Information Section: Conditions
Condition:
ADHD
Article: Adult ADD Symptom Checklist
Source: Daniel G. Amen, M.D., 1995

ADDult Support of Washington for Adults with ADD*

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PLEASE NOTE

This is not a tool for self-diagnosis. Its purpose is simply to help you determine whether ADD may be a factor in the behavior of the person you are assessing using this checklist. An actual diagnosis can be made only by an experienced professional. It is used here by permission.

ADULT ADD SYMPTOM CHECKLIST
by Daniel G. Amen, MD.

In conjunction with other diagnostic techniques, Dr Amen says he, "uses the following general adult ADD checklist to help further define ADD symptoms. No ADD adult has all of the symptoms, but if you notice a strong presence of more than 20 of these symptoms, there is a strong likelihood of ADD."

Read this list of behaviors and rate yourself (or the person who has asked you to rate him or her) on each behavior listed. Use the following scale and place the appropriate number next to the item.

0 = never
1 = rarely
2 = occasionally
3 = frequently
4 = very frequently

LIST OF BEHAVIORS

Past History

__*History of ADD symptoms in childhood, such as distractibility, short attention span, impulsivity or restlessness. ADD doesn't start at age 30.
__History of not living up to potential in school or work (report cards with comments such as "not living up to potential")
__History of frequent behavior problems in school (mostly for males)
__History of bedwetting past age 5
__Family history of ADD, learning problems, mood disorders or substance abuse problems

Short Attention Span/Distractibility

__*Short attention span, unless very interested in something
__*Easily distracted, tendency to drift away (although at times can be hyper focused)
__Lacks attention to detail, due to distractibility
__Trouble listening carefully to directions
__Frequently misplaces things
__Skips around while reading, or goes to the end first, trouble staying on track
__Difficulty learning new games, because it is hard to stay on track during directions
__Easily distracted during sex, causing frequent breaks or turn-offs during lovemaking
__Poor listening skills
__Tendency to be easily bored (tunes out)  

Restlessness

__Restlessness, constant motion, legs moving, fidgeting
__Has to be moving in order to think
__Trouble sitting still, such as trouble sitting in one place for too long, sitting at a desk job for long periods, sitting through a movie
__An internal sense of anxiety or nervousness

Impulsivity

__Impulsive, in words and/or actions (spending)
__Say just what comes to mind without considering its impact (tactless)
__Trouble going through established channels, trouble following proper procedure, an attitude of "read the directions when all else fails"
__Impatient, low frustration tolerance
__A prisoner of the moment
__Frequent traffic violations
__Frequent, impulsive job changes
__Tendency to embarrass others
__Lying or stealing on impulse

Poor Organization

__Poor organization and planning, trouble maintaining an organized work/living area
__Chronically late or chronically in a hurry
__Often have piles of stuff
__Easily overwhelmed by tasks of daily living
__Poor financial management (late bills, check book a mess, spending unnecessary money on late fees)

Problems Getting Started and Following Through

__Chronic procrastination or trouble getting started
__Starting projects but not finishing them, poor follow through
__Enthusiastic beginnings but poor endings
__Spends excessive time at work because of inefficiencies
__Inconsistent work performance

Negative Internal Feelings

__Chronic sense of under achievement, feeling you should be much further along in your life than you are
__Chronic problems with self-esteem
__Sense of impending doom
__Mood swings
__Negativity
__Frequent feeling of demoralization or that  

Relational Difficulties

__Trouble sustaining friendships or intimate relationships, promiscuity
__Trouble with intimacy
__Tendency to be immature
__Self-centered; immature interests
__Failure to see others' needs or activities as important
__Lack of talking in a relationship
__Verbally abusive to others
__Prone to hysterical outburst
__Avoids group activities
__Trouble with authority

Short Fuse

__Quick responses to slights that are real or imagined
__Rage outbursts, short fuse

Frequent Search For High Stimulation

__Frequent search for high stimulation (bungee jumping, gambling, race track, high stress jobs, ER doctors, doing many things at once, etc.)
__Tendency to seek conflict, be argumentative or to start disagreements for the fun of it  

Tendency To Get Stuck (thoughts or behaviors)

__Tendency to worry needlessly and endlessly
__Tendency toward addictions (food, alcohol, drugs, work)  

Switches Things Around

__Switches around numbers, letters or words
__Turn words around in conversations  

Writing/Fine Motor Coordination Difficulties

__Poor writing skills (hard to get information from brain to pen)
__Poor handwriting, often prints
__Coordination difficulties

The Harder I Try The Worse It Gets

__Performance becomes worse under pressure.
__Test anxiety, or during tests your mind tends to go blank
__The harder you try, the worse it gets
__Work or schoolwork deteriorates under pressure
__Tendency to turn off or become stuck when asked questions in social situations
__Falls asleep or becomes tired while reading  

Sleep/Wake Difficulties

__Difficulty falling asleep, may be due to too many thoughts at night
__Difficulty coming awake (may need coffee or other stimulant or activity before
feeling fully awake)

Low Energy

__Periods of low energy, especially early in the morning and in the afternoon
__Frequently feeling tired  

Sensitive To Noise Or Touch

__Startles easily
__Sensitive to touch, clothes, noise and light

SCORING

When you have completed the above checklist, calculate the Total Score: _______

Total Number of Items with a score of three (3) or more: _______
Score for Item #1: _______
Score for Item #6: _______
Score for Item #7: _______

Dr. Amen suggests: "More than 20 items with a score of three or more indicates a strong tendency toward ADD.

Note: The three items with * are "essential to make the diagnosis," according to Dr. Amen.

He adds: "One of the most common ways I diagnose ADD in adults is when parents reluctantly tell me that they have tried their child's medication and that they found it very helpful. They report it helped them concentrate for longer periods of time. They became more organized and were less impulsive. Trying your child's medication is not something I recommend!"

FOOTNOTE

"This educational material is made available, courtesy of the author and Attention Deficit Disorder Resources, a non-profit organization based in Tacoma, whose purpose is to help people with Attention Deficit Disorder achieve their full potential. We have numerous materials as well as a quarterly newsletter for sale. Our web site is: www.ADDult.org."

Information Section: Conditions
Condition:
ADHD
Article: Adult ADD Symptom Checklist
Source: Daniel G. Amen, M.D., 1995

ADDult Support of Washington for Adults with ADD

Page 1 of  1

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