Screening Tools

Screening for ADHD as an adult is often a process of "connecting the dots" between current struggles and childhood patterns.1 It is important to remember that screening tools are not diagnostic on their own; they are designed to flag whether a formal clinical evaluation is warranted.2

The following tools are the most widely used and scientifically validated instruments for adult ADHD screening.


1. The Gold Standard: ASRS (Adult Self-Report Scale)

Developed by the World Health Organization (WHO), the ASRS v1.1 is the most common starting point for adults.3

  • ASRS v1.1 Screener (6 Questions): This is a subset of the full 18-question list.4 Research shows that these six questions are the most predictive of adult ADHD. If you score "frequently" on 4 or more, it’s a strong indicator to seek a professional.

  • ASRS DSM-5 Updated Screener: An updated version that aligns more closely with current diagnostic criteria, often focusing on how symptoms manifest in a work or home environment rather than a classroom.


2. Checking Childhood History: WURS (Wender Utah Rating Scale)5

Because an ADHD diagnosis requires symptoms to have been present before age 12, clinicians often use the WURS.

  • How it works: You answer questions about your behavior as a child (e.g., "As a child, I was active, restless, always on the go").

  • Purpose: It helps distinguish between ADHD that has always been there and "ADHD-like" symptoms caused by recent stress, burnout, or other medical conditions.


3. Comprehensive Comparison of Tools

Tool Name

Type

Focus

Best For...

ASRS v1.1

Self-Report

Current Symptoms

A quick, 5-minute initial "gut check."

WURS

Self-Report

Childhood History

Establishing the "lifelong" nature of symptoms.

CAARS

Multi-Report

Comprehensive

Gathering data from you and a partner/parent.

DIVA-5

Structured Interview

Clinical Diagnosis

The "Deep Dive" used by psychiatrists for a final diagnosis.

BRIEF-A

Self-Report

Executive Function

Measuring "Task Paralysis," organization, and emotional control.


4. Specialized Focus: Executive Function (BRIEF-A)

If your main struggle isn't "hyperactivity" but rather "getting started," the BRIEF-A (Behavior Rating Inventory of Executive Function) is highly useful. It looks specifically at:

  • Inhibition: Resisting impulses.

  • Working Memory: Holding information in your head.

  • Plan/Organize: Breaking down large projects into steps.6

  • Task Monitor: Checking your own progress.


Next Steps for Screening

Most of these (especially the ASRS) can be found for free via reputable organizations like ADDA (Attention Deficit Disorder Association) or CHADD.7

A Note on "The Shadow": Adult ADHD often co-occurs with anxiety, depression, or autism. A good screening process should also look at these "overlapping" traits to ensure you get the most accurate support strategy.


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