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Assessing ADHD in Adults<br><br>The assessment of adhd in adults is essential to establish the right diagnosis of the condition, which can be an overwhelming endeavor. Fortunately, there are various methods to conduct assessment, including structured clinical interviews, self-report ratings scales, and neuropsychological as well as psychological tests. But just because these procedures are widely used doesn't mean that they're simple to carry out.<br><br>Parent/child interview<br><br>A parent/child interview is an essential element of the evaluation of children suffering from ADHD. It provides important information to the doctor about the phenomenological and as well and ecological significance of the child’s symptoms. This information, when combined with data gathered from other sources, will be able to be used as the basis for an accurate diagnosis.<br><br>Effective interviews are based on asking the right questions. Be careful not to ask too many questions about parents' personal concerns. Be careful not to overinterpret informal observations of the child's behavior.<br><br>Pervasiveness is an important criterion to diagnose ADHD. CHATTI is a good indicator of the extent to which symptoms are prevalent. It is easy and effective in evaluating teacher-reported total symptoms scores.<br><br>The questionnaire is another helpful tool. Questionnaires are easy to administer and demonstrate high reliability. They could be influenced by biases of raters.<br><br>Although the interview with the parent is a significant element of the examination and is often critiqued for its lack of reliability. The process of assessing children can leave parents frustrated, and for some the interview can be a positive experience.<br><br>Clinical evaluation should be performed in conjunction with parent-child interviews. A thorough review of the child's prior records should be carried out. Psychoeducational and medical records as well as test results, may give the clinician insight into the child's psychological profile.<br><br>Other factors to be considered include the reason of the referral. A referral for an ADHD diagnosis can be caused by a child's behavior issues. Stress in the family could be a possible cause of ADHD symptoms.<br><br>An effective interview should comprise a mix of standardized testing as well as interactions between parents and children. Interviews with children who are minority should be conducted by an examiner who is committed to cultural standards.<br><br>The most important thing to consider in an interview between a child and a parent is the relationship that the examiner builds with the parent. A diagnosis can be determined if the examiner has established a rapport with the parent and the interview data.<br><br>Overall, the interview should be viewed as an essential and positive part of [https://collindzvvw.slypage.com/28956555/who-is-adhd-assessments-and-why-you-should-be-concerned getting an assessment for adhd] extensive and accurate assessment of the child's behavioral emotional, social, and behavioral strengths and weaknesses. Obtaining an accurate diagnosis can not only ensure the right treatment, but it can be a sign of the child's progress of development.<br><br>Self-report rating scales<br><br>Rating scales are useful in the assessment of ADHD in adults. They can be utilized by medical professionals, parents, caregivers, and others. There are a variety of rating scales to choose from and can be used to assess the various behavioral issues related to ADHD.<br><br>The Adult Self-Report Scale is a questionnaire that assesses ADHD in adults. Its v1.1 version contains 18 questions. Part A questions require subjects to rate their symptoms, and Part B questions inquire about the severity of these symptoms. Both tests have been studied extensively and there is a lot of research on their accuracy.<br><br>ASRS has high concurrent validity. The questions are based on DSM criteria and are designed to identify ADHD symptoms. The frequency scores also provide cues as to the degree of the impact of symptoms on the life of the patient.<br><br>These test tools are very popular, but the correlation between their accuracy and the actual use of these tests isn't clear. One study found that only 7% of children [https://charlielbnal.actoblog.com/29019643/20-things-that-only-the-most-devoted-adhd-assessments-fans-understand who adhd assessment] took an executive function test like the Stanford-Binet Test or the Attention Deficit Disorder Test, demonstrated a positive correlation between the tests and the results of the ASRS.<br><br>Divergent results have been observed in research on the relationship between ADHD self-report scales and tests for 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 shown to not correlate with attentional performance , or any other component of the EF.<br><br>These tests aren't perfect, but they can still be used to determine the likelihood of someone with ADHD. If a person has ADHD and scores on these tests will be over 60. A question like "[https://private-adhd-assessment36789.csublogs.com/34610349/10-assessments-for-adhd-in-adults-tips-all-experts-recommend how to get a adhd assessment] often do you have problems with concentration?" is a common answer. You will score positively because the answers "Never", "Not Very Often" and "Always," are all negative.<br><br>Some rating scales also ask about other conditions, such as 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>A clinical interview is the most commonly used method for diagnosing ADHD in adults. This method is often used in conjunction with several other tools. These instruments include scales for assessing behavioral ratings, cognitive testing, and self-report measures. Combining these diagnostic tools has proven to be more accurate than the individual tools.<br><br>Patients are asked to explain their core symptoms in different scenarios during a clinical interview. This allows clinicians to assess their impact on daily life and determine if the patient is suffering from ADHD. These charts also give a better picture of the patient's challenges with specific ADHD symptoms.<br><br>When making use of ADHD behavior rating scales, it is vital to include informants who can confirm the history of the patient. Insufficient information could lead to over-reporting symptoms. Informants could include a spouse, employer, or other significant person in the adult's life. Averaging is the best way to combine these ratings.<br><br>Cognitive testing plays a crucial element in diagnosing ADHD in adults. It improves the specificity and reliability of the assessment battery. It is particularly useful for monitoring the treatment response. Certain studies have shown that using cognitive testing in conjunction with ADHD behavior rating scales is more effective than relying solely on one or the other.<br><br>ADHD adults often have difficulty comprehending the reasons behind their behavior problems. It is often difficult to identify ADHD. Research has shown that ADHD symptoms like concentration and memory are the most reliable indicators of ADHD [https://emilianomdgcz.blogdal.com/28845649/10-tell-tale-signals-you-need-to-find-a-new-adhd-assessments-for-adults getting assessed for adhd] adults.<br><br>ADHD adults have a higher percentage of co-morbidities than ADHD children. Research has shown that comorbidities could influence subjective symptoms. Future studies should investigate the effects of medications and psychological conditions that are comorbid.<br><br>The research has been conducted extensively on the reliability and accuracy of behavioral rating scales used to detect ADHD in adults. One study showed that the DIVA was the most accurate and BAARS-IV the most inaccurate. These tools are subjective. Researchers suggest it is crucial to obtain these ratings from experienced informants.<br><br>A structured clinical interview is an ideal tool for assessing adults with ADHD. In addition to being able to answer standardized questions, it contains modules that evaluate developmental information and symptomatology using DSM criteria.<br><br>Neuropsychological and psychological testing<br><br>The tests of psychological and neuropsychological testing for assessing ADHD in adults can be beneficial instruments. These tests help to diagnose neurological diseases or brain disorders and help with treatment strategies.<br><br>Psychological tests can be used to evaluate the mental function of a variety of people and behavior. They can also be used to diagnose developmental disabilities and learning difficulties. These test results can also be compared with those of people who are similar in age.<br><br>A neuropsychological assessment is a standardized, comprehensive test of the brain that evaluates various cognitive functions. This type of testing is typically administered by a professional , such as a psychologist or psychiatrist. The most common tests involve answering questions as well as performing tasks on a PC.<br><br>Psychological tests are a way to measure intelligence, such as memory and reasoning skills along with other abilities like multitasking and attention. These tests are used to measure cognitive capacity, but not to assess injury. However, some people still have cognitive issues due to an injury or neurologic condition that can trigger cognitive changes.<br><br>Adult ADHD tests could consist of tests of attention, memory, language, or other abilities. They are designed to identify differences in mental functioning between healthy individuals and those who [https://andersonjlnke.pages10.com/15-things-you-don-t-know-about-assessment-for-adhd-in-adults-64134389 cheap adhd assessment uk] assessment ([https://johnnywmpgu.blog-kids.com/28631209/10-amazing-graphics-about-private-assessment-for-adhd click for more info]) have an impairment. ADHD patients tend to be more distracted than healthy adults, especially when they need to concentrate on abstract problem solving and a constant focus.<br><br>To aid in the diagnosis of ADHD in adults, psychological and neuropsychological testing are often employed. This is due to the fact that ADHD symptoms are mostly neurocognitive in nature. These symptoms can include problems with short-term memory and the verbal process. It is important to remember that these are just fundamental symptoms of the disorder.<br><br>The results of the psychological and neuropsychological tests that measure ADHD in adults can be used in treatment strategies and intervention plans. The individual report will include an explanation of symptoms and treatment suggestions, as well as a recommendation for further investigation. The results of the test may be used to screen for other conditions.<br><br>A one-on-one assessment for ADHD in adults takes place. A certified clinical psychologist will evaluate the patient's medical history, developmental milestones , and behavior during the assessment. The psychologist also discusses with the patient his or her concerns and makes recommendations for treatment.
Assessing ADHD in Adults<br><br>The assessment of adhd in adults is crucial for the correct diagnosis of this condition, which can be an overwhelming task. There are many methods for assessing adhd which include structured clinical interviews, self-report rating scales, as well as neuropsychological and psychological tests. However, just because these tests are common doesn't mean they're not easy to use.<br><br>Interview with parent and child<br><br>An important part of ADHD evaluations is the parent/child conversation. It provides important information to the doctor about the phenomenological as as ecological validity of the child’s symptoms. This information, in conjunction with other data sources, should be able to provide the basis for an accurate diagnosis.<br><br>The most important thing to do in an effective interview is to ask specific and concrete questions. Avoid asking too much about parents' personal issues. Be careful not to interpret informal observations of the child’s behavior as a form of judgement.<br><br>Pervasiveness is a key criterion to determine ADHD. CHATTI is a reliable measure of the degree of pervasiveness of symptoms. It is a simple but effective tool to evaluate the scores of the teacher who reported the total symptom score.<br><br>Another tool that is useful is the questionnaire. They are simple to administer and can show high reliability. However, they may be influenced by biases of raters.<br><br>Although the interview between parents and children is a crucial element of the examination but it is also condemned for its lack reliability. The exam process can make parents frustrated, and for some parents, the interview could be a positive experience.<br><br>Clinical evaluation should be conducted in conjunction with parent/child interviews. A thorough review of the child's prior documents should be conducted. The psychoeducational and medical records, and also previous test results, can give the psychologist insight into the child's psychological profile.<br><br>Other aspects to be considered are the type of the referral. A referral for an ADHD diagnosis could be indicated by a child's behavior issues. Family stress could also be a source of ADHD symptoms.<br><br>A great interview should contain an assortment of tests that are standardized as well as parent/child interactions. If the examiner is planning to conduct an interview with a minority child they should try to observe cultural standards.<br><br>The most important aspect in an interview with a child or parent is the rapport that the examiner establishes with the parent. The rapport, in conjunction with the information that is gathered during the interview can be used to develop an accurate diagnosis.<br><br>The interview should be seen as a positive aspect of a thorough and accurate assessment of the child's psychological social, behavioral, and emotional strengths and weaknesses. An accurate diagnosis can help determine the child's developmental stage and allow for the best treatment.<br><br>Self-report scales for rating<br><br>Rating scales are helpful in diagnosing ADHD in adults. They can be used by health professionals, parents, caregivers, and many others. There are many rating scales that can be used to evaluate ADHD's behavioral symptoms.<br><br>The Adult Self-Report Scale is a questionnaire that assesses ADHD in adults. Its v1.1 version contains 18 questions. Part A questions ask participants to assess their symptoms, and Part B questions inquire about the severity of those symptoms. These tests have been extensively researched and a lot of research has been conducted on their precision.<br><br>ASRS has a high degree of concurrent validity. The questions are based upon DSM criteria and are designed to identify [https://eduardoadaqe.blogpostie.com/51043091/how-to-know-the-adhd-assessment-near-me-that-s-right-for-you adhd assessment uk free] symptoms. The frequency scores show the severity of the symptoms' impact on the daily activities of the patient.<br><br>These test instruments are very popular, however the relationship between their accuracy and the actual use of these tests isn't clear. A study found that only 7% of children who took executive function tests, like the StanfordBinet Test and the Attention Deficit Disorder Test, showed a positive correlation between their scores and the results of the ASRS.<br><br>Research on the connection between executive function tests and [https://bookmark-vip.com/story17772592/one-of-the-biggest-mistakes-that-people-make-with-adhd-assessments-uk cheap adhd assessment uk] self-report scales has shown mixed results. This may be due to the insufficient specificity of the tests themselves. The ADHD self-report questionnaire results have not been proven to be correlated with attentional performance or other aspects of the EF.<br><br>These measures aren't perfect They aren't perfect, but they can be used to evaluate the risk of having ADHD. These tests will show ADHD in the event that the scores are over 60. Typically the answer to a question like "[https://eduardoadaqe.blogpostie.com/51043091/how-to-know-the-adhd-assessment-near-me-that-s-right-for-you how do you get assessed for adhd] often do you experience difficulty concentration?" is scored positively, because the answers "Never," "Not Very Often," and "Always" are all negative.<br><br>Some scales could also inquire about the impact of ADHD on your life, such as depression. A simplified version of the checklist from the CDC is available.<br><br>Interview with a structured clinical basis<br><br>A clinical interview is the most popular method to diagnose ADHD in adults. This method is often used in conjunction with several other tools. These tools include behavioral testing, cognitive testing scales as well as self-report measurements. Combining these diagnostic tools has proven to be more accurate than the individual tools.<br><br>Patients are asked to explain their most prominent symptoms in different scenarios during a clinical interview. This allows clinicians assess the patient's life routine and determine if they are suffering from ADHD. These charts also give an accurate picture of the patient's struggles with specific ADHD symptoms.<br><br>When making use of [https://freshbookmarking.com/story17734100/15-adhd-assessment-near-me-benefits-everyone-needs-to-be-able-to adhd assessment uk free] behavior rating scales, it is crucial to include people who can corroborate the patient's history. Insufficient information could lead to over-reporting symptoms. Informants could be spouses or employer, or any other significant person in the adult's life. The best method to integrate these ratings is to use an averaging method.<br><br>Cognitive testing is an important aspect of diagnosing ADHD in adults. It increases the specificity and reliability of the assessment battery. It is especially useful in monitoring treatment reactions. Research has proven that cognitive testing coupled with ADHD behavior rating scales is more efficient than relying on one.<br><br>ADHD adults often have difficulty understanding the root of their behavior issues. It is often difficult to identify ADHD. Research has shown that some of the symptoms that are most efficient in identifying adults suffering from ADHD are those related to concentration and memory.<br><br>Adults with ADHD have a higher incidence of comorbidities than children. Research suggests that comorbidities could affect subjective symptoms. Future studies should look into the effects of medication and comorbid psychological conditions.<br><br>The research has been conducted extensively on the reliability and accuracy of scales for behavioral ratings used to detect ADHD in adults. One study showed that the DIVA and the BAARS-IV were the most accurate. However these instruments are subjective. Researchers suggest that it is important to obtain these ratings from experienced informants.<br><br>A structured clinical interview is a perfect method to evaluate adults suffering from ADHD. It is not just a collection of standard questions, but also modules that assess the development of data and symptomatology in accordance with DSM criteria.<br><br>Psychological and neuropsychological tests<br><br>For people who suffer from ADHD Neuropsychological and psychological tests can be extremely beneficial. These tests can help diagnose neurological diseases or brain disorders and can provide guidance for treatment strategies.<br><br>Psychological tests are used to determine various mental functions and behavior. They can also be used to identify learning disabilities and developmental disabilities. The results of these tests can be compared to those of people of the same age.<br><br>A neuropsychological assessment, which is a comprehensive standardized test of the brain that evaluates various cognitive functions, is known as a neuropsychological assessment. This kind of test is usually conducted by a professional such as a psychiatrist or psychologist. The most commonly used tests involve answering questions as well as performing tasks on a PC.<br><br>Psychological tests can measure intelligence, such memory and reasoning abilities in addition to other functions like multitasking and attention. These tests are designed for assessing cognitive ability without injury. People can have cognitive problems if they have an injury, neurologic issue, or other conditions. This can lead to cognitive impairment.<br><br>Adult ADHD tests could include tests of attention, memory, language, or other abilities. They are designed to determine the differences in mental functioning between healthy individuals and those who have a disability. In general, ADHD patients are more distracted than healthy adults, particularly when working with tasks that require a lot of focus and abstract problem solving.<br><br>Psychological and neuropsychological testing for assessing adult ADHD is commonly employed to aid in determining an accurate diagnosis of the disorder. This is due to the fact that [https://iampsychiatry42189.weblogco.com/28884700/the-best-advice-you-could-ever-get-about-private-assessment-for-adhd Adhd assessment uk Cost] symptoms are mainly neurocognitive in the sense that they are neurocognitive in. The symptoms include difficulties with short-term memory as well as processing of speech. It is important to keep in mind that these are just core symptoms [https://indexedbookmarks.com/story17614875/think-you-re-perfect-for-doing-adult-adhd-assessments-check-this-quiz cost of adhd assessment uk] the disorder.<br><br>The results of the psychological and neuropsychological tests to assess ADHD in adults can be used to formulate treatment plans and formulate an intervention plan. The individual report will include an explanation of the symptoms, treatment recommendations, and a recommendation for further investigation. The results of the test could be used to determine other conditions.<br><br>A one-on one assessment for ADHD in adults takes place. During the test the psychologist who is trained examines the patient's medical history development milestones, as well as behavior. He or she also talks to the patient about their issues, and offers suggestions for treatment.

2024年11月1日 (金) 11:19時点における最新版

Assessing ADHD in Adults

The assessment of adhd in adults is crucial for the correct diagnosis of this condition, which can be an overwhelming task. There are many methods for assessing adhd which include structured clinical interviews, self-report rating scales, as well as neuropsychological and psychological tests. However, just because these tests are common doesn't mean they're not easy to use.

Interview with parent and child

An important part of ADHD evaluations is the parent/child conversation. It provides important information to the doctor about the phenomenological as as ecological validity of the child’s symptoms. This information, in conjunction with other data sources, should be able to provide the basis for an accurate diagnosis.

The most important thing to do in an effective interview is to ask specific and concrete questions. Avoid asking too much about parents' personal issues. Be careful not to interpret informal observations of the child’s behavior as a form of judgement.

Pervasiveness is a key criterion to determine ADHD. CHATTI is a reliable measure of the degree of pervasiveness of symptoms. It is a simple but effective tool to evaluate the scores of the teacher who reported the total symptom score.

Another tool that is useful is the questionnaire. They are simple to administer and can show high reliability. However, they may be influenced by biases of raters.

Although the interview between parents and children is a crucial element of the examination but it is also condemned for its lack reliability. The exam process can make parents frustrated, and for some parents, the interview could be a positive experience.

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

Other aspects to be considered are the type of the referral. A referral for an ADHD diagnosis could be indicated by a child's behavior issues. Family stress could also be a source of ADHD symptoms.

A great interview should contain an assortment of tests that are standardized as well as parent/child interactions. If the examiner is planning to conduct an interview with a minority child they should try to observe cultural standards.

The most important aspect in an interview with a child or parent is the rapport that the examiner establishes with the parent. The rapport, in conjunction with the information that is gathered during the interview can be used to develop an accurate diagnosis.

The interview should be seen as a positive aspect of a thorough and accurate assessment of the child's psychological social, behavioral, and emotional strengths and weaknesses. An accurate diagnosis can help determine the child's developmental stage and allow for the best treatment.

Self-report scales for rating

Rating scales are helpful in diagnosing ADHD in adults. They can be used by health professionals, parents, caregivers, and many others. There are many rating scales that can be used to evaluate ADHD's behavioral symptoms.

The Adult Self-Report Scale is a questionnaire that assesses ADHD in adults. Its v1.1 version contains 18 questions. Part A questions ask participants to assess their symptoms, and Part B questions inquire about the severity of those symptoms. These tests have been extensively researched and a lot of research has been conducted on their precision.

ASRS has a high degree of concurrent validity. The questions are based upon DSM criteria and are designed to identify adhd assessment uk free symptoms. The frequency scores show the severity of the symptoms' impact on the daily activities of the patient.

These test instruments are very popular, however the relationship between their accuracy and the actual use of these tests isn't clear. A study found that only 7% of children who took executive function tests, like the StanfordBinet Test and the Attention Deficit Disorder Test, showed a positive correlation between their scores and the results of the ASRS.

Research on the connection between executive function tests and cheap adhd assessment uk self-report scales has shown mixed results. This may be due to the insufficient specificity of the tests themselves. The ADHD self-report questionnaire results have not been proven to be correlated with attentional performance or other aspects of the EF.

These measures aren't perfect They aren't perfect, but they can be used to evaluate the risk of having ADHD. These tests will show ADHD in the event that the scores are over 60. Typically the answer to a question like "how do you get assessed for adhd often do you experience difficulty concentration?" is scored positively, because the answers "Never," "Not Very Often," and "Always" are all negative.

Some scales could also inquire about the impact of ADHD on your life, such as depression. A simplified version of the checklist from the CDC is available.

Interview with a structured clinical basis

A clinical interview is the most popular method to diagnose ADHD in adults. This method is often used in conjunction with several other tools. These tools include behavioral testing, cognitive testing scales as well as self-report measurements. Combining these diagnostic tools has proven to be more accurate than the individual tools.

Patients are asked to explain their most prominent symptoms in different scenarios during a clinical interview. This allows clinicians assess the patient's life routine and determine if they are suffering from ADHD. These charts also give an accurate picture of the patient's struggles with specific ADHD symptoms.

When making use of adhd assessment uk free behavior rating scales, it is crucial to include people who can corroborate the patient's history. Insufficient information could lead to over-reporting symptoms. Informants could be spouses or employer, or any other significant person in the adult's life. The best method to integrate these ratings is to use an averaging method.

Cognitive testing is an important aspect of diagnosing ADHD in adults. It increases the specificity and reliability of the assessment battery. It is especially useful in monitoring treatment reactions. Research has proven that cognitive testing coupled with ADHD behavior rating scales is more efficient than relying on one.

ADHD adults often have difficulty understanding the root of their behavior issues. It is often difficult to identify ADHD. Research has shown that some of the symptoms that are most efficient in identifying adults suffering from ADHD are those related to concentration and memory.

Adults with ADHD have a higher incidence of comorbidities than children. Research suggests that comorbidities could affect subjective symptoms. Future studies should look into the effects of medication and comorbid psychological conditions.

The research has been conducted extensively on the reliability and accuracy of scales for behavioral ratings used to detect ADHD in adults. One study showed that the DIVA and the BAARS-IV were the most accurate. However these instruments are subjective. Researchers suggest that it is important to obtain these ratings from experienced informants.

A structured clinical interview is a perfect method to evaluate adults suffering from ADHD. It is not just a collection of standard questions, but also modules that assess the development of data and symptomatology in accordance with DSM criteria.

Psychological and neuropsychological tests

For people who suffer from ADHD Neuropsychological and psychological tests can be extremely beneficial. These tests can help diagnose neurological diseases or brain disorders and can provide guidance for treatment strategies.

Psychological tests are used to determine various mental functions and behavior. They can also be used to identify learning disabilities and developmental disabilities. The results of these tests can be compared to those of people of the same age.

A neuropsychological assessment, which is a comprehensive standardized test of the brain that evaluates various cognitive functions, is known as a neuropsychological assessment. This kind of test is usually conducted by a professional such as a psychiatrist or psychologist. The most commonly used tests involve answering questions as well as performing tasks on a PC.

Psychological tests can measure intelligence, such memory and reasoning abilities in addition to other functions like multitasking and attention. These tests are designed for assessing cognitive ability without injury. People can have cognitive problems if they have an injury, neurologic issue, or other conditions. This can lead to cognitive impairment.

Adult ADHD tests could include tests of attention, memory, language, or other abilities. They are designed to determine the differences in mental functioning between healthy individuals and those who have a disability. In general, ADHD patients are more distracted than healthy adults, particularly when working with tasks that require a lot of focus and abstract problem solving.

Psychological and neuropsychological testing for assessing adult ADHD is commonly employed to aid in determining an accurate diagnosis of the disorder. This is due to the fact that Adhd assessment uk Cost symptoms are mainly neurocognitive in the sense that they are neurocognitive in. The symptoms include difficulties with short-term memory as well as processing of speech. It is important to keep in mind that these are just core symptoms cost of adhd assessment uk the disorder.

The results of the psychological and neuropsychological tests to assess ADHD in adults can be used to formulate treatment plans and formulate an intervention plan. The individual report will include an explanation of the symptoms, treatment recommendations, and a recommendation for further investigation. The results of the test could be used to determine other conditions.

A one-on one assessment for ADHD in adults takes place. During the test the psychologist who is trained examines the patient's medical history development milestones, as well as behavior. He or she also talks to the patient about their issues, and offers suggestions for treatment.