Tag: ADD

Psychological Testing—All tests are NOT created equal

One of my favorite parts of my practice was when I could do evaluations. I liked trying to figure out ways to get good data, even when the situations were complicated. It was like solving a puzzle, putting all the parts together to get a picture of how someone worked with information. Then, I could start to figure out what could be done to help.

Many times, parents would bring in reports to me that had received from other psychologists. Even though the results were clear to me, many parents said they had no understanding of what all the numbers meant. They also didn’t know how to use the information to help with planning for their child. So, I decided to write a series of blogs to help sort out the confusion.

There are many kinds of tests and more are coming out every day. Psychologists sort through all these and usually use only the ones that have two important characteristics.

First, it is important to be sure that the results are consistent.  If a child is tested one day, will the results be similar the next time. The question is, can we count on the test results. One way to be sure about this is to have given the test many times, to many different groups of students. Even though this kind of research is not interesting to non-psychologists, it is crucial if you are going to base treatments on the results.

Second, does the test really assess what it says it does. If a test is developed to identify the presence of an Attention Deficit Disorder, for example, is it really able to sort out what is ADD behavior from what is “squirmy boy” behavior, or sensory seeking behavior, or just normal behavior for that age. How can we be sure? They all can look similar. So, research is needed on a large number of children, from different areas, different backgrounds to make sure that the test is really valid. In general, the more children in the sample groups and the more care in studies, the more accurate we can be.

I know many parents don’t worry too much about these factors, but in my opinion, they should. I have seen tests used to label or categorize children when the tests themselves were of questionable value. Unfortunately, I have also seen times when the choice of tests was made to give a desired result, usually to deny services to a child.

So, I have written a series of blogs where I try to outline to variety of tests available so that parents can be sure that they are getting the best assessment possible for their child. In defense of the testors, it is important for parents to know that buying the test kits is extremely expensive so most independent psychologists don’t have a wide variety. Instead, they choose the ones that they have the most use for.

What should a parent do either when testing is recommended or when you feel your child needs an assessment?  

  • Make sure the questions to be answered are clear.  Do you need to know about your child’s overall ability or are their specific questions about his/her vocabulary development, for example.
  • Look at the lists of tests in the next blogs to be knowledgeable when you talk to the psychologist.  Ask what tests will be used.
  • Carefully review the results, to be sure you understand what the results indicate about your child.

IQ Tests

Those dreaded words, “It’s a test!” Even after being out of school for many years, the idea of a test still makes us nervous.  So, if it has been suggested that your child needs to have an IQ test done, here are some things that you need to know.

What are they?

There are all kinds of IQ tests.  Each type has some strength in terms of what they measure and some weaknesses. Often, a psychologist will ask you to outline your concerns and then will pick the test that will best answer your questions.  In a separate blog, I will review a number of these tests to give you an idea of what each one is like.

The tests themselves are made up of sub-tests.  What psychological researchers and test developers have done is to identify each kind of “cognitive” skill (meaning thinking skill).  Then they have analyzed school success and determined the most important cognitive skill that is related to good school performance. Then, they try to find tasks for those cognitive skills and include them in the battery. Parents often ask me specifically how each task relates to schoolwork, and the truth is that it is a statistical relationship. IQ tests don’t test reading or math, for example. Sometimes, parents are confused by this and don’t realize that the tests are developed to predict overall school success. For example, an IQ Test could be used to predict how well a student will do overall in high school.

On some of the IQ tests, we can look at some patterns in the sub-test scores and answer some other questions about how your child learns.  Some of them can help us identify if your child is a verbal learner or a visual learner.  On some, we can measure how efficiently your child works on specific kinds of tasks.  Some of the newer tests have included more sections on reasoning.

The sub-tests that are included are designed to give us information about how successful your child is likely to be in school.  Remember, they do not measure life success.  This is a common misconception.

What information can we get from them?

IQ tests help us get a general idea of what our expectations should be about school performance.   Other factors may be involved, but IQ test data can help us make good academic choices for our children.

Students with ADD sometimes have a specific pattern of sub-test scores that helps make that diagnosis.  IQ tests can identify some specific types of learning disabilities.

What can’t an IQ test do?

It can’t diagnose reading disabilities, dyslexia or math disabilities.  Other tests, in addition to an IQ test, are needed.  It can’t diagnose autism or autism spectrum disorders.  It can’t diagnose emotional difficulties such as depression or anxiety.

So, if your child needs an IQ test, no worries!!

  • Most of the time, children think they are playing “games.” It is far less stressful than the tests you remember.
  • The results should help you plan for your child. They provide a road map for school services, not a “life sentence” of any sort.  I advise parents to use this data only for what it was designed to do—to plan for school.

DON’T FORGET!

      IQ tests can’t predict life success.  IQ data must never be used to judge a child’s value.  Even though in popular use, it is implied that high IQs are better or more valuable, that just is not true.  Your child’s worth should never be linked to a number!

Do you play the “Blame Game?’

How many times have you engaged your ADD/ADHD son or daughter in a “discussion” of who is at fault. If you have, you already know that he/she never takes responsibility. Instead, the entire focus is on who “really” is at fault.

Many families have told me that the blame/responsibility arguments can go on for hours. Unfortunately, there never is any resolution. People with ADD/ADHD cannot cognitively understand their own contributions to the problem. They cannot tolerate the self criticism implied in the blame. It is always someone else’s fault.

My Advice?

Don’t engage in this type of argument.  It is a waste of time and you will not succeed in convincing anyone. Instead, when a problem arises, consequences can be assigned without any mention of blame. If something occurs, a broken window for example, parents would announce the amount of money each participating child would need to repay. No “blame” would be assigned or discussed. If the ADD student insisted it wasn’t his/her fault, the response would be that no-one said it was his/her fault. The outcome was that he/she had to repay a certain amount. In this way, the discussion of blame was avoided but responsibility was assigned.

Second, don’t argue about statements where your ADD/ADHD child blames someone else. If he/she says, “It’s Mom’s fault I didn’t have my homework,” ignore the blaming statement. Instead, restate it asserting that he needs to keep track of his homework. Pointing out that he is always blaming someone else will trigger an argument and will obscure the main idea, that his homework is HIS.

Good News!

Over time, most ADD/ADHD people learn to accept at least some blame for their actions, but this usually does not occur until early adulthood. Until then, resist the temptation to play the Blame Game!

Attention

Psychologists often use pictures of faces to help describe emotions. Do these describe your child’s emotions?

 

 

Really mad or really happy with no in-between? People who have ADD or ADHD feel emotions very intensely. They are rarely “mildly disappointed.” People around them can quickly get worn out by the emotional firestorms. It is also very wearing on the ADD or ADHD person.

To treat this, I like to use a number scale, with each number representing a degree of emotion.

Zero might represent no anger, one would be mild irritation, all the way to number 9, which is the angriest you can be. Then I ask the ADD person to think about how much anger the situation warrants. One of my ADD patients responded that he “always did a 9 anger level!” He was right! He had to learn to use the steps in between.

Then I have the student label the behaviors that are used at each level. At a 1, there just might be a brief facial expression. At a 3, he/she might make a negative comment like “Oh Darn!” Five is beginning to look like real anger, with facial grimaces and raised voices. At seven, we change our speech patterns, our volume and increased bodily tension. At eight and nine, we begin yelling, making strong gestures and using strong words to explain his/her feelings.

ADD/ADHD does impact our emotional expression. It is important to teach students to modulate their emotions. It cannot be done without practice before the situation actually occurs. In fact, it takes many repetitions and some coaching, to begin to get this internalized. However, it is well worth the effort.

What should a parent do?

  • Instead of yelling at your “emotionally intense” child, teach him/her how to modulate emotions. You could say, “this only warrants a 3 response” and help him/her understand what that would look like.
  • Make sure you notice when he/she reacts appropriately and give approval and encouragement.
  • Don’t give up—this takes time.

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