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What is the CPT Test for ADHD and How Does It Work? 

The CPT test for ADHD, or Continuous Performance Test, is a widely used neuropsychological assessment designed to evaluate attention, focus, and impulse control. This assessment is often considered an important ADHD diagnosis tool, because it measures how well a person can maintain attention over an extended period, as well as their ability to resist distractions and inhibit impulsive responses. By tracking a person’s responses to specific stimuli over time, the test allows for precise attention monitoring, helping professionals identify patterns that may indicate ADHD. The CPT test provides a clear, objective measure of cognitive functioning, making it a valuable tool in the ADHD diagnostic process. 

How the CPT Test for ADHD Works 

The CPT test is a computer-based task that requires the individual to respond to specific stimuli while ignoring others. The test typically lasts between 10 and 15 minutes and presents a series of letters, numbers, or symbols on a screen. The individual is instructed to press a button only when a specific target stimulus appears. For example, they might be asked to press a key when a certain letter (like “X”) appears, but to ignore other letters. The test evaluates the individual’s ability to maintain focus, sustain attention, and refrain from responding to non-target stimuli. 

This type of test measures the core difficulties that individuals with ADHD often experience, such as distractibility, impulsivity, and the inability to maintain focus on repetitive tasks. The CPT test allows clinicians to see how well a person can concentrate over time, making it especially effective for diagnosing attention deficit disorder. 

What the CPT Test Measures 

The CPT test for ADHD evaluates several key cognitive aspects: 

  1. Attention Span: The test measures how long a person can focus on a repetitive task without getting distracted. Individuals with ADHD typically struggle to maintain attention for longer periods, and the CPT can highlight these difficulties. 
  1. Impulsivity: The test assesses the person’s ability to control their impulses. In ADHD, individuals may respond impulsively to non-target stimuli, leading to errors. The CPT quantifies this impulsive behaviour. 
  1. Response Time: The test also measures how quickly and accurately a person responds to the target stimuli. Slow or inconsistent response times can indicate difficulties with attention and focus. 

Interpreting the Results 

The results of the CPT test are typically presented in terms of accuracy, reaction time, and the number of errors made. High rates of errors of commission (incorrect responses to non-target stimuli) or omission (failing to respond to target stimuli) can indicate issues with attention and impulse control, which are characteristic of ADHD. The test helps clinicians understand the extent of an individual’s attention difficulties and impulsivity, which are central to ADHD diagnosis. 

Conclusion 

The CPT test for ADHD is a valuable tool for assessing attention, focus, and impulsivity in individuals suspected of having ADHD. By measuring how well someone can sustain attention and control impulses over time, the Continuous Performance Test provides an objective measure that can assist in the diagnostic process. While it is not the sole factor in diagnosing ADHD, it is a highly effective method for confirming the presence of ADHD-related cognitive difficulties. For personal consultations on CPT test for ADHD, visit providers like ADHD Certify

For a deeper dive into the science, diagnosis, and full treatment landscape, read our complete guide to Cognitive and neuropsychological testing.

Victoria Rowe, MSc, author for my patient advice - mypatientadvice.co.uk

Victoria Rowe, MSc

Author

Victoria Rowe is a health psychologist with a Master’s in Health Psychology and a BS in Applied Psychology. She has experience as a school psychologist, conducting behavioural assessments, developing individualized education plans (IEPs), and supporting children’s mental health. Dr. Rowe has contributed to peer-reviewed research on mental health, including studies on anxiety disorders and the impact of COVID-19 on healthcare systems. Skilled in SPSS, Minitab, and academic writing, she is committed to advancing psychological knowledge and promoting well-being through evidence-based practice.

All qualifications and professional experience stated above are authentic and verified by our editorial team. However, pseudonym and image likeness are used to protect the author's privacy. 

Dr. Rebecca Fernandez, MBBS, author and a reviewer for my patient advice - mypatientadvice.co.uk

Dr. Rebecca Fernandez, MBBS

Reviewer

Dr. Rebecca Fernandez is a UK-trained physician with an MBBS and experience in general surgery, cardiology, internal medicine, gynecology, intensive care, and emergency medicine. She has managed critically ill patients, stabilised acute trauma cases, and provided comprehensive inpatient and outpatient care. In psychiatry, Dr. Fernandez has worked with psychotic, mood, anxiety, and substance use disorders, applying evidence-based approaches such as CBT, ACT, and mindfulness-based therapies. Her skills span patient assessment, treatment planning, and the integration of digital health solutions to support mental well-being.

All qualifications and professional experience stated above are authentic and verified by our editorial team. However, pseudonym and image likeness are used to protect the reviewer's privacy.