Adult ADHD & Executive Function Evaluation

Attention and executive-function questions in adult life, including a diagnosis that was missed or one that no longer fits, at ADHD, Mood & Behavior Center
Dr. Merritt Hubsher provides psychiatric ADHD evaluation and reassessment for adults through age 65. He asks about your childhood as well as your current life, and about anxiety, mood, and sleep, so the answer fits your history instead of a checklist.
Adult ADHD evaluation at a glance
  • Format: Psychiatric evaluation with parents and child
  • Provided by: Merritt Hubsher, MD
  • Ages: Children ages 5 and up
  • Medication: When appropriate, after evaluation

Adult ADHD: Where It Shows Up at Work and Home

Adults usually come in after years of working around the same problems. No single item here points to ADHD alone, but these are some of the usual starting points:

Deadlines and follow-through

Work that gets done late, or only under pressure.

Starting and finishing

Projects that stall before they begin or never quite wrap up.

Elaborate workarounds

Needing unusually elaborate systems just to stay on top of things.

Time and punctuality

Underestimating how long things take, or running late.

Paperwork and household tasks

Bills, forms, and chores that keep piling up.

Strain with others

Forgotten commitments or interrupted conversations that wear on relationships.

What the Evaluation Covers, From Childhood to Today

An adult ADHD evaluation looks for patterns that go back to childhood, so Dr. Hubsher asks how school went, what teachers said, and what you or your family remember. Some adults did well in school by leaning on structure, parents, or last-minute effort, so he asks about that too. If you can’t recall much, a parent, a sibling, or old school paperwork can fill in the gaps.

He also asks how the difficulties affect the work you do, whether that’s an office, home, school, or caregiving:

If you’ve been diagnosed before, he asks what the diagnosis was based on and how any treatment worked. Old report cards, earlier evaluations, and a list of past and current medications help when you have them, though none is required.
How the difficulties affect
Work performance and deadlines
Household management
Finances and paperwork
Relationships and communication

ADHD and What Often Comes With It

Dr. Hubsher evaluates these concerns together with ADHD, not separately.

None is assumed from a checklist, and sleep problems and stress get the same attention, since either can affect focus.
Anxiety: persistent worry that affects concentration and sleep
Depression and mood disorders: low mood and lost motivation that affect productivity
Autism and developmental concerns: questions about development and social interaction
Bipolar and mood instability: mood swings that can be mistaken for something else

Adult ADHD Medication and Coaching as a Separate Support

Medication and coaching are separate services from separate people. Dr. Hubsher decides whether medication fits, and the Center’s therapists provide coaching for the day-to-day skills.

Medication, from Dr. Hubsher

Considered only after the evaluation, and only when it fits

Explained up front: his reasoning, the treatment goals, and what will be monitored

Individualized follow-up, closer together at the start and when adjusting, less frequent once treatment is stable

Tracked over time: focus and follow-through, organization, side effects, sleep, mood and anxiety, and daily functioning

Coaching, from the Center’s therapists

Planning and prioritizing, at work and at home

Organization and time-management systems

Follow-through on projects, paperwork, and household tasks

Available alongside psychiatric care or on its own

Ready to Find Out What’s Behind It?

You don’t need to know whether it’s ADHD or something else before reaching out. The front desk can help work out the right starting service and go over the new-patient paperwork.