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ADHD Assessment: Understanding Attention and Executive Function

Executive dysfunctioning is a hallmark feature of ADHD but it can exist for other reasons too. Regardless, ADHD is not a simple diagnosis since it may affect or be affected by anxiety, memory, verbal/visual processing as well as other factors, which explains why the need for comprehensive assessments.

Ages 6+ to Adult
3-5 Sessions

What Is ADHD Assessment?

A comprehensive ADHD assessment evaluates attention, hyperactivity, impulsivity, and executive function through standardized psychological testing. Our assessments go beyond simple checklists to provide a thorough understanding of how attention differences affect daily life, learning, and relationships.

We use evidence-based assessment tools recommended by the Canadian Psychological Association, combined with clinical interviews, behavioural observations, and collateral information from teachers and family members.

In Canada, a clinical ADHD diagnosis differs from school-based identification. Schools may note attention concerns, but they cannot formally diagnose ADHD. A psychoeducational or psychological assessment by a registered psychologist provides a clinical diagnosis recognized by physicians, insurance providers, and government programs. This matters when seeking medication consultation, workplace accommodations, or Disability Tax Credit eligibility.

Our assessments follow Canadian Psychological Association (CPA) practice guidelines, which recommend a multi-method, multi-informant approach. This means we gather information from multiple sources and use several different types of measures, rather than relying on a single test or checklist.

Signs You May Need Assessment

  • Difficulty sustaining attention during tasks or conversations
  • Frequently loses things necessary for daily activities
  • Often fidgets, squirms, or feels restless
  • Difficulty organizing tasks, managing time, and meeting deadlines
  • Frequently makes careless mistakes in schoolwork or at work
  • Avoids or is reluctant to engage in tasks requiring sustained mental effort
  • Often interrupts others or has difficulty waiting their turn
  • Struggles to follow through on instructions or finish tasks

Recognize these signs?

Book a free phone consultation to discuss your concerns and learn if an ADHD assessment is right for you or your child.

ADHD in Girls and Women

Parent and child working together at a table

ADHD is significantly under-identified in girls and women. Research shows that girls are diagnosed at roughly half the rate of boys, not because ADHD is less common in girls, but because it often presents differently.

Girls with ADHD are more likely to show the inattentive presentation rather than the hyperactive-impulsive presentation. Instead of disruptive behaviour, they may daydream, lose track of conversations, or struggle quietly with organization and time management. Many girls develop coping strategies early, such as relying heavily on routines, working much harder than peers to achieve the same results, or masking difficulties with social skills.

These coping strategies can be effective in childhood but often break down during life transitions, such as starting high school, entering post-secondary education, or taking on new responsibilities at work. The increased demand for self-directed planning and time management can overwhelm strategies that worked in more structured environments.

By the time many women seek assessment, they have experienced years of anxiety, burnout, or low self-esteem that may have been misattributed to depression or anxiety alone. A thorough ADHD assessment can reveal the underlying attention differences driving these experiences and open the door to strategies that actually address the root cause.

Executive Function & Memory Assessment

Executive function and memory challenges are core features of ADHD, but they can also occur independently. Our comprehensive ADHD assessment includes detailed evaluation of executive function skills including working memory, cognitive flexibility, planning, organization, and inhibitory control.

Standalone executive function assessment. Some individuals experience significant executive dysfunction without meeting full criteria for ADHD. This can affect academic performance, work productivity, and daily living skills. We can evaluate executive function as part of a broader cognitive assessment, whether or not ADHD is suspected.

Memory assessment. Memory difficulties frequently accompany ADHD and other conditions. Our assessment measures working memory, long-term retrieval, and processing speed to identify specific memory-related challenges and recommend targeted strategies. Memory assessment can help distinguish between attention-related memory difficulties and other causes of forgetfulness.

Post-concussion overlap. Attention and executive function difficulties after a concussion or other medical event can look similar to ADHD. If your cognitive concerns began after a head injury, stroke, or other medical event, our [neuropsychological assessment](/assessments/neuropsychological) may be more appropriate to determine whether symptoms reflect ADHD, post-concussion effects, or both.

Our 3-Step Process

1

Initial Consultation

Free phone call to discuss your concerns, review history, and determine if assessment is appropriate. We answer all your questions and explain what to expect.

2

Assessment Sessions

Comprehensive testing over 2-3 visits, including standardized cognitive and attention measures, behavioural rating scales, clinical interview, and review of school or work records.

3

Feedback and Report

Detailed written report with clear diagnostic conclusions, personalized recommendations for home, school, or work, and a feedback session to discuss results and next steps.

Ready to take the next step?

Our assessment process starts with a free 15-minute phone call. No referral needed.

What You Will Learn

  • Whether ADHD is present and, if so, which presentation (inattentive, hyperactive-impulsive, or combined)
  • How attention and executive function strengths and challenges affect daily life
  • Whether co-occurring conditions (anxiety, learning disabilities, giftedness) are present
  • Specific, actionable recommendations for school accommodations, workplace strategies, and daily life
  • Referral pathways for medication consultation, coaching, or therapy if appropriate
  • Your working memory and long-term retrieval profile, and how memory affects daily functioning
  • Detailed executive function findings including planning, organization, cognitive flexibility, and inhibitory control

After Your Assessment

Detailed Report

Comprehensive written report with diagnostic conclusions, cognitive profile, and evidence-based recommendations for home, school, or work.

Medication Referral Pathways

Clinical documentation for your family doctor or psychiatrist to discuss medication options, plus referrals to physicians experienced with ADHD.

School and Workplace Accommodations

Specific accommodation recommendations recognized by Ontario school boards, colleges, universities, and employers, including extended time and assistive technology.

Government Program Documentation

Reports that support applications for the Disability Tax Credit (DTC), OSAP disability grants, and workplace accommodation requests under the Ontario Human Rights Code.

Post-secondary transition support. Students entering college or university face a significant shift in structure. Unlike high school, post-secondary programs expect students to manage their own schedules, track assignment deadlines independently, and seek help proactively. For students with ADHD, this shift can be especially challenging. Our reports include recommendations tailored to post-secondary accessibility services, helping students register for supports before the academic year begins.

Workplace strategies. Adults with ADHD often perform well in roles that align with their strengths but struggle with administrative tasks, long meetings, or projects requiring sustained focus without variety. Our assessment identifies specific workplace patterns and provides practical strategies, such as task chunking, external accountability structures, and environmental modifications that employers can put in place under their duty to accommodate.

Coaching and skill-building. ADHD coaching focuses on practical strategies for organization, time management, and task completion. We can refer you to ADHD coaches and therapists who specialize in executive function support.

Virtual follow-up available. We offer virtual follow-up consultations for Ontario residents who need support putting recommendations into practice or navigating next steps.

Frequently Asked Questions

Do I need a doctor's referral for an ADHD assessment?
No referral is needed. You can contact us directly to schedule an assessment. Some insurance plans do require a referral letter for reimbursement, so check with your provider before booking.
How long does an ADHD assessment take?
An ADHD assessment typically involves 2 to 3 testing sessions of 2 to 3 hours each, spread over several weeks. The total process, from initial consultation to receiving your report, takes about 4 to 6 weeks.
Can you assess ADHD in adults who were never diagnosed as children?
Yes. Many adults seek assessment after years of struggling with attention, organization, or follow-through. Some are prompted by a child's diagnosis or by learning about ADHD in adulthood. Our adult ADHD assessment accounts for the coping strategies adults develop over time, which can make symptoms less obvious but no less impactful.
What is the difference between an ADHD screening and a full assessment?
A screening uses brief questionnaires to flag potential ADHD concerns. It does not confirm or rule out ADHD. A full assessment uses standardized tests, clinical interviews, behavioural observations, and collateral information to provide a definitive clinical diagnosis, identify co-occurring conditions, and produce specific recommendations.
Will my child need to stop taking ADHD medication before testing?
It depends. For some measures, we may request a medication-free period to see baseline attention levels. We discuss this during the initial consultation and work with your prescribing physician to ensure any changes are safe and comfortable.
Are virtual ADHD assessments available?
Some components of an ADHD assessment can be completed virtually for Ontario residents. During your initial consultation, we discuss which parts are suitable for virtual delivery based on your specific situation.
Can I get an executive function assessment without an ADHD diagnosis?
Yes. Executive function difficulties can occur independently of ADHD. Some people have significant challenges with planning, organization, working memory, or cognitive flexibility that affect their daily life but do not meet full criteria for ADHD. We can assess executive function as part of a comprehensive cognitive evaluation and provide recommendations regardless of whether ADHD is diagnosed.

Your Assessment Team

These team members have direct experience in ADHD assessment.

Professional headshot of Vanessa Bao, Registered Psychologist at Cornerstone Psychological Services

Vanessa Bao

Specializes in ADHD assessment

Professional headshot of Yana Kleiman, Registered Psychologist at Cornerstone Psychological Services

Yana Kleiman

Specializes in ADHD assessment

Stone texture background

26+

Years of Service

6

Assessment Types

4-6

Week Turnaround

6

Languages Spoken

Frequently Asked Questions

If your question is not answered here please call or message our office.

A psychoeducational assessment is a comprehensive evaluation that examines cognitive abilities, academic skills, attention, memory, and social-emotional functioning. It helps identify conditions like ADHD, autism spectrum disorder, learning disabilities, and giftedness, and provides specific recommendations for support at home, school, and work.
The full process typically takes 4-6 weeks from the initial consultation to the feedback session. Assessment sessions are spread over 2-3 visits, each lasting 2-4 hours. We schedule at your convenience and can accommodate school and work schedules.
Psychological assessments are covered by most extended health insurance plans. Approximately 74% of our families use insurance to cover part or all of the cost. We provide detailed receipts for reimbursement through your insurance provider, Health Spending Account (HSA), or Flexible Spending Account.
The free phone consultation (15-20 minutes) allows us to understand your concerns, review relevant history, and determine whether an assessment is appropriate. We explain the process, discuss timelines, answer your questions, and provide a cost estimate based on your specific needs.
All assessments are conducted by psychologists registered with the College of Psychologists and Behaviour Analysts of Ontario (CPBAO). Our team uses evidence-based, standardized assessment tools recommended by the Canadian Psychological Association.
Yes, we offer interest-free payment plans that allow you to spread the cost over 2-4 months. A deposit is required to book your assessment, with the remainder paid in monthly installments. No credit check is required. Visit our Payment Options page for details.

Still have questions? Contact us

Psychologist conducting virtual consultation

Get In Touch

We're here to help you understand your assessment options. Please call us or send us a message.

Office Hours

Monday - Friday: 9:00 AM - 5:00 PM

Saturday: By appointment

Sunday: By appointment only

Contact Information

Phone: 416-284-5923

Our Location

1 Promenade Circle, Suite 300A
Thornhill, ON L4J 4P8


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Cornerstone Psychological Services

Evidence-based psychological and psychoeducational assessments for ages 4+ to adults for ADHD, executive functioning, learning disabilities, autism (ASD), neurodevelopmental, intellectual disabilities, and giftedness with flexible virtual, online and/or hybrid sessions.

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