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Assessing ADHD in Adults<br><br>It is vital to evaluate adults with adhd for the proper diagnosis. This is a difficult task. Fortunately, there are various methods for assessing adhd which include structured clinical interviews, self-report ratings scales, and neuropsychological as well as psychological testing. However, just because these tests are routine doesn't mean they are easy to execute.<br><br>Interview with parent and child<br><br>A crucial aspect of ADHD evaluations is the parent/child interview. It provides valuable information to the physician about the phenomenological as well as ecological validity of the child's symptoms. This information, combined with information gathered from other sources, should be able to establish the basis for an accurate diagnosis.<br><br>Effective interviews are built on asking specific questions. Do not ask too many questions regarding parents' personal concerns. Be careful not overinterpret informal observations of the child's behavior.<br><br>A key criterion to diagnose ADHD is its pervasiveness. A good indicator of the pervasiveness of a symptom is CHATTI. This tool is simple and efficient in assessing the total scores of teachers' reported symptoms.<br><br>Another tool that is useful is the questionnaire. They are simple to administer and demonstrate high levels of reliability. However, they can be biased by rater bias.<br><br>The interview with the parent/child is a vital part of the assessment. However, it is also a chance to be criticized due to its inaccuracy. The process of testing can make parents frustrated, and for some parents, the interview could be a positive experience.<br><br>Interviews with parents and children Should i get assessed for [https://www.google.co.mz/url?q=https://dennis-mccormick.hubstack.net/10-mistaken-answers-to-common-adhd-diagnostic-assessment-questions-do-you-know-the-correct-answers adhd assessment uk free] [[https://maps.google.com.br/url?q=https://blogfreely.net/shearsturkey01/how-to-become-a-prosperous-assessments-for-adhd-if-youre-not-business-savvy maps.google.com.br]] be accompanied by clinical evaluation. It is essential to go through all records regarding the child. The clinician can learn more about the child's psychological profile by reviewing his or her medical and psychoeducational documents.<br><br>Other factors to be considered include the nature of the referral. A referral for an ADHD diagnosis may be indicated by a child's behavior issues. Family stress could also be a source of ADHD symptoms.<br><br>A successful interview should consist of an assortment of tests that are standardized as well as interactions between parents and children. If the examiner is going to conduct an interview with a minority child they should take every effort to follow the standards of the culture.<br><br>The most important thing to consider in a parent/child interview with a parental figure is the relationship the examiner forms with the parent. A diagnosis can be determined if the examiner develops a rapport with the parent as well as the information from the interview.<br><br>The interview should be viewed as a positive component of a thorough, accurate assessment of the child's psychological social, behavioral, and emotional strengths and weaknesses. Making an accurate diagnosis will not only enable an appropriate treatment plan, but could be a good indicator of the child's path of development.<br><br>Self-report scales for rating<br><br>Rating scales can be helpful in diagnosing ADHD in adults. They can be used by healthcare professionals, parents, caregivers, and many others. There are different types of scales that can be used to rate and can be used to evaluate the various behavioral issues that are associated with ADHD.<br><br>The Adult Self-Report Scale (ASRS) is a self-report questionnaire that assesses ADHD in adults. Its v1.1 version contains 18 questions. Part A questions require subjects to assess their symptoms. Part B questions assess the severity of symptoms. These tests have been extensively studied and much research has been conducted to determine their accuracy.<br><br>ASRS has high concurrent validity. The questions are based upon DSM criteria and are designed to identify ADHD symptoms. The corresponding frequency scores provide clues to the extent of the impact that symptoms have on the life of the patient.<br><br>Despite the widespread use of these test tools however, the relationship between their accuracy and actual diagnostic use of the tests isn't obvious. A study found that only 7% of children who took executive functions tests, like the StanfordBinet Scale and the Attention Deficit Disorder Test, showed an positive correlation between their scores and the results of the ASRS.<br><br>Research on the connection between executive function tests and the ADHD self-report scales has revealed mixed results. This could be due to the low specificity of the tests. Furthermore, the results of the ADHD self-report questionnaire have been shown to not correlate with the performance of attention or other components of the EF.<br><br>These measures aren't perfect However, they can be used to assess the risk of having ADHD. These tests will reveal ADHD if the scores are higher than 60. Typically the answer to a question like "[https://championsleage.review/wiki/10_Great_Books_On_Online_Assessment_For_ADHD how to get assessed for adhd uk] often do you experience difficulty concentrating?" You will score highly because the answers "Never", "Not Very Often" and "Always," are all negative.<br><br>Certain rating scales may also inquire about other issues like depression which could be related to ADHD. A shorter version of the checklist by the CDC is available.<br><br>Interview with a structured clinical basis<br><br>In order to establish a diagnosis of ADHD in adults, a medical interview is the most popular method. This method is employed alongside a variety of other tools. These tools include cognitive testing, behavioral rating scales and self-report tests. Combining these diagnostic tools has shown to be more accurate than using individual tools.<br><br>In a clinical interview patients are asked to describe their primary symptoms in different settings. This allows the clinicians to assess the patient's daily activities and determine if they have ADHD. They can also give a more clear picture of the patient's struggles with specific ADHD symptoms.<br><br>It is important to include informants who can confirm the patient's history when in the process of integrating ADHD behavior rating systems. Inadequate information can lead to over-reporting symptoms. Informants could be spouses, employer, and any other significant person in the adult's life. Averaging is the most effective way to combine these ratings.<br><br>Cognitive testing is an important aspect of diagnosing ADHD in adults. It enhances the specificity of the [http://www.hondacityclub.com/all_new/home.php?mod=space&uid=1720498 assessment adhd] battery. It is particularly useful for monitoring treatment responses. Research has shown that cognitive testing coupled with ADHD behavior rating scales are more effective than relying only on one.<br><br>ADHD adults often have difficulty understanding the cause of their behavior issues. It can be difficult to diagnose ADHD. Research suggests that some of the symptoms that are most effective in identifying adults suffering from ADHD are those that are connected to concentration and memory.<br><br>ADHD adults have a higher percentage of co-morbidities than ADHD children. Research has proven that comorbidities could influence the subjective symptoms. Therefore future studies should investigate the effects of medications and comorbid psychological conditions.<br><br>There has been a lot of research conducted on the reliability and accuracy of the behavioral rating scales that are used to detect ADHD in adults. One study demonstrated that the [https://www.google.com.ai/url?q=https://squareblogs.net/burstperu33/16-facebook-pages-that-you-must-follow-for-uk-adhd-assessment-marketers diva adhd assessment] was the most accurate, and the BAARS-IV the most inaccurate. However these tools are subjective. Researchers suggest that it is essential to obtain these ratings from reliable sources.<br><br>A structured clinical interview is an excellent tool for assessing adults suffering from ADHD. In addition to obtaining standardized questions, it comes with modules that test the development of information and symptomatology according to DSM criteria.<br><br>Neuropsychological and psychological testing<br><br>For people who suffer from ADHD the neuropsychological and psychological tests can be extremely beneficial. These tests help to diagnose neurological disorders or brain injuries and help with treatment plans.<br><br>Psychological tests can be used to evaluate a variety of mental functions and behavior. They are also used for diagnosing developmental and learning disabilities. These test results can be compared to the results of normal individuals of the same age.<br><br>A neuropsychological evaluation, which is a comprehensive, standard test of the brain which evaluates different cognitive functions, is known as a neuropsychological assessment. This kind of test is usually administered by a specialist such as psychiatrist or psychologist. The most frequent tests require answering questions and performing tasks using a computer.<br><br>Some psychological tests measure intellectual capabilities, such reasoning and memory skills as well as other functions like multitasking and attention. These types of tests are designed to measure cognitive abilities without injury. People can have cognitive problems if they suffer from an injury or neurologic condition or other ailments. This can lead to cognitive impairment.<br><br>Adult ADHD tests could consist of tests of attention, memory, language, or other abilities. These tests are used to distinguish between those with disabilities and healthy people. ADHD patients tend to be more distracted than healthy adults, especially when they are required to concentrate on abstract problems solving and pay attention for long periods of time.<br><br>Neuropsychological and psychological testing to assess adult ADHD is often used to help determine a definitive diagnosis of the disorder. This is because ADHD symptoms are mainly neurocognitive in the nature. Some of the symptoms are difficulty with short-term memory and verbal processing. It is important to remember that these symptoms are only fundamental symptoms of the disorder.<br><br>The results of the psychological and neuropsychological tests to determine ADHD in adults can be used to create treatment plans and develop an intervention plan. The results are documented in a personal report that contains a description of the symptoms and treatment recommendations as well as recommendations for further investigation. Depending on the results of the test, the doctor may conduct additional tests to screen for any other ailments.<br><br>Comprehensive tests for ADHD in adults is done on an individual basis. A trained clinical psychologist will assess the patient's medical history, developmental milestones , and behaviors during the assessment. The psychologist also discusses with the patient the causes of his or her concerns and offers recommendations for treatment.
Assessing ADHD in Adults<br><br>It is vital to evaluate those suffering from adhd for the proper diagnosis. This is a difficult task. There are many methods to [https://blogfreely.net/emerypark1/14-smart-ways-to-spend-your-extra-assessed-for-adhd-budget assess adhd], including structured clinical interviews and self-report rating scales. These tests aren't necessarily simple to carry out, but they are very widespread.<br><br>Parent/child interview<br><br>An essential component of ADHD evaluations is the parent/child conversation. It provides the clinician with invaluable information regarding the phenomenological, ecological and social validity of the child's symptoms. This information, combined with data gathered from other sources, should be able to form the basis of an accurate diagnosis.<br><br>Effective interviews are based on asking the right questions. Avoid asking too much about parents' personal issues. Be careful not to interpret any informal observations about the child's behaviour as a way of judging.<br><br>Pervasiveness is an important criterion to diagnose ADHD. CHATTI is a reliable indicator of the degree of pervasiveness of symptoms. It is a straightforward but effective tool to evaluate the scores of the teacher who reported the total symptom score.<br><br>Another useful tool is the questionnaire. The questionnaire is easy to use and has high-quality reliability. They could be influenced by rater bias.<br><br>The interview with the parent/child is a significant part of the evaluation. However, it can be criticized for its inaccuracy. Parents may be overwhelmed through the process of examination and the interview can be a therapeutic experience for them.<br><br>Clinical evaluation should be conducted in conjunction with parent/child interviews. A thorough review of the child's prior records should be conducted. Medical and psychoeducational records, and also previous test results, can provide the doctor insight into the child's psychological profile.<br><br>Other factors to be considered include the nature of the referral. A child's behavior problems may indicate that a referral is necessary to establish [https://sovren.media/u/pliercondor0/ getting an assessment for adhd] ADHD diagnosis. Stress in the family could be a potential source of symptoms of ADHD.<br><br>An effective interview should involve an appropriate blend of standard testing and parent/child interactions. If the examiner is planning to conduct an interview with a minority child it is imperative that they make every effort to observe cultural standards.<br><br>The most significant aspect of an interview between a child and a parent is the relationship the examiner forms with the parent. The rapport, when combined with the information obtained during the interview can be used to come up with an accurate diagnosis.<br><br>The interview should be seen as a positive element of a thorough and accurate evaluation of the child's emotional, behavioral, and social strengths and weaknesses. A precise diagnosis will help to determine the child's growth and help determine the best treatment.<br><br>Self-report scales of rating<br><br>Rating scales can be helpful in making a diagnosis of ADHD in adults. They can be utilized by healthcare professionals, clinicians, providers as well as caregivers and parents, as well as other. There are many types of scales for rating available, and these can be used to determine the different behavioral signs related to ADHD.<br><br>The Adult Self-Report Scale is a questionnaire that measures ADHD in adults. Its v1.1 version contains 18 questions. Part A questions ask subjects to rate their symptoms and Part B questions inquire about the severity of the symptoms. Both tests have been thoroughly studied and there is lots of research about their accuracy.<br><br>ASRS has a high concurrency. Furthermore the questions are based on DSM criteria, and they are designed to be able to identify symptoms of ADHD. The corresponding frequency scores provide cues as to the degree of the impact of the symptom on the patient's daily life.<br><br>Despite the ubiquity of these tools for testing however, the connection between their accuracy and actual diagnostic use of these tests isn't apparent. One study found that only 7% of children who took an executive function test such as the Stanford-Binet Scale or the Attention Deficit Disorder Test, found a positive correlation between the tests and results of the ASRS.<br><br>The research on the relationship between executive function tests and the ADHD self-report scales has shown mixed results. This could be due to the insufficient specificity of the tests. The ADHD self-report questionnaire results have not been shown to correlate with attentional performance, or any other component of the EF.<br><br>These measures are imperfect however they can be used to assess the probability of having ADHD. If someone is diagnosed with ADHD, the scores on these tests will be greater than 60. Typically, the answer to a question like "How often do you have difficulty staying focused?" You will score positively because the answers "Never", "Not Very Often" and "Always," are all negative.<br><br>Certain rating scales may also inquire about other conditions such as depression that could be a result of ADHD. In actuality, a short version of the CDC's checklist to treat depression is available.<br><br>Interview with a structured clinical basis<br><br>In order to establish a diagnosis of [https://nativ.media:443/wiki/index.php?cartticket99 adhd assessment in uk] in adults, a medical interview is the most commonly used method. This technique is often used alongside other tools. These tools include cognitive testing, behavioral rating scales and self-report measures. Combining these diagnostic tools has been proven to be more accurate than individual tools.<br><br>In a clinic interview patients will be asked to describe their main symptoms in different environments. This helps clinicians assess the impact of these symptoms on daily life and to determine whether the patient has ADHD. These charts also give a better picture of the patient's challenges with specific ADHD symptoms.<br><br>It is crucial to include informants who can verify the patient's history when integrating ADHD behavior rating systems. If this is not done, it can cause over-reporting of symptoms. Informants could be a spouse, employer, and any other significant person in the adult's life. The best method to integrate the ratings is through an averaging procedure.<br><br>Cognitive testing plays a crucial aspect in diagnosing ADHD in adults. It improves the specificity and reliability of the test battery. It is particularly helpful in monitoring treatment responses. Research has demonstrated that cognitive testing combined with [https://trade-britanica.trade/wiki/5_Assessment_For_ADHD_Projects_For_Any_Budget adhd assessment cost uk] behavior rating scales are more efficient than relying on one.<br><br>ADHD adults can have difficulty understanding the cause of their behavioral problems. This means that the diagnosis of their condition may be unclear. Research has proven that ADHD symptoms like concentration and memory are among the most effective indicators of ADHD for adults.<br><br>[https://maps.google.com.lb/url?q=https://articlescad.com/5-common-myths-about-adhd-assessment-london-you-should-stay-clear-of-364134.html adhd assessment uk free] adults have a higher percentage of comorbidities than ADHD children. Studies have shown that comorbidities may influence subjective symptoms. Therefore, future studies should examine the effects of medications and psychological disorders that are comorbid.<br><br>Research has been done extensively on the accuracy and reliability of behavioral rating scales used to identify ADHD in adults. One study revealed that the DIVA was the most accurate and the BAARS-IV the least accurate. However these tools are subjective. Researchers recommend to get these ratings from reliable sources.<br><br>A structured clinical interview is an excellent method to determine the severity of adults suffering from ADHD. It does not just collect standardized questions but also contains modules that analyze the development of the child as well as symptomatology according to DSM criteria.<br><br>Psychological and neuropsychological testing<br><br>For those who suffer from [https://maps.google.com.ar/url?q=https://posteezy.com/5-laws-anyone-working-adhd-assessment-uk-should-be-aware adhd assessment psychiatry uk] Psychological and neuropsychological tests can be extremely useful. These tests help to diagnose neurological diseases or brain disorders and help with treatment strategies.<br><br>Psychological tests evaluate a range of mental functions and behaviors. They can also be used to determine the presence of learning disabilities and developmental disabilities. These test results can be compared with the results of people of the same age.<br><br>A neuropsychological assessment is a thorough and standardized test of the brain which evaluates different mental functions, is referred to as a neuropsychological assessment. This kind of test is usually conducted by a specialist such as psychiatrists or psychologists. Tests typically involve answering questionnaires and performing tasks on computers.<br><br>Some tests of psychological testing measure intellectual capabilities, such reasoning and memory skills as well as other functions like attention and multitasking. These tests are designed to gauge the cognitive capacity of a person without injury. People can have cognitive problems if they have a neurologic condition, injury, or other conditions. This can lead to changes in the brain.<br><br>Adult ADHD tests may include tests of memory, attention, language, or other capabilities. These tests are used for separating between people who have disabilities and healthy individuals. ADHD sufferers are more distracted than healthy adults, particularly when they have to focus on abstract issues and a constant focus.<br><br>To aid in the diagnosis of ADHD in adults, neuropsychological and psychological tests are frequently used. ADHD symptoms are typically neurocognitive in nature. The symptoms include difficulties with short-term memory as well as processing of speech. These aren't the only symptoms of the disorder.<br><br>The results of neuropsychological and psychological tests used to evaluate ADHD in adults can be used for treatment plans and intervention strategies. The individual report provides a description of symptoms and treatment recommendations, and the recommendation to further investigate. The results of the test can be used to determine other conditions.<br><br>Comprehensive tests for ADHD for adults is carried out on one-on-one basis. A qualified clinical psychologist will evaluate the patient's medical background, developmental milestones and behavior during the test. He or she also talks to the patient about his or her concerns, and provides recommendations for treatment.

Version actuelle datée du 24 décembre 2024 à 12:36

Assessing ADHD in Adults

It is vital to evaluate those suffering from adhd for the proper diagnosis. This is a difficult task. There are many methods to assess adhd, including structured clinical interviews and self-report rating scales. These tests aren't necessarily simple to carry out, but they are very widespread.

Parent/child interview

An essential component of ADHD evaluations is the parent/child conversation. It provides the clinician with invaluable information regarding the phenomenological, ecological and social validity of the child's symptoms. This information, combined with data gathered from other sources, should be able to form the basis of an accurate diagnosis.

Effective interviews are based on asking the right questions. Avoid asking too much about parents' personal issues. Be careful not to interpret any informal observations about the child's behaviour as a way of judging.

Pervasiveness is an important criterion to diagnose ADHD. CHATTI is a reliable indicator of the degree of pervasiveness of symptoms. It is a straightforward but effective tool to evaluate the scores of the teacher who reported the total symptom score.

Another useful tool is the questionnaire. The questionnaire is easy to use and has high-quality reliability. They could be influenced by rater bias.

The interview with the parent/child is a significant part of the evaluation. However, it can be criticized for its inaccuracy. Parents may be overwhelmed through the process of examination and the interview can be a therapeutic experience for them.

Clinical evaluation should be conducted in conjunction with parent/child interviews. A thorough review of the child's prior records should be conducted. Medical and psychoeducational records, and also previous test results, can provide the doctor insight into the child's psychological profile.

Other factors to be considered include the nature of the referral. A child's behavior problems may indicate that a referral is necessary to establish getting an assessment for adhd ADHD diagnosis. Stress in the family could be a potential source of symptoms of ADHD.

An effective interview should involve an appropriate blend of standard testing and parent/child interactions. If the examiner is planning to conduct an interview with a minority child it is imperative that they make every effort to observe cultural standards.

The most significant aspect of an interview between a child and a parent is the relationship the examiner forms with the parent. The rapport, when combined with the information obtained during the interview can be used to come up with an accurate diagnosis.

The interview should be seen as a positive element of a thorough and accurate evaluation of the child's emotional, behavioral, and social strengths and weaknesses. A precise diagnosis will help to determine the child's growth and help determine the best treatment.

Self-report scales of rating

Rating scales can be helpful in making a diagnosis of ADHD in adults. They can be utilized by healthcare professionals, clinicians, providers as well as caregivers and parents, as well as other. There are many types of scales for rating available, and these can be used to determine the different behavioral signs related to ADHD.

The Adult Self-Report Scale is a questionnaire that measures ADHD in adults. Its v1.1 version contains 18 questions. Part A questions ask subjects to rate their symptoms and Part B questions inquire about the severity of the symptoms. Both tests have been thoroughly studied and there is lots of research about their accuracy.

ASRS has a high concurrency. Furthermore the questions are based on DSM criteria, and they are designed to be able to identify symptoms of ADHD. The corresponding frequency scores provide cues as to the degree of the impact of the symptom on the patient's daily life.

Despite the ubiquity of these tools for testing however, the connection between their accuracy and actual diagnostic use of these tests isn't apparent. One study found that only 7% of children who took an executive function test such as the Stanford-Binet Scale or the Attention Deficit Disorder Test, found a positive correlation between the tests and results of the ASRS.

The research on the relationship between executive function tests and the ADHD self-report scales has shown mixed results. This could be due to the insufficient specificity of the tests. The ADHD self-report questionnaire results have not been shown to correlate with attentional performance, or any other component of the EF.

These measures are imperfect however they can be used to assess the probability of having ADHD. If someone is diagnosed with ADHD, the scores on these tests will be greater than 60. Typically, the answer to a question like "How often do you have difficulty staying focused?" You will score positively because the answers "Never", "Not Very Often" and "Always," are all negative.

Certain rating scales may also inquire about other conditions such as depression that could be a result of ADHD. In actuality, a short version of the CDC's checklist to treat depression is available.

Interview with a structured clinical basis

In order to establish a diagnosis of adhd assessment in uk in adults, a medical interview is the most commonly used method. This technique is often used alongside other tools. These tools include cognitive testing, behavioral rating scales and self-report measures. Combining these diagnostic tools has been proven to be more accurate than individual tools.

In a clinic interview patients will be asked to describe their main symptoms in different environments. This helps clinicians assess the impact of these symptoms on daily life and to determine whether the patient has ADHD. These charts also give a better picture of the patient's challenges with specific ADHD symptoms.

It is crucial to include informants who can verify the patient's history when integrating ADHD behavior rating systems. If this is not done, it can cause over-reporting of symptoms. Informants could be a spouse, employer, and any other significant person in the adult's life. The best method to integrate the ratings is through an averaging procedure.

Cognitive testing plays a crucial aspect in diagnosing ADHD in adults. It improves the specificity and reliability of the test battery. It is particularly helpful in monitoring treatment responses. Research has demonstrated that cognitive testing combined with adhd assessment cost uk behavior rating scales are more efficient than relying on one.

ADHD adults can have difficulty understanding the cause of their behavioral problems. This means that the diagnosis of their condition may be unclear. Research has proven that ADHD symptoms like concentration and memory are among the most effective indicators of ADHD for adults.

adhd assessment uk free adults have a higher percentage of comorbidities than ADHD children. Studies have shown that comorbidities may influence subjective symptoms. Therefore, future studies should examine the effects of medications and psychological disorders that are comorbid.

Research has been done extensively on the accuracy and reliability of behavioral rating scales used to identify ADHD in adults. One study revealed that the DIVA was the most accurate and the BAARS-IV the least accurate. However these tools are subjective. Researchers recommend to get these ratings from reliable sources.

A structured clinical interview is an excellent method to determine the severity of adults suffering from ADHD. It does not just collect standardized questions but also contains modules that analyze the development of the child as well as symptomatology according to DSM criteria.

Psychological and neuropsychological testing

For those who suffer from adhd assessment psychiatry uk Psychological and neuropsychological tests can be extremely useful. These tests help to diagnose neurological diseases or brain disorders and help with treatment strategies.

Psychological tests evaluate a range of mental functions and behaviors. They can also be used to determine the presence of learning disabilities and developmental disabilities. These test results can be compared with the results of people of the same age.

A neuropsychological assessment is a thorough and standardized test of the brain which evaluates different mental functions, is referred to as a neuropsychological assessment. This kind of test is usually conducted by a specialist such as psychiatrists or psychologists. Tests typically involve answering questionnaires and performing tasks on computers.

Some tests of psychological testing measure intellectual capabilities, such reasoning and memory skills as well as other functions like attention and multitasking. These tests are designed to gauge the cognitive capacity of a person without injury. People can have cognitive problems if they have a neurologic condition, injury, or other conditions. This can lead to changes in the brain.

Adult ADHD tests may include tests of memory, attention, language, or other capabilities. These tests are used for separating between people who have disabilities and healthy individuals. ADHD sufferers are more distracted than healthy adults, particularly when they have to focus on abstract issues and a constant focus.

To aid in the diagnosis of ADHD in adults, neuropsychological and psychological tests are frequently used. ADHD symptoms are typically neurocognitive in nature. The symptoms include difficulties with short-term memory as well as processing of speech. These aren't the only symptoms of the disorder.

The results of neuropsychological and psychological tests used to evaluate ADHD in adults can be used for treatment plans and intervention strategies. The individual report provides a description of symptoms and treatment recommendations, and the recommendation to further investigate. The results of the test can be used to determine other conditions.

Comprehensive tests for ADHD for adults is carried out on one-on-one basis. A qualified clinical psychologist will evaluate the patient's medical background, developmental milestones and behavior during the test. He or she also talks to the patient about his or her concerns, and provides recommendations for treatment.