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Assessing ADHD in Adults<br><br>Examining the severity of adhd in adults is vital for a proper diagnosis of the disorder, which can be an overwhelming endeavor. There are many methods to assess adhd, including structured clinical interviews and self-report rating scales. These methods aren't always easy to perform however, they are frequent.<br><br>Interviews with parents and children<br><br>The most important aspect of ADHD evaluations is the parent/child interaction. It provides valuable information to the physician about the phenomenological as and ecological significance of the child's symptoms. This information should be combined with other data sources to help establish a correct diagnosis.<br><br>The key to an effective interview is to present specific and concrete questions. Do not ask excessive questions about parents' personal concerns. Be careful not to interpret too much informal observations of the child's behavior.<br><br>A key criterion to diagnose [https://www.longisland.com/profile/beechmaple6 adhd assessment cost uk] is its pervasiveness. A good indicator of symptom pervasiveness is CHATTI. The tool is a basic but effective method for assessing teacher-reported total symptom scores.<br><br>Another helpful tool is the questionnaire. It is simple to use and has high reliability. They may be influenced by bias of the rater.<br><br>The parent/child interview is a significant part of the examination. However, it is also a chance to be criticized due to its inaccuracy. The process of testing can cause parents to be annoyed, and for certain parents, the interview could be a positive experience.<br><br>Clinical evaluation should be conducted in conjunction with parent/child interviews. A thorough review of the child's previous records should be carried out. The clinician can gain insight into the child's mental health profile by reviewing his or her medical and psychoeducational documents.<br><br>Other aspects to be considered are the type of the referral. The child's behavior issues could indicate that a referral is needed to establish an ADHD diagnosis. Stress from family members could be a cause for ADHD symptoms.<br><br>A successful interview should consist of [https://wizdomz.wiki/wiki/The_10_Most_Terrifying_Things_About_ADHD_Online_Assessment getting an adhd assessment Uk] array of tests that are standard as well as interaction between parents and children. If the examiner is going to conduct an interview with a minority child, he or she should be sure to follow the standards of the culture.<br><br>The most important factor in the parent/child interview is the rapport the examiner establishes with the parent. The rapport, when combined with the information collected during the interview can be used to come up with an accurate diagnosis.<br><br>Overall, the interview should be viewed as an effective and necessary part of an extensive and accurate assessment of the child's behavioral, social, and emotional strengths and weaknesses. Accurate diagnosis can not only ensure appropriate treatment, but can also help determine the child's stage of development.<br><br>Self-report scales of ratings<br><br>Rating scales are useful in the assessment of ADHD in adults. They can be used by healthcare professionals and other providers as well as parents and caregivers and others. There are many types of rating scales to choose from, and these can be used to assess the various behavioral symptoms that are related to ADHD.<br><br>The Adult Self-Report Scale (ASRS) is a self-report survey which measures ADHD in adults. Its v1.1 version contains 18 questions. Part A questions ask participants to rate their symptoms, and Part B questions test the severity of symptoms. These tests have been extensively examined and extensive research has been conducted to determine their accuracy.<br><br>ASRS has a high degree of concurrent validity. Additionally, the questions are constructed based on DSM criteria and are designed to identify symptoms of ADHD. The corresponding frequency scores provide cues as to the degree of the impact that symptoms have on the life of the patient.<br><br>Despite the popularity of these tools [https://pattern-wiki.win/wiki/Bruunwomble4615 getting assessed for adhd] testing yet, the connection between their accuracy and actual use of the tests is not apparent. One study showed that only 7% of children who took executive function tests, like the StanfordBinet Scale and the Attention Deficit Disorder Test, showed an unfavorable correlation between their scores and the results of the ASRS.<br><br>The research on the connection between executive function tests and ADHD self-report scales has yielded mixed results. This could be due to the lack of specificity of the tests. The ADHD self-report questionnaire results have not been demonstrated to be correlated with attentional performance or other components of the EF.<br><br>These measures aren't perfect, but they can still be used to evaluate the probability of having ADHD. These tests will show ADHD in the event that the scores are higher than 60. A question such as "[https://images.google.bi/url?q=https://peatix.com/user/24235178 how to get a adhd assessment] often do your concentration problems occur?" is a common answer. is scored positively, because the answers "Never," "Not Very Often," and "Always" are all negative.<br><br>Some scales may also ask about ADHD-related problems such as depression. In fact, a shortened version of the CDC's checklist to treat depression is available.<br><br>Structured clinical interview<br><br>To determine if you have ADHD in adults, a psychotherapy interview is the most widely used method. This approach is used alongside a variety of other tools. These tools include cognitive testing, behavioral rating scales and self-report tests. Combining these diagnostic tools has proven to be more accurate than the individual tools.<br><br>Patients are asked to explain their main symptoms in various situations during a medical interview. The clinicians can assess the patient's life routine and determine whether they suffer from [https://maps.google.ml/url?q=https://www.metooo.co.uk/u/6708ea72ecbdea11896ea83a adhd assessment glasgow]. They can also give a more clear picture of the patient's difficulties with specific ADHD symptoms.<br><br>When you are integrating [http://www.gtcm.info/home.php?mod=space&uid=852324 adhd assessment cost] behavior rating scales, it's crucial to include people who can confirm the history of the patient. Failure to do so may result in an over-reporting of symptoms. Informants could include a spouse as well as an employer or other significant person in the adult's life. The most effective way to integrate these ratings is to use an averaging process.<br><br>Cognitive testing is an important part in diagnosing ADHD in adults. It increases the specificity and reliability of the test battery. It is especially useful in monitoring treatment reactions. Some studies show that using cognitive testing in conjunction with ADHD behavior rating scales is more effective than relying only on one or the other.<br><br>Adults with ADHD frequently have trouble understanding what's causing their behavior problems. It is often difficult to identify ADHD. Research has revealed that ADHD symptoms such as concentration and memory are among the most reliable indicators of ADHD in adults.<br><br>ADHD adults have a higher rate of comorbidities than ADHD children. Research has proven that comorbidities can affect subjective symptoms. Future studies should investigate the effects of medications and comorbid psychological conditions.<br><br>There has been a lot of research conducted on the reliability and accuracy of behavioral rating scales used to detect ADHD in adults. One study showed that the DIVA and the BAARS-IV were the most accurate. These instruments are subjective. Researchers suggest it is crucial to obtain these ratings from experts.<br><br>A structured clinical interview is an ideal instrument to assess adults suffering from ADHD. In addition to providing standardized questions, it comes with modules that analyze developmental data and symptomatology based on DSM criteria.<br><br>Psychological and neuropsychological testing<br><br>For people who suffer from ADHD Psychological and neuropsychological testing can be very useful. These tests help to diagnose brain disorders or neurological injuries and can provide guidance for treatment plans.<br><br>Psychological tests can be used to measure various mental functions and behavior. They can also be used for diagnosing developmental and learning disabilities. These test results can be compared with that for normal people of similar age.<br><br>A neuropsychological assessment that is a complete and controlled test of the brain which evaluates various cognitive functions, is known as a neuropsychological assessment. This type of testing is typically administered by a professional such as psychologists or psychiatrists. Typical tests involve answering questionnaires and completing tasks on computers.<br><br>Psychological tests are a way to measure intelligence, including memory and reasoning abilities along with other functions like attention and multitasking. These kinds of tests are designed to measure cognitive capacity without injury. However, some people still have cognitive difficulties with an injury or neurologic disorder, which can cause cognitive changes.<br><br>Tests for ADHD for adults can include measures of attention, memory, language, and other capacities. They are designed to determine differences in mental functioning between healthy people and those with disabilities. ADHD patients are typically more distracted than healthy adults, particularly when they are required to concentrate on abstract problems solving and sustained attention.<br><br>To aid in the diagnosis of ADHD in adults, neuropsychological and psychological tests are frequently used. This is due to the fact that ADHD symptoms are mostly neurocognitive in the nature. These symptoms can include problems in short-term memory, as well as verbal process. It is important to keep in mind that these symptoms are not the basic symptoms of the disorder.<br><br>The results of the neuropsychological and psychological tests that measure ADHD in adults can be used for treatment plans and intervention strategies. The results are documented in a personal report that includes a description the symptoms, treatment recommendations, and the recommendation for further investigation. Depending on the results of the test the doctor may provide additional tests to test for other conditions.<br><br>A one-on one assessment for ADHD in adults takes place. A certified clinical psychologist will assess the patient's medical background, developmental milestones and behavior during the assessment. He or she also speaks to the patient about their concerns, and provides recommendations for treatment.
Assessing ADHD in Adults<br><br>It is crucial to examine people suffering from adhd to make the proper diagnosis. This can be a daunting job. There are a variety of methods to determine adhd, including structured clinical interviews and self-report rating scales. These methods aren't always easy to perform, but they are very frequent.<br><br>Interview with parent and child<br><br>A parent/child conversation is an essential part of the evaluation of children suffering from ADHD. It provides valuable information to the physician regarding the phenomenological as as ecological validity of the child’s symptoms. This information should be paired with other information to help establish a correct diagnosis.<br><br>The most important thing to do in an effective interview is to present specific and specific questions. Be careful not to ask too many questions about the parents' personal concerns. Be careful not to interpret too much informal observations about the child's behavior.<br><br>Pervasiveness is an important criterion to determine ADHD. A good indicator of the degree of pervasiveness of symptoms is CHATTI. It is a straightforward but time-efficient tool for assessing the scores of the teacher who reported the total symptom score.<br><br>Another useful tool is the questionnaire. They are simple to administer and show high levels of reliability. However, they may be influenced by rater bias.<br><br>Although the parent/child interview is an important aspect of the evaluation and is often condemned for its lack reliability. The examination process can cause parents to be dissatisfied, and [https://squareblogs.net/eelnerve4/11-faux-pas-that-are-actually-ok-to-make-with-your-affordable-adhd-assessment assessed for adhd] a few the interview can be a therapeutic experience.<br><br>Parent/child interviews should be accompanied by clinical evaluation. It is essential to review all records regarding the child. The clinician can learn more about the child's mental health profile by reviewing the medical and psychoeducational documents.<br><br>Other factors to be considered are the type of the referral. A child's behavior problems could indicate the need for a referral to establish an ADHD diagnosis. There is also the possibility of stress from the family as a possible cause for the child's difficulties.<br><br>An effective interview should involve an appropriate mix of standardized tests and interactions between parents and their children. Interviews with children from minority backgrounds should be conducted by an examiner who adheres to cultural standards.<br><br>The most important aspect of an interview between a child and a parent is the bond the examiner develops with the parent. The rapport, combined with the information gathered during the interview, can be used to come up with an accurate diagnosis.<br><br>The interview should be seen as an effective and necessary element in a complete and accurate assessment of the child's behavioral, social, and emotional strengths and weaknesses. Making an accurate diagnosis can not only ensure appropriate treatment, but can also indicate the child's course of development.<br><br>Self-report scales of rating<br><br>Rating scales are helpful in diagnosing [https://www.google.com.om/url?q=https://botdb.win/wiki/Searching_For_Inspiration_Check_Out_Assessments_For_ADHD adhd assessment uk] in adults. They can be utilized by healthcare professionals, clinicians, providers such as parents and caregivers, and many more. There are a variety of rating scales available and they are used to measure the different behavioral signs related to ADHD.<br><br>The Adult Self-Report Scale is a questionnaire that measures ADHD in adults. Its v1.1 version contains 18 questions. Part A questions ask subjects to evaluate their symptoms. Part B questions measure the severity of symptoms. These tests have been thoroughly studied and a lot of research has been conducted to determine their reliability.<br><br>ASRS has a high degree of concurrent validity. Furthermore, [http://www.asystechnik.com/index.php/Are_You_Responsible_For_An_Adhd_Assessment_For_Adults_Budget_12_Best_Ways_To_Spend_Your_Money how to get a adhd assessment] the questions are constructed based on DSM criteria and are designed to be able to identify signs of ADHD. The frequency scores indicate the severity of the symptoms' effect on the person's daily routine.<br><br>Despite the widespread use of these test tools, the correlation between their accuracy and actual use of these tests is not evident. One study found that only 7% of children who took an executive function test such as the Stanford-Binet Scale or the Attention Deficit Disorder Test, showed a positive relationship between those tests and the results of the ASRS.<br><br>Divergent results have been observed in studies on the relationship between ADHD self-report scales and tests for executive functioning. This could be due the lack of specificity of the tests themselves. The ADHD self-report results have not been shown to correlate with attentional performance, or other components of the EF.<br><br>These measures are imperfect, but they can still be used to determine the risk of having ADHD. If a person has ADHD and scores on these tests will be above 60. A question such as "[https://articlescad.com/what-do-you-think-heck-what-exactly-is-cost-of-adhd-assessment-506639.html how to get adhd assessment] to get a adhd assessment ([https://maps.google.ae/url?q=https://anotepad.com/notes/bw7q4aei Read the Full Document]) often do you experience problems with your concentration?" is a common answer. is a positive score, because the answers "Never," "Not Very Often," and "Always" are all negative.<br><br>Some scales could also inquire about ADHD-related problems such as depression. In reality, a shorter version of the CDC's checklist to treat depression is available.<br><br>Interview with a structured clinical basis<br><br>In order to establish a diagnosis of ADHD for adults, a clinical interview is the most commonly used method. This method is utilized alongside a variety of other tools. These tools include cognitive testing, behavioral rating scales and self-report tests. Combining these diagnostic tools has proven to be more accurate than the individual tools.<br><br>Patients are asked to describe their main symptoms in various scenarios during a clinical interview. This helps clinicians evaluate the patient's daily activities and determine if they are suffering from ADHD. These charts also give more information about the patient's issues with specific [http://planforexams.com/q2a/user/shoebean91 adhd assessment london] symptoms.<br><br>When integrating ADHD behavior rating scales, it's crucial to include people who can confirm the patient's past. Insufficient information can lead over-reporting symptoms. Informants can be a spouse as well as an employer or other significant person in an adult's life. Averaging is the best way to combine these ratings.<br><br>Cognitive testing is an essential part in diagnosing ADHD in adults. It improves the specificity and reliability of the assessment battery. It is particularly helpful in monitoring treatment responses. Certain studies have shown that using cognitive testing in conjunction with ADHD behavior rating scales is more effective than relying only on one or the other.<br><br>ADHD adults often have trouble understanding the cause of their behavior problems. This means that the diagnosis of their condition can be difficult to determine. Research has revealed that ADHD symptoms such as concentration and memory are the most effective indicators of ADHD for adults.<br><br>Adults suffering from ADHD are more likely to be victims of comorbid disorders than children. Research suggests that comorbidities can influence the subjective symptoms. Future studies should investigate the effects of medication and psychological conditions that are comorbid.<br><br>There has been a lot of research conducted on the reliability and accuracy of behavioral rating scales used to detect ADHD in adults. One study showed that the [https://posteezy.com/why-no-one-cares-about-cost-adhd-assessment diva adhd assessment] was the most accurate, and the BAARS-IV the lowest. These instruments are subjective. Researchers suggest that it is essential to obtain these ratings from reliable sources.<br><br>A structured clinical interview is a great tool to test adults with ADHD. In addition, to having standardized questions, it includes modules that analyze developmental information and symptomatology using DSM criteria.<br><br>Psychological and neuropsychological testing<br><br>Psychological and neuropsychological tests to evaluate ADHD for adults can be useful tools. These tests can help diagnose neurological disorders and brain injuries and offer guidance on treatment plans.<br><br>Psychological tests test a variety of mental functioning and behavior. They can also be used to diagnose learning disabilities and developmental difficulties. These test results can also be compared to the results of people of the same age.<br><br>A neuropsychological examination is a standardized, comprehensive test of the brain that evaluates various cognitive functions. This kind of test is usually administered by a professional such as psychologists or psychiatrists. The most common tests require answering questions and [http://www.asystechnik.com/index.php/Everything_You_Need_To_Know_About_Assessment_For_Adhd_In_Adults how to get a Adhd assessment] doing tasks on a computer.<br><br>Certain tests in psychology measure cognitive capabilities, such memory and reasoning skills and other skills, like attention and multitasking. These tests are used to evaluate cognitive abilities, but not to determine the severity of injuries. It is possible for a person to have cognitive problems if they have an injury or neurologic condition or any other condition. This can cause cognitive decline.<br><br>Tests for ADHD for adults can include measures of attention, memory, language, and other capacities. These tests are used to differentiate between those with disabilities and healthy people. ADHD patients are typically more distracted than healthy adults, especially when they have to focus on abstract problems and pay attention for long periods of time.<br><br>To aid in diagnosing ADHD in adults, psychological and neuropsychological tests are commonly used. This is due to the fact that ADHD symptoms are predominantly neurocognitive in the sense that they are neurocognitive in. It is characterized by difficulties with short-term memory as well as verbal processing. It is important to remember that these are just fundamental symptoms of the disorder.<br><br>The results of neuropsychological and psychological tests used to evaluate ADHD in adults can be used to develop treatment plans and intervention plans. The results are summarized in a report for each individual that includes a description the symptoms and treatment recommendations as well as an advice for further research. The results of the test can be used to identify other conditions.<br><br>Comprehensive screening for ADHD in adults is conducted on one-on-one basis. A certified clinical psychologist will assess the patient's medical history, developmental milestones and behaviors during the assessment. The psychologist also discusses with the patient his or her concerns and makes recommendations for treatment.

Latest revision as of 14:04, 5 March 2025

Assessing ADHD in Adults

It is crucial to examine people suffering from adhd to make the proper diagnosis. This can be a daunting job. There are a variety of methods to determine adhd, including structured clinical interviews and self-report rating scales. These methods aren't always easy to perform, but they are very frequent.

Interview with parent and child

A parent/child conversation is an essential part of the evaluation of children suffering from ADHD. It provides valuable information to the physician regarding the phenomenological as as ecological validity of the child’s symptoms. This information should be paired with other information to help establish a correct diagnosis.

The most important thing to do in an effective interview is to present specific and specific questions. Be careful not to ask too many questions about the parents' personal concerns. Be careful not to interpret too much informal observations about the child's behavior.

Pervasiveness is an important criterion to determine ADHD. A good indicator of the degree of pervasiveness of symptoms is CHATTI. It is a straightforward but time-efficient tool for assessing the scores of the teacher who reported the total symptom score.

Another useful tool is the questionnaire. They are simple to administer and show high levels of reliability. However, they may be influenced by rater bias.

Although the parent/child interview is an important aspect of the evaluation and is often condemned for its lack reliability. The examination process can cause parents to be dissatisfied, and assessed for adhd a few the interview can be a therapeutic experience.

Parent/child interviews should be accompanied by clinical evaluation. It is essential to review all records regarding the child. The clinician can learn more about the child's mental health profile by reviewing the medical and psychoeducational documents.

Other factors to be considered are the type of the referral. A child's behavior problems could indicate the need for a referral to establish an ADHD diagnosis. There is also the possibility of stress from the family as a possible cause for the child's difficulties.

An effective interview should involve an appropriate mix of standardized tests and interactions between parents and their children. Interviews with children from minority backgrounds should be conducted by an examiner who adheres to cultural standards.

The most important aspect of an interview between a child and a parent is the bond the examiner develops with the parent. The rapport, combined with the information gathered during the interview, can be used to come up with an accurate diagnosis.

The interview should be seen as an effective and necessary element in a complete and accurate assessment of the child's behavioral, social, and emotional strengths and weaknesses. Making an accurate diagnosis can not only ensure appropriate treatment, but can also indicate the child's course of development.

Self-report scales of rating

Rating scales are helpful in diagnosing adhd assessment uk in adults. They can be utilized by healthcare professionals, clinicians, providers such as parents and caregivers, and many more. There are a variety of rating scales available and they are used to measure the different behavioral signs related to ADHD.

The Adult Self-Report Scale is a questionnaire that measures ADHD in adults. Its v1.1 version contains 18 questions. Part A questions ask subjects to evaluate their symptoms. Part B questions measure the severity of symptoms. These tests have been thoroughly studied and a lot of research has been conducted to determine their reliability.

ASRS has a high degree of concurrent validity. Furthermore, how to get a adhd assessment the questions are constructed based on DSM criteria and are designed to be able to identify signs of ADHD. The frequency scores indicate the severity of the symptoms' effect on the person's daily routine.

Despite the widespread use of these test tools, the correlation between their accuracy and actual use of these tests is not evident. One study found that only 7% of children who took an executive function test such as the Stanford-Binet Scale or the Attention Deficit Disorder Test, showed a positive relationship between those tests and the results of the ASRS.

Divergent results have been observed in studies on the relationship between ADHD self-report scales and tests for executive functioning. This could be due the lack of specificity of the tests themselves. The ADHD self-report results have not been shown to correlate with attentional performance, or other components of the EF.

These measures are imperfect, but they can still be used to determine the risk of having ADHD. If a person has ADHD and scores on these tests will be above 60. A question such as "how to get adhd assessment to get a adhd assessment (Read the Full Document) often do you experience problems with your concentration?" is a common answer. is a positive score, because the answers "Never," "Not Very Often," and "Always" are all negative.

Some scales could also inquire about ADHD-related problems such as depression. In reality, a shorter version of the CDC's checklist to treat depression is available.

Interview with a structured clinical basis

In order to establish a diagnosis of ADHD for adults, a clinical interview is the most commonly used method. This method is utilized alongside a variety of other tools. These tools include cognitive testing, behavioral rating scales and self-report tests. Combining these diagnostic tools has proven to be more accurate than the individual tools.

Patients are asked to describe their main symptoms in various scenarios during a clinical interview. This helps clinicians evaluate the patient's daily activities and determine if they are suffering from ADHD. These charts also give more information about the patient's issues with specific adhd assessment london symptoms.

When integrating ADHD behavior rating scales, it's crucial to include people who can confirm the patient's past. Insufficient information can lead over-reporting symptoms. Informants can be a spouse as well as an employer or other significant person in an adult's life. Averaging is the best way to combine these ratings.

Cognitive testing is an essential part in diagnosing ADHD in adults. It improves the specificity and reliability of the assessment battery. It is particularly helpful in monitoring treatment responses. Certain studies have shown that using cognitive testing in conjunction with ADHD behavior rating scales is more effective than relying only on one or the other.

ADHD adults often have trouble understanding the cause of their behavior problems. This means that the diagnosis of their condition can be difficult to determine. Research has revealed that ADHD symptoms such as concentration and memory are the most effective indicators of ADHD for adults.

Adults suffering from ADHD are more likely to be victims of comorbid disorders than children. Research suggests that comorbidities can influence the subjective symptoms. Future studies should investigate the effects of medication and psychological conditions that are comorbid.

There has been a lot of research conducted on the reliability and accuracy of behavioral rating scales used to detect ADHD in adults. One study showed that the diva adhd assessment was the most accurate, and the BAARS-IV the lowest. These instruments are subjective. Researchers suggest that it is essential to obtain these ratings from reliable sources.

A structured clinical interview is a great tool to test adults with ADHD. In addition, to having standardized questions, it includes modules that analyze developmental information and symptomatology using DSM criteria.

Psychological and neuropsychological testing

Psychological and neuropsychological tests to evaluate ADHD for adults can be useful tools. These tests can help diagnose neurological disorders and brain injuries and offer guidance on treatment plans.

Psychological tests test a variety of mental functioning and behavior. They can also be used to diagnose learning disabilities and developmental difficulties. These test results can also be compared to the results of people of the same age.

A neuropsychological examination is a standardized, comprehensive test of the brain that evaluates various cognitive functions. This kind of test is usually administered by a professional such as psychologists or psychiatrists. The most common tests require answering questions and how to get a Adhd assessment doing tasks on a computer.

Certain tests in psychology measure cognitive capabilities, such memory and reasoning skills and other skills, like attention and multitasking. These tests are used to evaluate cognitive abilities, but not to determine the severity of injuries. It is possible for a person to have cognitive problems if they have an injury or neurologic condition or any other condition. This can cause cognitive decline.

Tests for ADHD for adults can include measures of attention, memory, language, and other capacities. These tests are used to differentiate between those with disabilities and healthy people. ADHD patients are typically more distracted than healthy adults, especially when they have to focus on abstract problems and pay attention for long periods of time.

To aid in diagnosing ADHD in adults, psychological and neuropsychological tests are commonly used. This is due to the fact that ADHD symptoms are predominantly neurocognitive in the sense that they are neurocognitive in. It is characterized by difficulties with short-term memory as well as verbal processing. It is important to remember that these are just fundamental symptoms of the disorder.

The results of neuropsychological and psychological tests used to evaluate ADHD in adults can be used to develop treatment plans and intervention plans. The results are summarized in a report for each individual that includes a description the symptoms and treatment recommendations as well as an advice for further research. The results of the test can be used to identify other conditions.

Comprehensive screening for ADHD in adults is conducted on one-on-one basis. A certified clinical psychologist will assess the patient's medical history, developmental milestones and behaviors during the assessment. The psychologist also discusses with the patient his or her concerns and makes recommendations for treatment.