Are There Specific Assessments to Distinguish Between ADHD and RAD? 

ADHD and RAD assessments are essential for clinicians to accurately diagnose and distinguish between ADHD and RAD. While both conditions involve behavioural issues like impulsivity and emotional dysregulation, their underlying causes and treatment approaches differ significantly, requiring distinct assessment tools. 

Testing Tools for ADHD and RAD 

To differentiate between ADHD and RAD, clinicians typically use a combination of standardised testing tools and psychiatric evaluations. For ADHD, tools like the Conners Rating Scales and Vanderbilt Assessment Scales assess symptoms such as inattention, hyperactivity, and impulsivity across multiple settings (e.g., home and school). These assessments help measure the severity of ADHD behaviours and their impact on daily functioning. 

For RAD, attachment-based assessments like the Adult Attachment Interview (AAI) and the Observational Record of the Caregiving Environment (ORCE) are used to evaluate emotional and relational difficulties. These tools assess the child’s ability to form and maintain healthy attachments, as well as their emotional responses to caregivers. 

Psychiatric Evaluation 

A comprehensive psychiatric evaluation is also crucial for distinguishing between ADHD and RAD. Clinicians gather detailed family and medical histories, as well as observe the child’s behaviour in various contexts.  

ADHD and RAD assessments use a variety of testing tools and clinical evaluation methods to ensure an accurate diagnosis, helping clinicians provide the most effective treatment. 

Visit providers like ADHD Certify for personal consultations and expert guidance tailored to your unique situation. 

For a deeper dive into the science, diagnosis, and full treatment landscape, read our complete guide to Differential Diagnosis of ADHD.