MDCalc

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

Diagnoses adult ADHD.

This is intended for patients ≥18 years old.

Select the response that best describes how the patient has felt and conducted his/herself over the past 6 months.

How often do you have trouble wrapping up the final details of a project, once the challenging parts have been done?

How often do you have difficulty getting things in order when you have to do a task that requires organization?
How often do you have problems remembering appointments or obligations?
When you have a task that requires a lot of thought, how often do you avoid or delay getting started?
How often do you fidget or squirm with your hands or feet when you have to sit down for a long time?
How often do you feel overly active and compelled to do things, like you were driven by a motor?

Result:

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Advice

The screener is meant to detect cases that warrant further clinical assessment, and cannot be used alone for diagnosis.

Management
  • Presence of ≥4 points indicates symptoms highly consistent with adult ADHD; these cases warrant further clinical assessment.
  • Further clinical assessment includes:
    • Clinical interview
    • Mental status examination
    • Neuropsychological testing may be considered (e.g., subthreshold symptoms, diagnostic uncertainty)
    • Labs and medical work-up when clinically warranted
  • Clinical interview may be guided by questions in the screener and the remaining DSM criteria. Assess the level of impairment associated with each symptom (including at work, school and in social situations) and evaluate for presence of symptoms in childhood.
Critical Actions

Symptoms of inattention and hyperactivity are relatively nonspecific and are encountered in many psychiatric and some medical disorders. Comprehensive clinical evaluation should include consideration of mood, anxiety, learning or substance use disorders as underlying cause or comorbid condition. Workup for underlying organic disorders, if there is clinical suspicion, should be considered.

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