ADHD & School : aclestra centre

Client info

Name *

Email Address *

Have you been diagnosed with ADHD *YesNo, but it seems likelyIn the process ofOther

What grade or program are you in?

Symptoms that get in the way

Check any that cause difficulty on a regular basis

Planning, organization, memory and time management

Difficulty being on timeDifficulty organizing belongings, school work or scheduleDifficulty remembering details or get details mixed upDifficulty remembering to bring money or pay feesDifficulty judging how long something will takeFeel like you'll forget if you don't say what you're thinking right awayDon't finish or forget to hand in assignments

Strategies for planning, organizing, memory & time management

Emotional regulation & rejection sensitivity

Difficulty knowing what you feelEasily annoyed or frustratedSwinging from high (excited or angry) to low (depressed or lethargic)Reacting quickly in fear or angerFeeling stronger feelings than might be warrantedCry or get upset easily or oftenFeel overwhelmed or panic when rejected or think you might be rejected

Strategies for emotional regulation and rejection sensitivity?

Inattention

Often daydreamOften tune out during a conversation, video or when listening to instructionsFeel spacey or absent-mindedEasily boredOften misplace or lose thingsDifficulty focusing when doing homework

Strategies for inattention

Restlessness

Often fidgeting, bouncing knee, tapping foot, playing with hair or moving handsFeel restless on the insideDifficulty sitting in a chairNeed a lot of physical activity or movement to feel okayFeel like you always need to be doing somethingStim behaviours - picking at skin, biting nails, chewing on lip or tongue, clicking nails etc.

Strategies for restlessness

Impulsivity

Often interrupt othersMake phone calls, post, text or say things you later regretStart or end relationships quicklyMake fast decisions about doing thingsGet irritated when someone is slow moving in front of you

Strategies for impulsivity

Procrastination & perfectionism

Get your work done quickly at the last minuteFeel motivated only when deadlines are close or have passedFeel like you don't do well or fail at a lot of thingsObsess with rules, lists, planning or projectsBecome apathetic (don't care) when not doing wellStruggle to relax and share thoughts and feelings

Strategies for procrastination & perfectionism

Sleeping and waking up

Difficulty falling asleepFeeling groggy in the morning or have difficulty waking upFeeling tired in the daytime but awake when it is bedtimeOften wake up in the night

Strategies for sleeping and waking up

Self-care

Forget to eat or skip mealsEat more when distressed or boredDifficulty taking breaks when interested in somethingDifficulty prioritizing hygiene (shower, brushing teeth etc.)when interested in something or feeling downDifficulty getting exercise unless someone is with youDifficulty making healthy food choicesDifficulty with caffeine, alcohol or recreational drug use

Strategies for self-care

What else can you tell me about your symptoms?

Relationships

Who notices your symptoms?

What do they say?

My ADHD diagnosis

*Skip if you haven't been diagnosed

What type of ADHD were you diagnosed with?ADHD - Inattentive (previously ADD)ADHD - Hyperactive/ImpulsiveADHD - CombinedOther

When were you diagnosed?

Medication

What medication(s) have you tried?

What else can you tell me about your experience with ADHD medication?

Strategies

What else can you tell me about strategies you've tried?

Other

What else can you tell me about your experiences with ADHD?

Have a question?

We would like to help, but we can't if we don't know what you are thinking.

So tell us - how can we help?

Convenient scheduling

Online or in-person, daytime, evenings or weekends, in an office or take it outside.

What works for you?

Book an appointment

Learn more

ADHD

Concussion

Counselling

Resources

ADHD & School