1:1 Interview

A 1:1 interview (alone) between the PCC and the child /adolescent is very helpful to note: 1) Evidence of a mood or anxiety disorder; 2) the presence or absence of ADHD symptoms; 3) unusual mannerisms, eg, tics, lack of eye contact; 4) problems/impairment from the patient’s perspective; and 5) likes, dislikes, interests, hobbies, things they are good at doing, friends, and other engagements. Note that the presence of ADHD-like behaviors during the medical visit helps to corroborate the diagnosis, but the absence of ADHD-like behaviors does not preclude an ADHD diagnosis. Children with ADHD may be able to pull it together in 1:1 situations in which an authority figure (such as a medical provider) is present, and so may not manifest ADHD-like behaviors in this setting.