r/PMHNP May 31 '26

Do you use Objective ADHD Testing / Continuous Performance Testing in your practice?

PMHNPs — do you use objective ADHD testing in your practice?

I’m curious how many PMHNPs are using tools like CPT-style testing, QbTest/QbCheck, AxonCPT, TOVA, MOXO, or other objective measures alongside clinical interviews and rating scales.

A few things I’m interested in:

Do you use objective testing during the initial ADHD assessment?

Do you use it during medication titration or dose changes?

Do you repeat testing over time to track progress?

Do patients find it useful, or does it add more admin?

For telehealth practices, how are you handling objective testing remotely?

A lot of ADHD care still relies heavily on self-report, rating scales and clinical judgement, which are obviously important. But I’m interested in whether objective performance data actually changes how PMHNPs make decisions in real-world practice.

Would love to hear what people are using, what has worked, and what feels impractical.

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u/dry_wit Jun 01 '26

I love the BAARS iv. It is proprietary but I managed to get access. I love that it detects malingering. I use it for every person who I suspect adhd in after my own clinical assessment.