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Tips for Parents: Individual Assessment of Gifted Children (page 4)

By Edward R. Amend
Davidson Institute for Talent Development

How concerned should parents be about misdiagnosis?

Be careful! Issues of misdiagnosis occur when a professional labels a child with a disorder when the disorder is not actually present and the behavior can be better explained by giftedness. Missed diagnosis is also of concern. This occurs when one minimizes concerns and does not diagnose a gifted child when a disorder is actually present. Missed diagnosis may also occur when giftedness masks or obscures a problem. Both of these are equally important. Without accuracy in understanding the problem, it may be difficult finding interventions and accommodations that work.

What does an evaluation for ADHD typically involve?

There is no single test for ADHD, but many give some information. Many professionals will look for the behavioral pattern (e.g., impulsivity, inattention, or hyperactivity) first, typically using checklists and anecdotal information. They will first answer the question, “Does the child show the pattern typically associated with ADHD?” Some inappropriately stop there—if the answer is yes, medication may be recommended. However, the behavior pattern may have a different explanation than ADHD. For example, a bored gifted child can be inattentive, a nervous perfectionist can be fidgety and hyperactive, or an abused child may be both overactive and inattentive. The “treatment” for each of these is different. So, finding the behavioral pattern is a start, and then finding out what best explains it is next. In other words, it is important to rule out other possible reasons for the behavioral pattern before diagnosing ADHD. Additional testing (e.g., of ability, achievement or neuropsychological functioning) can give more information about attention, and also rule out some other possible causes. The thorough evaluation should determine if the child is impaired by hyperactivity, impulsivity, or deficits in attention.

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