ADD/ADHD

ADD/ADHD is a neurological condition that has to do with the regulation of a particular set of brain functions collectively referred to as “executive functioning skills.” ADD/ADHD effects these functions and can impact attention, concentration, memory, motivation and effort, and organization. The condition typically manifests itself in a pattern that hinders daily functioning. Challenges may include:

  • inattention
  • impulsivity
  • hyperactivity
  • losing or forgetting important things
  • feeling restless
  • fidgeting

Adapted from add.org.

Information Regarding AD/HD Treatment

Students who wish to have their AD/HD medication prescribed by our psychiatry service must provide complete documentation of the evaluation which led to the AD/HD diagnosis. The evaluation must be current (done within the past 3 years) and complete (see diagnostic criteria below).

PLEASE NOTE: Tufts University CMHS is not able to provide diagnostic evaluations for AD/HD, though we can provide a list of qualified local providers.

AD/HD Diagnostic Evaluation Criteria

Proper diagnosis of AD/HD requires careful evaluation, as other conditions may present in similar ways. Diagnostic evaluation for AD/HD must include the following:

  • A diagnostic interview with a qualified mental health professional
  • Assessment from the interview with the student
  • Information from collateral sources (such as school records)
  • Relevant medical, mental health, and medication history
  • History of presenting symptoms related to AD/HD
  • Description of current functional limitations resulting from AD/HD
  • Neuropsychological testing report supporting the AD/HD diagnosis
  • A specific diagnosis of AD/HD based on the DSM-IV diagnostic criteria
  • Please note: Tufts University CMHS is not able to provide diagnostic evaluations for AD/HD, though we can provide a list of qualified local providers.

 

Requirements for AD/HD Treatment at CMHS
  • Documentation must be reviewed by a psychiatry clinician before an appointment can be scheduled. When the records have been received and reviewed a determination will be made regarding the appropriateness of the evaluation and the eligibility for the student to receive treatment at CMHS. The student will be contacted and offered an initial evaluation appointment if appropriate. If the records are insufficient the student will be directed to resources for further evaluation.
  • The treating clinician may recommend a different course of treatment; acceptance for treatment does not ensure a continuation of the existing medication regime.
  • The student is required to keep regular appointments.
  • Students must comply with any prescribed medical assessments. Periodic evaluation of blood pressure and pulse will be necessary. An EKG or other medical evaluation may be indicated. The student may be required to have their weight monitored. Stimulants cannot safely be prescribed if a student’s weight is not maintained at a minimum of 90% of their Ideal Body Weight (IBW)
  • Students receiving medication treatment at CMHS are required to be in concurrent counseling unless the prescribing clinician is in agreement that ongoing counseling is not necessary.
  • The initial psychiatric visit is covered by the student health fee. Subsequent visits are charged, and may be reimbursable by your health insurance. The Student Health Insurance covers psychiatry visits in full. For questions about insurance coverage, contact Business Office at 617-627-3350.

 

AD/HD Evaluation and Neuropsychological Testing Referrals