my patient advice logo - used for header - mypatientadvice.co.uk
All Topics
Contact Us
Free Health Updates
Table of Contents
< All Topics
Print

How is impulsivity evaluated during an ADHD diagnosis? 

PostedAugust 26, 2025
UpdatedSeptember 5, 2025
ByMy Patient Advice

ADHD impulsivity is a core symptom of attention deficit hyperactivity disorder (ADHD), but how is it evaluated during an ADHD diagnosis? Impulsivity can manifest in various ways, making it important for healthcare professionals to assess this behaviour accurately.  

Try an online ADHD test

Key Steps in Evaluating Impulsivity for ADHD 

The evaluation process focuses on understanding the frequency, intensity, and impact of ADHD impulsivity on daily life. Here’s how it’s typically assessed: 

Clinical Interviews and Questionnaires  

The first step in evaluating impulsivity is often a thorough interview with the individual, along with input from parents, teachers, or other caregivers. Standardised questionnaires, such as the Conners Rating Scale or the Vanderbilt Assessment Scale, help clinicians assess impulsive traits. These forms typically ask about specific behaviours, such as interrupting others, acting without thinking, or having difficulty waiting for turns. 

Observations and Behavioural Assessments  

Healthcare professionals will observe the individual in different settings, such as at school or in a clinical environment. This allows for a first-hand understanding of ADHD impulsivity. Observations help clinicians see how impulsive behaviours affect social interactions, academic performance, and daily functioning. 

Cognitive and Neuropsychological Testing  

In some cases, more in-depth evaluation processes like cognitive testing or neuropsychological assessments are used. These tests may help identify the underlying causes of impulsivity, such as deficits in executive function or challenges with impulse control. 

In conclusion, evaluating ADHD impulsivity involves a multi-faceted approach, combining questionnaires, behavioural observations, and sometimes cognitive testing.  

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 Impulsivity in ADHD. 

Try an online ADHD test
Avery Lombardi, MSc, author for my patient advice - mypatientadvice.co.uk

Avery Lombardi, MSc

Author

Avery Lombardi is a clinical psychologist with a Master’s in Clinical Psychology and a Bachelor’s in Psychology. She has professional experience in psychological assessment, evidence-based therapy, and research, working with both child and adult populations. Avery has provided clinical services in hospital, educational, and community settings, delivering interventions such as CBT, DBT, and tailored treatment plans for conditions including anxiety, depression, and developmental disorders. She has also contributed to research on self-stigma, self-esteem, and medication adherence in psychotic patients, and has created educational content on ADHD, treatment options, and daily coping strategies.

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. 

Let’s get started on something great

Sign Up for our FREE monthly medical updates. No spamming! Only the best content summary from the month on all medical topics

© 2025 My Patient Advice. All rights reserved.