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NorthSky Counselling

ADHD Assessments for Children

Understanding attention, executive functioning, and behaviour across home and school

When Attention Concerns Affect Daily Life

Children naturally vary in attention, activity level, organization, and impulse control. A child may also have more difficulty in one setting than another depending on structure, interest, fatigue, learning demands, and the support available.

An ADHD assessment is appropriate when patterns are persistent, occur in more than one context, and are interfering with learning, relationships, routines, confidence, or family life. The purpose is to understand the child’s individual pattern rather than assuming that every distractible, active, or frustrated child has ADHD.

A comprehensive assessment considers ADHD while also examining other explanations that may contribute to the concerns. This helps ensure that recommendations fit the child rather than only the diagnostic label.

Looking Beyond a Checklist

ADHD cannot be understood from one test or questionnaire alone. A thorough assessment considers the child’s developmental history, current functioning, and the degree to which difficulties appear across settings.

Attention problems can also be influenced by learning disabilities, anxiety, mood, sleep, stress, language differences, health factors, or environmental demands. These possibilities are considered so that the assessment does not mistake one difficulty for another or overlook concerns that occur together.

When broad academic or learning concerns are present, a full psychoeducational assessment may be recommended instead of, or in addition to, a focused ADHD assessment. This will be discussed before testing begins.

What the Assessment May Include

The exact process is individualized, but a child ADHD assessment commonly includes:

  • a parent interview covering development, health, learning, behaviour, and family history
  • an age-appropriate interview with the child
  • review of report cards, previous assessments, or relevant records
  • parent and teacher rating scales examining attention and functioning across settings
  • measures of attention, executive functioning, memory, or cognitive abilities when indicated
  • screening for emotional, behavioural, learning, and contextual factors
  • integration of all available information with diagnostic criteria

Teacher or other collateral information is especially valuable because ADHD symptoms must be understood across contexts. If this information is unavailable, we will discuss what conclusions can and cannot reasonably be made.

What Families Receive

The completed report explains the information gathered, the child’s pattern of strengths and challenges, diagnostic conclusions where appropriate, and recommendations for home and school.

Recommendations may include environmental supports, approaches to instructions and routines, executive-function strategies, classroom accommodations, emotional-regulation supports, or topics to discuss with a physician or other provider. The assessment does not prescribe medication, but it can provide information that supports treatment discussions.

During the follow-up session, findings are reviewed in plain language so parents understand both what the assessment found and what the next steps may be.

Cost, Report and Timeline

The flat fee for a comprehensive child ADHD assessment is $1,750.

The fee includes the intake interview, appropriate testing and questionnaires, scoring and interpretation, a full comprehensive written report, and a follow-up session to discuss results and recommendations.

Under most circumstances, families can expect the report within two weeks after testing is complete and all required parent and teacher forms, records, and collateral information have been received. If additional assessment is recommended, the reasons and costs will be discussed before proceeding.

Further Support and School Collaboration

Additional follow-up is available when families want help implementing the recommendations. This may include consultation with teachers, collaboration with other professionals, attendance at a school meeting, advocacy, or review of proposed accommodations and supports.

Follow-up services require parent or guardian consent and are billed separately at the regular hourly rate. No school or outside professional is contacted without appropriate written permission.

The assessment report can also provide a shared starting point for conversations among parents, educators, physicians, and other professionals while keeping the child’s needs and strengths at the centre of planning.

Begin With a Free Consultation

If you are unsure whether your child’s difficulties are related to ADHD, learning, emotional wellbeing, or something else, you do not need to decide alone. A free consultation allows us to discuss what you are seeing and determine whether a focused ADHD assessment or a broader assessment is the better fit.

Schedule a free consultation to discuss your concerns, the assessment process, expected costs, and next steps.