- Psychological Issues
Use this ADHD Behavioral Checklist to keep track of a child’s ADHD symptoms.
© Martin L Kutscher, MD.
May copy for patient use.
Please rate the severity of each problem listed.
(0)none (1)slight (2)moderate (3)major
Subject (if teacher):
Please add comments below!
|Symptom Description||Day 1||Day 2||Day 3||Day 4||Day 5||Day 6||Day 7|
|Trouble attending to work that child understands well|
|Trouble attending to work that child understands poorly|
|Impulsive (trouble waiting turn, blurts out answers)|
|Hyperactive (fidgity, trouble staying seated)|
|Homework not handed in|
|Inconsistent work and effort|
|Poor sense of time|
|Does not seem to talk through problems|
|Blows up easily|
|Trouble switching activities|
|Hyper-focused at times|
|Certain academic tasks seem difficult (specifiy)|
|Seems deliberately spiteful, cruel or annoying|
|Anxious, edgy, stressed or painfully worried|
|Obsessive thoughts or fears; perseverative rituals|
|Irritated for hours or days on end (not just frequent, brief blow-ups)|
|Depressed, sad, or unhappy|
|Extensive mood swings|
|Tics: repetitive movements or noises|
|Poor eye contact|
|Does not catch on to social cues|
|Limited range of interests and interactions|
|Unusual sensitivity to sounds, touch, textures, movement or taste|
If the child is on medication, please answer the following questions:
Imagine this: A kid is on a bicycle speeding downhill. The world is whizzing by. He needs to avoid holes in the pavement. The road is curving. The wind buzzes in his ear, and makes his eyes tear.
Suddenly, there are rocks in the road. He goes to put on the brakes—but they don’t work!! As the bike speeds downhill, just staying on it seems overwhelming. Too many obstacles call for the rider’s attention. So much seems out of control. Who has time to pay attention to the huge truck coming up?
That’s the life of someone with attention deficit hyperactivity disorder (ADHD). It all comes from difficulty “Putting on the Brakes,” to borrow the title of a book by Patricia Quinn and Judith Stern.
Here’s what’s happening. Your brain’s “boss” is located just behind your forehead. These frontal lobes figure out where you want to go, and the individual steps of how to get there. Like any boss, a large part of their job is saying “no.” For example, parents are supposed to be the boss in the house. Think how often their job is to say “no.” They’re always saying things like, “Susan, do not have a fifth scoop of ice-cream,” or “Bob, stop playing Nintendo so that you can do your homework,” or “Jill, don’t stay out past 10PM.” Unless something puts brakes on our actions, we would spin out of control.
Well, at least that is how it is supposed to work. Dr. Russell Barkley explains that for ADHD people, the front part of their brains—the boss—doesn’t do a good job of putting on the brakes. This means that these people may:
No wonder things go out of control so often!