessment for women.

One of the most well-known scales for Brown EF/A is the BADDS42. It has a section for corroborative ratings. Similar scales to the BADDS are the Adult ADHD Self-Report Scale and the Behavior Assessment System For Children.

These tests are typically conducted by a physician, and may include self-report. The examiner is likely to ask the patient questions about a variety of problems during the assessment. The examiner could ask questions about restlessness, hyperactivity and impatience, as well as memory problems.

Adults with ADHD can evaluate their symptoms on a scale that ranges from one to many, or even every other day. These tests are used to evaluate the severity and frequency of symptoms in relation to the varying circumstances.

The Behavior Rating Inventory for Executive Function (BFIS52) is another assessment tool for adult ADHD. This self-report inventory measures problems with thinking, concentration, emotional regulation, and more. BFIS52 can be used as an observer-reporting tool.

The BADDS and BFIS52 can be used to evaluate the symptoms of ADD in adolescents or children. They are constructed on the six cluster model of executive functions devised by Dr. Thomas E. Brown, and are designed to provide complete assessments of ADHD symptoms.

CADDRA forms

CADDRA forms for adults were created to be used as a diagnostic tool by primary health professionals. The form asks questions about the patient's behavior in different situations.

The questionnaire includes questions about hyperactivity and impulsivity, as well being able to concentrate and unwind. Adults should be seeking out signs that started in childhood, such as attention issues or hyperactivity. They may also want to examine for comorbid conditions. These include ADHD depression, anxiety, depression bipolar disorder and obsessive compulsive disorder.

ADHD symptoms can impact an individual's relationships as well as professional and academic relationships, as well as their relationships with family members and their friends. Treatment is essential to aid a person with this condition. Ritalin and other stimulant drugs are often used. However, these medications can cause side effects, including a higher risk of suicidal ideas.

Many doctors have a particular interest adult ADHD. This includes pediatrics, family medicine, and child and adolescent psychiatry.

It may be difficult for adults to find a qualified counselor. Many have found counseling to be helpful in recognizing and managing their problems. It's also important to get an adhd assessment a second opinion from a third-party.

Many adults suffering from ADHD do not know they have it until it's too late. They may also be confused about how do You get assessed for adhd (mariozdcsl.blogadvize.com) ADHD affects their lives. There are resources that can assist you in finding the answers.

Patients with ADHD are often asked to fill out several forms based on the assessment of the doctor. A checklist, a questionnaire and an assessment form are just a few of the forms that will be required. Each one of these forms should be reviewed by an experienced medical professional.

Rating scales can give an additional assessment of the patient's symptoms. These scales require the patient to rate their behavior on an 0-3, or 4. Some of these scales are just several items long and some are longer than 100.

Parents can also ask their children fill out SNAP-IV forms, which ask their children to share their symptoms. Teachers can also prepare a report about the child's behavior.

Once you have a complete knowledge of the signs and symptoms of your child, it is time to start treatment. This may include a combination of pharmacological and non-pharmacological therapies.

TOVA test

The Test of Variable Attention (TOVA) is a neuropsychological assessment that screens for attention deficit disorder. The test focuses on the most important aspects of inhibitory control, such as speed in response time, speed of response, and the ability to stay alert.

A TOVA score is always divided into two parts targets frequent and targets infrequent. A TOVA score is considered to be significantly deviant when it is 1.33 standard deviations lower than the normal range. A TOVA requires that the patient respond to the targets by activating micro switches.

A certified psychometric technician administers the test blinded to the results. The test subjects are presented with various geometric stimuli. The targets are displayed at an inverse ratio of 1:3.5. When multiple targets are displayed the subject has to activate the micro switch for each target.

Participants are typically male and Caucasian. The results are presented as infographics and tables. They are also compared with those of other subjects who do not have ADHD.

The TOVA is FDA-cleared and has been used in various clinical settings. It is often combined with an interview in a clinical setting. It is also used frequently in New York City as part of a typical cognitive test battery.

A TOVA-A test takes around 21.6 minutes. Patients are informed that their results will be kept confidential. The results are reviewed by a behavioral health specialist.

Although the TOVA could be a valuable screening tool, it is not a definitive diagnosis. Additionally, it is possible that a test will yield inaccurate results. The TOVA's error subscale may be linked to omission errors or excessive anticipatory responses.

While the TOVA test is an effective diagnostic tool, it's not the only method used to identify ADHD. To obtain a complete picture, it is recommended to employ other measures, such as an exhaustive examination of the patient's past and the present symptoms.

A reliable diagnosis of ADHD requires extensive knowledge of the patient's history along with family history and the context of the symptoms. It may take several hours to fully evaluate the patient's situation.

It is essential to speak with a qualified healthcare professional to be sure to avoid this. The patient's history should contain any symptoms lasting at minimum six months. Also, symptoms shouldn't be of a developmental level that is insufficient or impairs academic and social functioning.