
Comprehensive assessment of executive functioning
Some children are just naturally "busy", and some are more laid back. To complicate matters, 30% of those with ADD have anxiety disorders, another 30% are depressed, and 50% may have a co-existing conduct disorder. Children who are gifted or talented can demonstrate symptoms like those of ADD as can children with Asperger's syndrome and autism disorder. Sorting out who has what and how to treat them is not a hit-or-miss proposition, especially if it's your child.
We offer the most complete and sophisticated assessment process to determine whether or not children, or adults, actually suffer from ADD syndrome.
The complete ADD evaluation can be completed in about 2 hours. By combining these assessment protocols, we can can definitively diagnose ADD (and co-existing conditions) with better than 90% accuracy. You can avoid medicating those who might not benefit from medication and we can provide the most effective treatment options for children and adults with attention and related disorders.
We utilize a diagnostic model that places heavy emphasis on an individual's executive functioning. Executive functioning includes mental factors such as inhibition, working memory, ability to maintain and shift attention as needed, mental alertness, emotional control, monitoring of actions, and planning and organizational skills. Because we now have the capability to train and improve each of these executive functions, it is critical to identify all areas of weakness in order to establish an effective treatment plan. Our goal is not to prescribe a pill, but to provide a comprehensive treatment that results in long-lasting positive outcomes in all affected areas of functioning.
Despite all the information about ADD and medications available, as few as 25-50% of patients receive even minimal medical treatment for this condition. Two studies involving 1514 families demonstrated that when families received comprehensive evaluations and supportive education, 95% of the ADD children complied with effective treatment over a 2-year period. (Monastra, VJ. Overcoming the barriers to effective treatment for attention-deficit/hyperactivity disorder: A neuro-educational approach. International Journal of Psychophysiology 2005; 58(1):71-80.)

Our complete evaluation for ADD and related attention disorders is generally comprised of the following components:
- Family interview and psychosocial evaluation
- Behavior rating scales completed by adult or parents/teachers for children
- IQ assessment, if necessary
- Computerized performance test (e.g., TOVA, MicroCog, TEC) to objectively measure attention and impulsivity
- Nutritional assessment of diet, supplementation, and medications

In addition to research-validated forms, we use the Executive Function Rating Scale (EFRS) a non-standardized rating scale to provide sensitive measures of symptoms to show symptom improvement during treatment and at the completion of treatment. Copies of these forms are available in the links below.
