The evaluation of a child suspected of having ADHD involves various disciplines to provide comprehensive medical, developmental, educational, and psychosocial evaluations. Interviewing parents and the child along with contact with the child's teacher(s) is crucial. Investigation regarding the family history for behavioral and/or social problems is imperative.
While direct person-to-person contact is considered vital at the outset of an investigation, follow-up studies may be guided by comparing standardized questionnaires (parental and teacher) completed prior to intervention and subsequent to therapeutic trials of medication, behavioral therapy, or other approaches. While there is no unique finding on physical exam in patients with ADHD, unusual physical features should prompt consideration of consultation with a geneticist due to the high association with ADHD behavioral patterns and well-recognized congenital syndromes (for example, fetal alcohol syndrome).
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