QbTest

Short version An online ADHD assessment is basically the same clinical work you’d get in person — but done by secure video and online forms. It usually combines symptom questionnaires, a structured clinical interview about your history and current functioning, review of records or collateral reports (parents/partners/employers), sometimes an objective computerized attention test, and a treatment plan or referral. It’s not just a quick quiz that instantly prescribes medication. Step‑by‑step: what to expect Intake forms and screening: you’ll fill out online questionnaires before the visit (common tools: ASRS for adults, Vanderbilt for kids, Conners scales). Clinical interview (telehealth video): a clinician (psychiatrist, psychologist, or nurse practitioner) asks about symptom history (when symptoms began, across settings), daily functioning, medical and mental‑health history, substance use, sleep, and medications. Expect 45–90 minutes for a first diagnostic visit. Collateral information: clinicians often want reports from parents, partners, or schools (teacher rating scales for children) to confirm symptoms across settings. Objective testing (optional): some clinics include computerized tests like TOVA or QbTest, or refer for full neuropsychological testing when the diagnosis is unclear or when learning disabilities/co‑occurring conditions are suspected. Medical/physical review: clinicians screen for medical causes (thyroid, sleep apnea) and medications that can mimic or affect attention. Sometimes labs or an in‑person exam are recommended. Diagnostic decision and plan: the clinician uses DSM‑5 criteria (symptom count, age of onset, cross‑setting impairment) to decide. If diagnosed, they’ll discuss treatment options (behavioral therapy, coaching, medications), safety/side‑effect monitoring, and follow‑up. Documentation: you’ll receive visit notes and/or a formal diagnostic summary you can use for workplace or school accommodations if needed. What’s different online Logistics: all sessions are remote; forms and rating scales are digital. Identification and prescribing: most reputable services verify identity; prescribing stimulants often follows stricter rules (may require an initial detailed evaluation and in some places an in‑person visit or special monitoring). Convenience: easier access to specialists in areas without local ADHD clinicians; but some complex cases still need in‑person neuropsych testing. How long and how much First diagnostic visit: usually 45–90 minutes. Full evaluation with collateral and testing can take multiple sessions. Cost/coverage: varies widely — some telehealth platforms accept insurance, others are cash pay. Check before booking. Red flags — what to avoid A provider that diagnoses and immediately prescribes stimulants after a single 10–15 minute questionnaire or phone call. Services that don’t request collateral history or a full symptom history. Providers without clear licensing or without credentials you can verify. Where to look (examples) Done (donefirst.com) — specializes in adult ADHD telehealth and uses structured evaluations and follow‑ups; good if you want a focused ADHD service. PlushCare (plushcare.com) and Teladoc (teladoc.com) — large telehealth platforms where you can get psychiatric evaluations; often accept insurance and have broad clinician networks. Mayo Clinic Online (mayoclinic.org/patient‑care) — for complex or high‑complexity cases, an academic center with specialists and thorough evaluations (higher cost/longer wait but comprehensive). For objective testing tools used by clinics: TOVA (tovatest.com) and QbTest (qbtech.com) — these are clinical tests some providers use; not typically consumer self‑tests. How to choose a provider Prefer a licensed psychiatrist or psychologist with ADHD experience. Ask what tools they use (ASRS, Conners, collateral reports, computerized testing) and whether they require collateral information for diagnosis. Confirm their prescribing policy for stimulants and whether they will provide follow‑up monitoring. Look for insurance participation or clear prices if cost is a concern. If you want, tell me: are you looking for an adult or child assessment, and which country/state you’re in? I can suggest specific vetted services or next steps for your area.

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