ADHD Treatment

Evergreen Adult Medicine

Disclaimer:

Same-day and next-day appointments are dependent on availability and the specific program selected. Availability is not guaranteed.

Adult ADHD Self-Report Scale (ASRS v1.1) – Instructions

Purpose
The ASRS v1.1 identifies symptoms consistent with adult ADHD and supports clinical decision-making. It is not a standalone diagnostic tool.

Structure
The checklist includes 18 DSM-IV-TR criteria:

• Part A (6 items): Primary screening questions with highest predictive value
• Part B (12 items): Supplemental items to further assess symptom patterns

Administration
Patients complete both sections by rating how often each symptom occurs using the provided frequency scale.

Scoring and Interpretation

• Evaluate Part A first.
• ≥4 positive responses indicates symptoms consistent with adult ADHD and justifies further assessment.
• Part B responses are not scored but help clarify symptom distribution and severity. Focus on higher-frequency responses to guide follow-up questions.

Functional Impairment Assessment
Review responses with the patient to determine real-world impact. Assess functioning in:

• Work or academic performance
• Home responsibilities
• Interpersonal relationships

Frequent symptoms typically correlate with greater impairment. Use patient examples to quantify disruption in daily activities.

Clinical History
Confirm whether symptoms were present earlier in life. Diagnosis requires evidence of longstanding attention or self-regulation difficulties, with onset in childhood, even if not previously diagnosed.