WHOLESOME CLINIC
Integrative Psychiatry & Wellness
Whole Mind. Whole Body. Wholesome.
In-person care in Frisco, TX • Telehealth in TX, CO, NM, OK, LA , OR & AR

Pediatric ADHD Testing and Evaluation

We offer comprehensive ADHD testing and evaluation for children and adolescents ages 6 and older. Our approach for pediatric patients differs from adult evaluation because children are observed in structured settings by multiple adults who can provide reliable information about their behavior.

pediatric ADHD testing and evaluation

Our Approach to Pediatric ADHD Testing and Diagnosis

ADHD is one of the most common neurodevelopmental disorders in children, affecting attention, impulse control, and activity level. Symptoms typically appear before age 12 and are present across multiple settings (home, school, social situations).

Diagnosing ADHD in children is more straightforward than in adults because we can gather information from multiple observers — parents, teachers, and other caregivers — who see your child in different environments every day.

Common Signs and Symptoms of ADHD in Children

Many children occasionally have difficulty paying attention or controlling impulses. However, ADHD symptoms tend to be persistent, occur in multiple settings (home and school), and interfere with learning or daily functioning.

Inattention Symptoms

  • Difficulty staying focused on schoolwork or activities
  • Frequent careless mistakes on assignments
  • Appears not to listen when spoken to directly
  • Difficulty organizing tasks or completing homework
  • Loses school materials or personal items frequently
  • Easily distracted by unrelated stimuli

Hyperactivity & Impulsivity Symptoms

  • Difficulty staying seated in class
  • Excessive talking or interrupting others
  • Acts without thinking about consequences
  • Difficulty waiting for turns
  • Restlessness or constant movement
  • Blurting out answers before questions are finished
Important: These behaviors can occur in many children and do not necessarily mean a child has ADHD. A proper diagnosis requires a comprehensive evaluation that considers symptoms across multiple settings, developmental history, and standardized rating scales.

When Should My Child Be Evaluated for ADHD?

Many children occasionally have trouble focusing or sitting still. However, it may be helpful to seek a professional evaluation if these behaviors are frequent, persistent, and affecting your child's learning or daily life.

Consider an Evaluation if Your Child:

  • Is struggling academically despite adequate effort
  • Receives frequent behavioral feedback from teachers
  • Has difficulty completing homework or following instructions
  • Has trouble staying organized or managing school tasks
  • Frequently interrupts others or acts impulsively

Teachers or School Staff May Report:

  • Difficulty remaining seated or staying on task
  • Incomplete assignments or careless mistakes
  • Disruptive classroom behavior
  • Difficulty waiting turns or following classroom rules
  • Performance that is inconsistent with the child's abilities
Important: Early identification of ADHD can help children receive appropriate support at home and at school. If ADHD is diagnosed, treatment may include behavioral strategies, school accommodations, and medication when clinically appropriate.

ADHD vs. Normal Childhood Behavior

Many children occasionally have difficulty paying attention, sitting still, or controlling impulses. These behaviors can be part of normal development. ADHD is different because symptoms are persistent, occur in multiple settings (such as home and school), and interfere with learning or daily functioning.

Normal Childhood Behavior Possible ADHD
Occasionally distracted during tasks Frequently unable to sustain attention on schoolwork or activities
Sometimes forgets homework or instructions Regularly forgets assignments, loses materials, or struggles to stay organized
May be energetic or restless at times Constantly fidgeting, leaving seat, or unable to remain still when expected
Occasionally interrupts others Frequently blurts out answers, interrupts conversations, or struggles to wait turns
Behavior varies depending on situation Symptoms appear across multiple environments (home, school, activities)
Important: Only a qualified healthcare professional can diagnose ADHD. A comprehensive evaluation considers symptom patterns, developmental history, and input from parents and teachers.

How the Pediatric ADHD Evaluation Process Works

1. Schedule an Evaluation

Request an appointment using the calendar below. During scheduling, we will ask for parent/guardian information and your child's teacher contact details so we can send rating scales if needed.

2. Complete Parent & Teacher Rating Scales

Our office will send standardized ADHD rating scales for parents and teachers (such as the Vanderbilt or Conners forms). These provide important information about your child's symptoms across different settings.

3. Clinical Evaluation

During the evaluation visit, we review symptoms, developmental history, school performance, and any supporting records. In some cases, additional tools such as the QB Check computerized assessment may be recommended. You can also learn more about QB Check on the official website at qbcheck.com.

4. Diagnosis & Treatment Planning

After reviewing all available information, your provider will discuss the diagnosis and treatment options if appropriate. Treatment may include behavioral strategies, school accommodations, and medication when clinically indicated.

What to Expect

Our pediatric ADHD evaluation process includes:

  • Clinical interview with parent/guardian to assess current symptoms and developmental history
  • Standardized parent rating scales (Vanderbilt, Conners, or similar)
  • Standardized teacher rating scales (sent directly to your child's school)
  • Review of school records, report cards, or prior evaluations (if available)
  • Clinical assessment of your child
Note: Unlike adult ADHD evaluation, most children do not require computerized testing (such as QB Check) or comprehensive neuropsychological testing. The combination of parent and teacher rating scales with clinical evaluation is usually sufficient to establish a diagnosis.

Computerized ADHD Testing (QBCheck)

In certain situations, we may recommend a computerized ADHD assessment called QBCheck. This test provides objective data about attention, impulsivity, and activity level and can supplement parent and teacher rating scales.

Learn More About QBCheck ADHD Testing

QB Check ADHD Testing for Children

While most children do not require QB Check, we offer this computerized assessment for pediatric patients in certain situations.

What is QB Check?

QB Check is a 15–20 minute computerized test that measures attention, impulsivity, and activity level. It provides objective data that can supplement parent and teacher rating scales.

When might QB Check be helpful?

  • Parent and teacher rating scales show conflicting results
  • Parents disagree with teacher observations
  • Teachers are unable or unwilling to complete rating scales
  • Homeschooled children without teacher observers
  • Additional objective data is desired
  • Monitoring treatment response over time

$150

QB Check for Children

Out-of-pocket, paid before testing

Important: QB Check is a supportive tool, not a standalone diagnostic test. Results are interpreted alongside parent and teacher rating scales, clinical history, and your child's presentation. QB Check does not replace the need for parent and teacher input when available.

When Is Psychological Testing Recommended?

Most children do not require comprehensive psychological or neuropsychological testing for ADHD diagnosis. The combination of parent and teacher rating scales with clinical evaluation is usually sufficient.

However, we may recommend comprehensive testing in the following situations:

Suspected learning disabilities or academic underperformance

If your child has poor academic progress that is not fully explained by ADHD, comprehensive psychoeducational testing can identify coexisting learning disorders in reading, math, or written expression. Over 70% of children with complex ADHD have coexisting learning or mental health conditions.

Diagnosis remains unclear after initial evaluation

When parent and teacher rating scales conflict, symptoms don't clearly meet criteria, or the clinical picture is complicated, psychological testing can help clarify the diagnosis.

Suspected coexisting neurodevelopmental disorders

Children with suspected intellectual disability, autism spectrum disorder, or language disorders require formal cognitive and developmental testing. ADHD symptoms cannot be adequately evaluated in these children without this additional information.

Suboptimal response to treatment

If your child has significant ongoing difficulties despite appropriate ADHD treatment, testing may reveal unidentified coexisting conditions that need to be addressed.

Deterioration in mental health or functioning

Even children with previous testing should be re-evaluated if their condition worsens significantly.

School requests formal testing for special education services

Schools may require psychoeducational testing to establish eligibility for an IEP (Individualized Education Program) or 504 plan.

Transition to college

Adolescents preparing for college may need updated testing to document eligibility for academic accommodations.

Important: Psychological testing does not increase diagnostic accuracy for ADHD itself. Its primary value is identifying learning strengths and weaknesses and detecting coexisting conditions — not confirming the ADHD diagnosis.

Cost

Comprehensive psychological or neuropsychological testing is typically covered by insurance. If you are uninsured or paying out-of-pocket, contact the testing facility directly for pricing. We can provide referrals to testing facilities in your area.

Why Is Pediatric Diagnosis Different from Adults?

Children are observed daily by teachers in structured classroom settings. Teachers can reliably report on:

  • Ability to stay seated and follow instructions
  • Task completion and homework habits
  • Attention span compared to same-age peers
  • Impulse control and social interactions

This multi-informant approach — combining parent observations at home with teacher observations at school — provides a comprehensive picture that supports accurate diagnosis without the need for expensive or time-consuming testing in most cases.

What You Will Need to Provide

  • Completed parent rating scale (provided by our office)
  • Teacher contact information so we can send rating scales to the school
  • Any prior evaluations, IEPs, or 504 plans (if available)
  • Report cards or school records noting behavioral or academic concerns (if available)

Treatment Options

If ADHD is diagnosed, we will discuss treatment options with you, which may include:

  • Behavioral strategies and parent training
  • School accommodations (504 plan or IEP support)
  • Medication management, including both stimulant and non-stimulant options

We work with families to develop an individualized treatment plan based on your child's needs, your preferences, and the severity of symptoms.

Ages 6 and Older

Medication (stimulant or non-stimulant) and/or behavioral therapy may be recommended, depending on symptom severity and family preference.

Ages 4–5

For preschool-aged children with ADHD concerns, behavioral therapy is the recommended first-line treatment. We can provide guidance and referrals for behavioral interventions. Medication is generally not initiated until age 6.

Costs

Evaluation Visits

Billed to insurance or self-pay rates apply

Rating Scales

No additional charge

$150

QB Check (if requested)

Out-of-pocket, paid before testing

Comprehensive Psychological Testing

Typically covered by insurance; referral provided

What Happens After an ADHD Diagnosis?

If your child is diagnosed with ADHD, our goal is to work with your family to develop a treatment plan that supports your child’s success at home, in school, and in daily life. Treatment plans are individualized and may include several approaches.

Behavioral Strategies

Many families benefit from learning practical behavioral strategies that help children develop structure, routines, and positive coping skills. Parent training and consistent behavioral support can make a significant difference in daily functioning.

School Accommodations

Children with ADHD may qualify for school supports such as a 504 plan or an Individualized Education Program (IEP). These accommodations can help address attention difficulties and improve academic success.

Medication Options

For children ages 6 and older, medication may be considered when symptoms significantly affect functioning. Medication decisions are made collaboratively with families after discussing potential benefits, risks, and alternatives.

Ongoing Monitoring

ADHD treatment typically involves follow-up visits to monitor progress, adjust treatment strategies if needed, and ensure your child continues to receive the support they need.

Important: Not every child with ADHD requires medication. Many children benefit from behavioral strategies, school accommodations, or a combination of approaches depending on symptom severity and family preferences.

Pediatric ADHD Evaluations Available by Telehealth

Wholesome Clinic provides pediatric ADHD evaluation services for children and adolescents ages 6 and older through secure telehealth visits. Families can complete the clinical interview and evaluation process from home while still receiving comprehensive, evidence-based ADHD assessment.

Our providers currently evaluate children located in the following states:

  • Pediatric ADHD evaluation in Texas
  • Pediatric ADHD evaluation in Colorado
  • Pediatric ADHD evaluation in New Mexico
  • Pediatric ADHD evaluation in Oregon
  • Pediatric ADHD evaluation in Oklahoma
  • Pediatric ADHD evaluation in Louisiana

Patients must be physically located in one of these states at the time of their telehealth appointment.

Related ADHD Services

Adult ADHD Evaluation

We also provide ADHD evaluation services for adults, including clinical assessment, standardized screening tools, and QB Check computerized ADHD testing when appropriate.

Learn About Adult ADHD Evaluation

QB Check ADHD Testing

QB Check is a computerized ADHD assessment that measures attention, impulsivity, and activity level. It may be used as part of both adult and pediatric ADHD evaluations in certain situations.

Learn About QB Check Testing

Frequently Asked Questions

ADHD can be evaluated in children as young as 4 years old. However, medication treatment is typically not started until age 6. For children ages 4–5, behavioral therapy is the recommended first-line treatment. Our practice evaluates and treats children ages 6 and older; for younger children, we can provide guidance and referrals.

This is not uncommon. Children may behave differently at home versus school, or teachers may have different expectations. If there is significant disagreement between parent and teacher rating scales, QB Check can provide additional objective information. We will also discuss the discrepancy during your visit and consider all sources of information when making a diagnosis.

Yes. For homeschooled children, we rely more heavily on parent rating scales, clinical interview, and may recommend QB Check to provide objective data in the absence of traditional teacher observations.

Schedule an evaluation appointment. During the visit, we will discuss your child's symptoms and academic performance. If we suspect a learning disability in addition to or instead of ADHD, we will recommend comprehensive psychological testing to clarify the diagnosis.

Some parents find that teacher observations do not match what they see at home, or they want additional objective data to feel confident in the diagnosis. QB Check can provide another perspective, though it does not replace the value of teacher input. It can also be useful for homeschooled children who do not have a traditional classroom teacher.

Most children do not need comprehensive psychological testing for ADHD diagnosis. Testing is recommended when there are concerns about learning disabilities, when the diagnosis is unclear, when coexisting conditions (such as autism or intellectual disability) are suspected, when treatment response is poor, or when the school requires formal testing for special education services.

QB Check is a 20-minute computerized test that measures attention, impulsivity, and activity. It costs $150 out-of-pocket. Comprehensive psychological testing is a 2.5–5 hour evaluation performed by a psychologist that assesses cognitive abilities, learning, memory, and emotional functioning in addition to attention. It is typically covered by insurance and is more appropriate when learning disabilities or other conditions are suspected.

Not necessarily. Treatment decisions are made collaboratively with families. Some children benefit from behavioral interventions and school accommodations alone, while others do best with a combination of medication and behavioral strategies.

At this time, stimulant medication management is not offered through our practice. We provide comprehensive ADHD evaluations, evidence-based treatment planning, behavioral recommendations, and non-stimulant medication management for children when clinically appropriate. If stimulant medication is determined to be the most appropriate treatment, we will discuss appropriate referral options with your family.

If your child has a prior ADHD diagnosis, please provide those records. We can review the previous evaluation and continue treatment, or conduct our own assessment if needed.

An initial evaluation typically includes an in-person or telehealth visit with the parent/guardian and may include observation of your child. Follow-up visits can often be conducted via telehealth.

The evaluation process typically involves one or two visits plus time for teacher rating scales to be completed and returned. Most families receive a diagnosis and treatment plan within 2–3 weeks of starting the process.

Schedule a Pediatric ADHD Evaluation

Contact our office to schedule a pediatric ADHD evaluation. Please have your child's teacher contact information available so we can send rating scales promptly.

Questions?

Contact our office if you have questions about pediatric ADHD evaluation or whether our services are appropriate for your child.

Schedule Your Child's ADHD Evaluation

Use the calendar below to request an appointment. For date preference, please select ANY. For time preference, please select ANY.

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