How to prepare for a video visit about ADHD (Child) - Evaluation Pathway

Audience: adult

Preparing for a video visit about your child's possible Attention-Deficit/Hyperactivity Disorder (ADHD) can help the healthcare provider understand your child's needs better. During the visit, you will discuss your child's behaviors, challenges, and medical history. It is helpful to gather observations from home and school, including any reports or notes from teachers. The provider may ask about your child's development, attention span, activity levels, and social interactions. This visit is an important step toward evaluation but does not provide a diagnosis by itself. Telemedicine can offer a convenient way to start this process, but some assessments may require in-person visits. Being prepared with information and questions will help you make the most of the video visit.

Red flags — go in person / ER

• Your child shows sudden or severe changes in behavior, mood, or thinking that worry you. Seek urgent evaluation from a healthcare provider.
• Your child has difficulty breathing, chest pain, or other signs of a medical emergency. Call emergency services immediately.
• You notice signs of self-harm or talk of harming others. Contact emergency or mental health services right away.

What telemedicine can do

• Initial discussion of symptoms and concerns related to ADHD in children.
• Review of medical and family history relevant to ADHD.
• Providing education about ADHD and the evaluation process.
• Guidance on gathering information from schools and caregivers.
• Planning next steps including referrals for in-person assessments if needed.

What telemedicine cannot do

• Performing physical examinations or neurological assessments.
• Conducting standardized ADHD diagnostic tests that require in-person observation.
• Managing medical emergencies or urgent behavioral crises.
• Prescribing medications without prior in-person evaluation where required by law or clinical guidelines.

What to Expect During the Video Visit

The healthcare provider will ask about your child's behaviors and challenges at home and school. They may inquire about attention, activity levels, impulsivity, and social interactions. You might discuss your child's medical and family history. The provider may also explain the evaluation process and next steps.

Gather Important Information Before the Visit

Collect notes or reports from your child's teachers or caregivers about behavior and attention. Write down examples of your child's behavior that concern you. Prepare a list of any medications your child is taking and any health conditions. Think about questions you want to ask the provider.

Setting Up for a Successful Video Visit

Choose a quiet, well-lit place for the video call. Test your internet connection, camera, and microphone ahead of time. Have your child's favorite toys or activities nearby to help keep them calm if needed. Ensure you have privacy to speak openly with the provider.

Limitations of Telemedicine for ADHD Evaluation

While telemedicine can start the evaluation process, some parts of the assessment may require in-person visits. This can include physical exams, standardized testing, or observing your child's behavior in different settings. The provider will guide you if further in-person evaluation is needed.

Next Steps After the Video Visit

The provider may recommend further assessments, share resources, or discuss treatment options. Follow-up appointments may be scheduled to monitor your child's progress. Keep track of your child's behavior and any changes to share with the provider.

How to prepare for your tele-visit

• Find a quiet, private space with good lighting for the video visit.
• Test your device's camera, microphone, and internet connection before the appointment.
• Gather notes or reports from your child's teachers or caregivers about behavior and attention.
• Write down specific examples of your child's behaviors that concern you.
• Prepare a list of your child's current medications and any health conditions.
• Have a list of questions or concerns ready to discuss with the provider.
• Ensure your child is comfortable and has familiar items nearby if needed.

After your tele-visit

• Follow any recommendations or referrals given by the healthcare provider.
• Schedule any suggested in-person assessments or follow-up appointments.
• Keep a diary of your child's behaviors and symptoms to share with providers.
• Use educational resources or support groups recommended during the visit.
• Monitor your child's response to any treatments or strategies advised.
• Contact your healthcare provider if your child's symptoms worsen or new concerns arise.

FAQs

What information should I provide during the video visit about my child's behavior?

Share specific examples of your child's attention, activity levels, impulsivity, and social interactions at home and school. Include any reports or notes from teachers or caregivers that describe your child's behavior.

Can the provider diagnose ADHD during a video visit?

The video visit is typically the first step in evaluation. A diagnosis usually requires further assessments, which may include in-person visits and standardized testing.

What if my child is restless or uncooperative during the video visit?

Try to have your child in a comfortable environment with familiar toys or activities. The provider understands children may be restless and will guide you through the visit as best as possible.

Will I need to bring my child to a clinic after the video visit?

Some parts of the evaluation, such as physical exams or formal testing, may require in-person visits. The provider will advise if this is necessary based on the video visit.

How can I prepare my child for the video visit?

Explain to your child that they will talk to a doctor or nurse on the screen. Keep the explanation simple and positive. Have them nearby during the call to help answer questions or provide comfort.

Sources

1. Attention-Deficit/Hyperactivity Disorder (ADHD) — Centers for Disease Control and Prevention (CDC).
2. ADHD in Children: Evaluation and Diagnosis — American Academy of Pediatrics (AAP).
3. Attention Deficit Hyperactivity Disorder — MedlinePlus, U.S. National Library of Medicine.
4. Telehealth: What to Expect — Mayo Clinic.

This telemedicine guidance is for educational purposes only and is not a substitute for in-person medical care. If you have concerns about your child's health or behavior, please consult a healthcare professional in person or seek emergency care if needed.