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Assessing ADHD in Adults<br><br>Examining the severity of adhd in adults is crucial for the correct diagnosis of the disorder, which is an overwhelming task. There are a variety of methods to Assess Adhd ([https://imoodle.win/wiki/4_Dirty_Little_Tips_On_How_To_Get_An_ADHD_Assessment_Industry_How_To_Get_An_ADHD_Assessment_Industry Imoodle.Win]), including structured clinical interviews and self-report rating scales. However, just because these tests are routine doesn't mean they are easy to execute.<br><br>Interview with parents and children<br><br>A parent-child interview is an essential part of the evaluation of children diagnosed with ADHD. It can provide valuable information [https://humanlove.stream/wiki/This_Is_The_Myths_And_Facts_Behind_Assessment_For_ADHD how to get assessed for adhd uk] the clinician about the phenomenological and as well the ecological validity of the child's symptoms. This information should be combined with data from other sources to establish a correct diagnosis.<br><br>Effective interviews are based on asking specific questions. Don't ask excessive questions about parents' personal concerns. Be careful not to interpret any informal observations of the child’s behavior as a form of judgement.<br><br>Pervasiveness is a key criterion to diagnose ADHD. A reliable measure of the pervasiveness of a symptom is CHATTI. The tool is a simple but time-efficient tool for assessing the symptom scores of teachers.<br><br>The questionnaire is a different useful tool. The questionnaire is simple to use and is highly reliable. However, they can be influenced by rater bias.<br><br>The interview with the parent/child is a vital part of the test. However, it could be criticized for its inaccuracy. The exam process can make parents unhappy, and for some parents, the interview could be a therapeutic experience.<br><br>Interviews with parents/children should be accompanied by a thorough clinical assessment. It is crucial to look over all records that pertain to the child. Medical and psychoeducational records, along with previous test results can provide the psychologist an insight into the child's psychosocial profile.<br><br>The nature of the referral is another aspect to take into consideration. A referral for an ADHD diagnosis can be caused by a child's behaviour issues. There is also the possibility of family stress as a potential cause of the child's issues.<br><br>An effective interview should comprise an assortment of tests that are standardized and parent-child interactions. If the examiner is going to conduct an interview with a child of a minority it is imperative that they be sure to observe cultural standards.<br><br>The most important aspect of an interview with a child or parent parental figure is the relationship the examiner builds with the parent. The rapport, when combined with the information that is gathered during the interview can be used to create an accurate diagnosis.<br><br>The interview should be considered an effective and necessary part of an extensive and accurate evaluation of the child's behavior, social, and emotional strengths and weaknesses. An accurate assessment will help to determine the child's development and help determine the best treatment.<br><br>Self-report scales for rating<br><br>Rating scales are useful in diagnosing ADHD in adults. They can be utilized by medical professionals, parents, caregivers, and many others. There are many types of scales for rating available and can be used to determine the different behavioral symptoms related to ADHD.<br><br>The Adult Self-Report Scale (ASRS) is a self-report survey which measures ADHD in adults. Its v1.1 version contains 18 questions. Part A questions require the subjects to assess their symptoms. Part B questions measure the severity of symptoms. These two tests have been extensively studied and there's an abundance of research on their accuracy.<br><br>ASRS has high concurrent validity. Furthermore, the questions are designed around DSM criteria and are designed to be able to identify symptoms of ADHD. The frequency scores show the severity of the symptoms' effect on the patient's everyday life.<br><br>Despite the popularity of these tests yet, the connection between their accuracy and actual diagnostics of these tests is not evident. One study found that only 7 percent of children who took an executive function test like the Stanford-Binet Scale or the Attention Deficit Disorder Test, showed a positive relationship between the tests and results of the ASRS.<br><br>Divergent results have been observed in research on the relationship between ADHD self-report scales and tests of executive function. This may be due to the lack of specificity of the tests themselves. Furthermore, the results of the ADHD self-report questionnaire have been found to not correlate with attentional performance , or any other component of the EF.<br><br>These measures aren't perfect however they can be used to assess the likelihood of someone with ADHD. If someone is diagnosed with [https://humanlove.stream/wiki/This_Is_The_Myths_And_Facts_Behind_Assessment_For_ADHD adhd assessment in uk] then the scores on these tests will be greater than 60. A question like "[http://wzgroupup.hkhz76.badudns.cc/home.php?mod=space&uid=1891514 how to get assessed for adhd] often do your concentration problems occur?" is a common answer. will be scored positively because the answers "Never," "Not Very Often," and "Always" are all negative.<br><br>Some rating scales ask about other issues, such as depression, that may be associated with ADHD. In reality, a shorter version of the CDC's list of symptoms for depression is available.<br><br>Structured clinical interview<br><br>In order to establish a diagnosis of ADHD in adults, a psychotherapy interview is the most commonly used method. This method is often used in conjunction with several other tools. These tools include behavioral testing, cognitive testing scales, and self-report measures. A combination of these diagnostic tools has shown to be more accurate than individual tools.<br><br>Patients are asked to describe their primary symptoms in various situations during a medical interview. This allows the clinicians to assess the patient's daily life and determine if they suffer from ADHD. These charts also provide an improved picture of the patient's issues with specific ADHD symptoms.<br><br>It is important to include informants who can verify the patient's medical history when making use of ADHD behavior rating systems. Inadequate information can lead to over-reporting symptoms. Informants could include a spouse or employer, as well as other significant adult in the life of. The most effective way to integrate the ratings is through an averaging technique.<br><br>Cognitive testing plays a crucial aspect in diagnosing ADHD in adults. It increases the specificity and reliability of the test battery. It is particularly useful for monitoring the response to treatment. Certain studies have shown that combining cognitive testing with ADHD behavior rating scales is more effective than relying only on one or the other.<br><br>ADHD adults often have difficulty understanding the cause of their behavioral problems. Therefore, the diagnosis of their condition could be difficult to determine. Research has demonstrated that ADHD symptoms such as memory and concentration are the most effective indicators of ADHD for adults.<br><br>ADHD adults have a higher rate of comorbidities than ADHD children. Research suggests that comorbidities could affect the subjective symptoms. Therefore future studies should investigate the effects of medications and psychological disorders that are comorbid.<br><br>Research has been done extensively regarding the reliability and accuracy of behavioral rating scales used to identify ADHD in adults. One study revealed that the [https://voss-underwood.blogbright.net/how-to-make-an-amazing-instagram-video-about-adhd-assessment-1728699102/ diva adhd assessment] was the most accurate and BAARS-IV the most inaccurate. These tools are subjective. Researchers suggest that you get these ratings from knowledgeable people.<br><br>A structured clinical interview is an ideal tool to test adults with ADHD. In addition to providing standardized questions, it comes with modules that evaluate developmental data and symptomatology based on DSM criteria.<br><br>Psychological and neuropsychological testing<br><br>For those who suffer from ADHD Psychological and neuropsychological tests can be extremely useful. These tests can aid in diagnosing neurological problems or brain disorders and can provide guidance for treatment strategies.<br><br>Psychological tests assess a range of mental functioning and behavior. They are also used for diagnosing learning disabilities and developmental disabilities. These test results can also be compared with the results of individuals of similar age.<br><br>A neuropsychological assessment is a standardized, comprehensive test of the brain that assesses various cognitive functions. This type of testing is usually administered by a professional, such as a psychiatrist or psychologist. Typical tests involve answering questionnaires and completing tasks on computer.<br><br>Psychological tests can measure intelligence, such memory and reasoning abilities, as well as other functions such as attention and multitasking. These tests are designed to measure cognitive capacity, but not to gauge injury. However, a person can still experience cognitive problems due to an injury or neurologic disorder that could cause cognitive changes.<br><br>Tests for ADHD for adults can include tests of attention and memory, as well as language and other skills. They are designed to determine differences in mental functioning between healthy people and those who have a disability. Typically, ADHD patients are more distractible than healthy adults, especially when they are performing tasks that require sustained concentration and abstract problem solving.<br><br>To aid in diagnosing ADHD in adults, neuropsychological and psychological testing are often employed. This is because ADHD symptoms are mostly neurocognitive in the sense that they are neurocognitive in. These symptoms include issues with short-term memory as well as the verbal process. These aren't the only signs of the disorder.<br><br>The results of the psychological and neuropsychological tests used to evaluate ADHD in adults can be used to develop treatment programs and intervention plans. The individual report contains an explanation of the symptoms and treatment suggestions, and an indication for further research. Based on the results of the test the health care practitioner may provide additional tests to test for any other ailments.<br><br>Comprehensive tests for ADHD in adults is conducted on a one-on-one basis. A certified clinical psychologist will examine the patient's medical history, developmental milestones and behavior during the assessment. He or she also speaks with the patient about his or her issues, and offers suggestions for treatment.
Assessing ADHD in Adults<br><br>The assessment of adhd in adults is vital for a proper diagnosis of the disease, which can be an overwhelming process. There are a variety of ways to evaluate adhd including structured clinical interviews and self-report rating scales. However, just because these tests are widely used doesn't mean that they are easy to execute.<br><br>Parent/child interview<br><br>An important part of ADHD evaluations is the interview with the child's parent. It can provide valuable information to the clinician regarding the phenomenological as as ecological validity of the child’s symptoms. This information, in conjunction with other data sources, will be able to form the basis of an accurate diagnosis.<br><br>The key to an effective interview is to ask specific and concrete questions. Be careful not to ask excessive questions about parents' personal issues. Be cautious not to misinterpret informal observations of the child's behavior.<br><br>The most important criterion used to determine adhd assessment Women - [https://psychiatrist90597.nico-wiki.com/807985/what_is_adhd_assessments_uk_s_history_history_of_adhd_assessments_uk psychiatrist90597.nico-wiki.com] - is its pervasiveness. A reliable measure of the degree of pervasiveness of symptoms is CHATTI. The tool is a simple but effective method for assessing the total score of symptom scores reported by teachers.<br><br>Another useful tool is the questionnaire. They are simple to administer and demonstrate high levels of reliability. They can be biased by bias of the rater.<br><br>The parent/child interview is a significant part of the test. But, it can be criticised for its inaccuracy. Parents may be overly annoyed by the process of assessing their child and the interview could be a cathartic experience for them.<br><br>Interviews with parents/children should be accompanied by a clinical evaluation. It is crucial to look over all records that pertain to the child. Psychoeducational and medical records as well as previous testing results, can provide the doctor insight into the child's psychological profile.<br><br>The nature of the referral is another important aspect to take into consideration. A referral for an ADHD diagnosis can be caused by a child's behavior issues. There is also the possibility that stress in the family as a possible cause for the child's problems.<br><br>A successful interview should consist of the use of standardized tests as well as interaction between parents and children. Interviews with children from minority backgrounds should be conducted by an examiner who is committed to the cultural standards.<br><br>The most important aspect of an interview between a child and a parental figure is the relationship the examiner establishes with the parent. A diagnosis can be established if the examiner establishes a rapport with the parent, and also the interview details are.<br><br>Overall, the interview should be viewed as a positive and a necessary element of a thorough and accurate assessment of the child's behavioral, social, and emotional strengths and weaknesses. A precise diagnosis can help determine the child's developmental stage and allow for the best treatment.<br><br>Self-report rating scales<br><br>Rating scales can be helpful in diagnosing ADHD in adults. They can be utilized by healthcare professionals, clinicians, providers, parents and caregivers, and many others. There are various types of rating scales available, and these are used to measure the various behavioral issues associated with [https://private-adhd-assessment33298.articlesblogger.com/51505848/the-history-of-adhd-assessment-london adhd assessment uk].<br><br>The Adult Self-Report Scale is a questionnaire that evaluates ADHD in adults. Its v1.1 version contains 18 questions. Part A questions ask subjects to assess their symptoms. Part B tests measure the severity of symptoms. These tests have been thoroughly examined and extensive research has been conducted to determine their accuracy.<br><br>ASRS has a high concurrency. Additionally the questions are constructed based on DSM criteria, and they are designed to identify signs of ADHD. The frequency scores show the severity of the symptoms' effect on the person's daily routine.<br><br>Despite the increasing popularity of these tools for testing however, the relationship between their accuracy and actual use of these tests isn't obvious. One study found that only 7 percent of children who took executive functions tests, like the StanfordBinet Test and the Attention Deficit Disorder Test, showed an unfavorable correlation between their results and those of the ASRS.<br><br>Research on the relationship between the executive function tests and the ADHD self-report scales has yielded mixed results. This could be due in part to the lack of specificity of the tests. The ADHD self-report questionnaire results have not been shown to be correlated with attentional performance, or other elements of the EF.<br><br>These measures are imperfect however they can be used to assess the likelihood of having ADHD. If someone is diagnosed with ADHD, the scores on these tests will be over 60. A question like "How often do you experience problems with your concentration?" is a common answer. is scored positively, because the answers "Never," "Not Very Often," and "Always" are all negative.<br><br>Certain rating scales may also inquire about other issues such as depression which may be linked to ADHD. In fact, a shortened version of the CDC's checklist for depression is available.<br><br>Interview with a structured clinical basis<br><br>To determine if you have ADHD for adults, a psychotherapy interview is the most common method. This method is often used in conjunction with several other tools. These tools include cognitive testing, behavioral rating scales and [https://psychiatrist76629.muzwiki.com/7024192/15_lessons_your_boss_wants_you_to_know_about_adhd_assessments_uk_you_knew_about_adhd_assessments_uk self assessment adhd test]-report tests. Combining these diagnostic tools has been shown to be more accurate than using individual tools.<br><br>In a clinic interview the patient will describe their primary symptoms in different settings. This allows clinicians assess the patient's daily activities and determine if they have ADHD. They also present a clearer picture of the patient's difficulty with particular ADHD symptoms.<br><br>It is crucial to include informants who can verify the patient's history when in the process of integrating ADHD behavior rating systems. Insufficient information can lead over-reporting symptoms. Informants could include spouses or employer, as well as other important person in an adult's life. The best way to integrate these ratings is through an averaging technique.<br><br>Cognitive testing is an essential part of diagnosing ADHD in adults. It increases the specificity and reliability of the test battery. It is particularly useful in monitoring the response to treatment. Research has shown that cognitive testing combined with ADHD behavior rating scales are more effective than relying on one.<br><br>ADHD adults often have trouble comprehending the reasons behind their behavioral issues. It can be difficult to diagnose [https://privateadhdassessment03456.mpeblog.com/51659510/the-infrequently-known-benefits-to-assessments-for-adhd-in-adults adhd assessment for women]. Research has shown that some of the symptoms that are most effective in identifying people suffering from ADHD are those that are connected to memory and concentration.<br><br>Adults suffering from ADHD are more likely to be victims of comorbid disorders than children. Research suggests that comorbidities may affect the subjective symptoms. Future studies should examine the effects of medications and psychological conditions that are comorbid.<br><br>There is a wealth of research into the accuracy of scales that measure the behavior of detecting adults with ADHD. One study demonstrated that the DIVA was the most accurate and BAARS-IV the least accurate. These tools are subjective. Researchers recommend that you obtain these ratings from a knowledgeable source.<br><br>A structured clinical interview is an excellent instrument to assess adults suffering from ADHD. It doesn't just gather standard questions, but also modules that examine developmental data and symptomatology according to DSM criteria.<br><br>Neuropsychological and psychological testing<br><br>For people who suffer from ADHD, neuropsychological and psychological tests can be extremely beneficial. The tests help diagnose neurological disorders and brain disorders and help formulate treatment strategies.<br><br>Psychological tests are used to assess a range of mental functioning and behavior. They are also used for diagnosing learning disabilities and developmental disabilities. The results of these tests can be compared to those for normal people of similar age.<br><br>A neuropsychological test is a comprehensive, standardized test of the brain, which measures various mental functions, is known as a neuropsychological assessment. This kind of test is typically administered by a professional, such as a psychiatrist or psychologist. The most popular tests involve answering questions as well as doing tasks using a computer.<br><br>Psychological tests measure intelligence, such as memory and reasoning skills along with other aspects like attention and multitasking. These tests are designed to measure cognitive ability without injury. A person can still have cognitive problems if they suffer from an injury, neurologic disorder or other condition. This can lead to cognitive changes.<br><br>Tests for ADHD in adults may include tests of attention and memory, as well as language and other abilities. They are designed to determine differences in mental functioning between healthy people and those who have a disability. Typically, ADHD patients are more distractible than healthy adults, particularly when doing tasks that require constant focus and abstract problem-solving.<br><br>To aid in diagnosing ADHD in adults, neuropsychological and psychological tests are commonly employed. This is due to the fact that ADHD symptoms are mainly neurocognitive in the sense that they are neurocognitive in. These symptoms can include problems in short-term memory, as well as verbal process. These symptoms are not the only signs of the disorder.<br><br>The results of psychological and neuropsychological tests that measure ADHD in adults can be used in treatment programs and intervention plans. The results are documented in an individual report that includes a description of the symptoms and treatment recommendations as well as recommendations [https://psychiatry61100.eveowiki.com/833567/15_things_you_didn_t_know_about_adhd_assessment_in_adults getting assessed for adhd] further investigation. Based on the results of the test the health care practitioner may offer additional tests to check for other conditions.<br><br>A one-on-one assessment for ADHD for adults takes place. A certified clinical psychologist will assess the patient's medical history, developmental milestones and behavior during the test. He or she also talks to the patient about their concerns, and gives recommendations for treatment.

Revision as of 21:06, 23 November 2024

Assessing ADHD in Adults

The assessment of adhd in adults is vital for a proper diagnosis of the disease, which can be an overwhelming process. There are a variety of ways to evaluate adhd including structured clinical interviews and self-report rating scales. However, just because these tests are widely used doesn't mean that they are easy to execute.

Parent/child interview

An important part of ADHD evaluations is the interview with the child's parent. It can provide valuable information to the clinician regarding the phenomenological as as ecological validity of the child’s symptoms. This information, in conjunction with other data sources, will be able to form the basis of an accurate diagnosis.

The key to an effective interview is to ask specific and concrete questions. Be careful not to ask excessive questions about parents' personal issues. Be cautious not to misinterpret informal observations of the child's behavior.

The most important criterion used to determine adhd assessment Women - psychiatrist90597.nico-wiki.com - is its pervasiveness. A reliable measure of the degree of pervasiveness of symptoms is CHATTI. The tool is a simple but effective method for assessing the total score of symptom scores reported by teachers.

Another useful tool is the questionnaire. They are simple to administer and demonstrate high levels of reliability. They can be biased by bias of the rater.

The parent/child interview is a significant part of the test. But, it can be criticised for its inaccuracy. Parents may be overly annoyed by the process of assessing their child and the interview could be a cathartic experience for them.

Interviews with parents/children should be accompanied by a clinical evaluation. It is crucial to look over all records that pertain to the child. Psychoeducational and medical records as well as previous testing results, can provide the doctor insight into the child's psychological profile.

The nature of the referral is another important aspect to take into consideration. A referral for an ADHD diagnosis can be caused by a child's behavior issues. There is also the possibility that stress in the family as a possible cause for the child's problems.

A successful interview should consist of the use of standardized tests as well as interaction between parents and children. Interviews with children from minority backgrounds should be conducted by an examiner who is committed to the cultural standards.

The most important aspect of an interview between a child and a parental figure is the relationship the examiner establishes with the parent. A diagnosis can be established if the examiner establishes a rapport with the parent, and also the interview details are.

Overall, the interview should be viewed as a positive and a necessary element of a thorough and accurate assessment of the child's behavioral, social, and emotional strengths and weaknesses. A precise diagnosis can help determine the child's developmental stage and allow for the best treatment.

Self-report rating scales

Rating scales can be helpful in diagnosing ADHD in adults. They can be utilized by healthcare professionals, clinicians, providers, parents and caregivers, and many others. There are various types of rating scales available, and these are used to measure the various behavioral issues associated with adhd assessment uk.

The Adult Self-Report Scale is a questionnaire that evaluates ADHD in adults. Its v1.1 version contains 18 questions. Part A questions ask subjects to assess their symptoms. Part B tests measure the severity of symptoms. These tests have been thoroughly examined and extensive research has been conducted to determine their accuracy.

ASRS has a high concurrency. Additionally the questions are constructed based on DSM criteria, and they are designed to identify signs of ADHD. The frequency scores show the severity of the symptoms' effect on the person's daily routine.

Despite the increasing popularity of these tools for testing however, the relationship between their accuracy and actual use of these tests isn't obvious. One study found that only 7 percent of children who took executive functions tests, like the StanfordBinet Test and the Attention Deficit Disorder Test, showed an unfavorable correlation between their results and those of the ASRS.

Research on the relationship between the executive function tests and the ADHD self-report scales has yielded mixed results. This could be due in part to the lack of specificity of the tests. The ADHD self-report questionnaire results have not been shown to be correlated with attentional performance, or other elements of the EF.

These measures are imperfect however they can be used to assess the likelihood of having ADHD. If someone is diagnosed with ADHD, the scores on these tests will be over 60. A question like "How often do you experience problems with your concentration?" is a common answer. is scored positively, because the answers "Never," "Not Very Often," and "Always" are all negative.

Certain rating scales may also inquire about other issues such as depression which may be linked to ADHD. In fact, a shortened version of the CDC's checklist for depression is available.

Interview with a structured clinical basis

To determine if you have ADHD for adults, a psychotherapy interview is the most common method. This method is often used in conjunction with several other tools. These tools include cognitive testing, behavioral rating scales and self assessment adhd test-report tests. Combining these diagnostic tools has been shown to be more accurate than using individual tools.

In a clinic interview the patient will describe their primary symptoms in different settings. This allows clinicians assess the patient's daily activities and determine if they have ADHD. They also present a clearer picture of the patient's difficulty with particular ADHD symptoms.

It is crucial to include informants who can verify the patient's history when in the process of integrating ADHD behavior rating systems. Insufficient information can lead over-reporting symptoms. Informants could include spouses or employer, as well as other important person in an adult's life. The best way to integrate these ratings is through an averaging technique.

Cognitive testing is an essential part of diagnosing ADHD in adults. It increases the specificity and reliability of the test battery. It is particularly useful in monitoring the response to treatment. Research has shown that cognitive testing combined with ADHD behavior rating scales are more effective than relying on one.

ADHD adults often have trouble comprehending the reasons behind their behavioral issues. It can be difficult to diagnose adhd assessment for women. Research has shown that some of the symptoms that are most effective in identifying people suffering from ADHD are those that are connected to memory and concentration.

Adults suffering from ADHD are more likely to be victims of comorbid disorders than children. Research suggests that comorbidities may affect the subjective symptoms. Future studies should examine the effects of medications and psychological conditions that are comorbid.

There is a wealth of research into the accuracy of scales that measure the behavior of detecting adults with ADHD. One study demonstrated that the DIVA was the most accurate and BAARS-IV the least accurate. These tools are subjective. Researchers recommend that you obtain these ratings from a knowledgeable source.

A structured clinical interview is an excellent instrument to assess adults suffering from ADHD. It doesn't just gather standard questions, but also modules that examine developmental data and symptomatology according to DSM criteria.

Neuropsychological and psychological testing

For people who suffer from ADHD, neuropsychological and psychological tests can be extremely beneficial. The tests help diagnose neurological disorders and brain disorders and help formulate treatment strategies.

Psychological tests are used to assess a range of mental functioning and behavior. They are also used for diagnosing learning disabilities and developmental disabilities. The results of these tests can be compared to those for normal people of similar age.

A neuropsychological test is a comprehensive, standardized test of the brain, which measures various mental functions, is known as a neuropsychological assessment. This kind of test is typically administered by a professional, such as a psychiatrist or psychologist. The most popular tests involve answering questions as well as doing tasks using a computer.

Psychological tests measure intelligence, such as memory and reasoning skills along with other aspects like attention and multitasking. These tests are designed to measure cognitive ability without injury. A person can still have cognitive problems if they suffer from an injury, neurologic disorder or other condition. This can lead to cognitive changes.

Tests for ADHD in adults may include tests of attention and memory, as well as language and other abilities. They are designed to determine differences in mental functioning between healthy people and those who have a disability. Typically, ADHD patients are more distractible than healthy adults, particularly when doing tasks that require constant focus and abstract problem-solving.

To aid in diagnosing ADHD in adults, neuropsychological and psychological tests are commonly employed. This is due to the fact that ADHD symptoms are mainly neurocognitive in the sense that they are neurocognitive in. These symptoms can include problems in short-term memory, as well as verbal process. These symptoms are not the only signs of the disorder.

The results of psychological and neuropsychological tests that measure ADHD in adults can be used in treatment programs and intervention plans. The results are documented in an individual report that includes a description of the symptoms and treatment recommendations as well as recommendations getting assessed for adhd further investigation. Based on the results of the test the health care practitioner may offer additional tests to check for other conditions.

A one-on-one assessment for ADHD for adults takes place. A certified clinical psychologist will assess the patient's medical history, developmental milestones and behavior during the test. He or she also talks to the patient about their concerns, and gives recommendations for treatment.