The Test of Variables of Attention (T.O.V.A.) at Abdali Hospital

Abdali Hospital is proud to offer one of the most reliable and objective assessments for diagnosing Attention-Deficit/Hyperactivity Disorder (ADHD) — the Test of Variables of Attention (T.O.V.A.). Given the complexity of ADHD diagnosis and the nature of medications such as psychostimulants, which are commonly prescribed to manage ADHD symptoms, it is essential to undergo a detailed and accurate assessment with our clinical psychologist to obtain or confirm the diagnosis of ADHD. Psychostimulants come with benefits, but also risks, making precise diagnosis critical to ensure the most effective treatment plan.

 

What is T.O.V.A. Testing?

The T.O.V.A.. is globally recognized as the "Gold Standard" for objective neuropsychological assessments of attention and inhibitory control. It is a continuous performance test (CPT) cleared by the FDA for measuring core components of attention. Our licensed clinical psychologist, Ms. Rasha Salib, utilizes the T.O.V.A.. to aid in the diagnosis and management of ADHD in both children and adults.

 

Who is the T.O.V.A. Test Suitable For?

The Test of Variables of Attention (T.O.V.A.) is a versatile diagnostic tool suitable for individuals aged 4 and older, including both children and adults. It is particularly helpful for those who exhibit symptoms of inattention, hyperactivity, or impulsivity, offering valuable insights into cognitive functioning that may indicate ADHD or related attention deficits.

 

While the test is frequently used for diagnosing ADHD in children, it is also beneficial for adults, especially those who may have gone undiagnosed during childhood but are experiencing ongoing difficulties with focus, organization, or impulsive behavior. Since ADHD can remain undiagnosed until adulthood, the T.O.V.A. test serves as a critical tool for assessing attention and impulse control in individuals of all ages.

 

The test provides an objective measure of cognitive performance, helping individuals better understand patterns in their attention span, consistency, and impulsivity, which are key factors in diagnosing ADHD. Whether you are a parent concerned about your child's attention or an adult seeking clarity about your own cognitive challenges, the T.O.V.A. test offers a reliable, data-driven assessment to guide further diagnosis and treatment options. It’s never too late to get tested.

 

What Does the T.O.V.A. Test Involve?

The T.O.V.A.. is a non-invasive, computerized test that is both culture- and language-free. The test lasts approximately 21.6 minutes per component (visual or auditory), and patients respond to simple stimuli through the press of a button. The test measures several important variables, including:

• Response time variability (consistency)
• Response time (speed)
• Commissions (impulsivity)
• Omissions (focus and vigilance)

 

These results are compared against a large, age- and gender-matched normative sample, as well as ADHD-specific populations, providing a comprehensive view of the patient's attention performance. This immediate, detailed report allows our clinical psychologist to evaluate the individual’s impulsivity, focus, vigilance, and overall attention control.

 

Why is the T.O.V.A. Test Reliable?

The T.O.V.A.. has a high degree of accuracy, successfully identifying:

• 87% of individuals without ADHD
• 84% of those with non-hyperactive ADHD
• 90% of individuals with hyperactive ADHD

While T.O.V.A.. is an invaluable tool, it should always be used as part of a comprehensive assessment, including clinical interviews and self-report measures.

 

Comprehensive ADHD Assessment at Abdali Hospital

If you or a loved one are experiencing attention-related difficulties, an ADHD assessment at Abdali Hospital includes:

• Clinical interview: A detailed diagnostic screening and discussion about symptoms, level of impairment, and functioning.
• Self-report measures: For both the patient and/or parents/teachers.
• O.V.A.. Test: The full visual and auditory test is administered by Ms. Rasha Salib and lasts about one hour and fifteen minutes.
• Results and recommendations: Extraction and explanation of results, diagnosis determination, and treatment or referral options.
• The entire assessment process takes about 1.5 hours, ensuring thoroughness and accuracy.

 

What is Attention-Deficit/ Hyperactivity Disorder (ADHD)?

Attention-Deficit/ Hyperactivity Disorder (ADHD) is a common neurological condition that affects both children and adults. It is characterized by difficulty sustaining attention, hyperactivity, and impulsivity, which often interfere with functioning in daily life at home, school, or work. ADHD can make it challenging to stay focused, organized, and productive, leading to issues such as missed tasks or incomplete projects.

 

In children, ADHD can present as trouble paying attention, excessive fidgeting, and impulsive behavior, often resulting in low self-esteem, academic struggles, and challenging relationships. While symptoms may improve with age, some individuals continue to experience ADHD into adulthood, where it can impact daily routines like waking up on time, completing tasks, or staying organized. However, with the right coping strategies and treatments, individuals can manage ADHD symptoms and improve their quality of life.

 

Adult ADHD Presentation 

In adults, ADHD can present differently than it does in children. Common symptoms include difficulty focusing, procrastination, poor time management, disorganization, forgetfulness, impulsivity, and managing everyday responsibilities like work deadlines, appointments, and personal obligations. These issues can affect multiple areas of life, such as work, relationships, and self-care. Many adults with ADHD also struggle with emotional regulation, leading to frequent frustration, mood swings, or difficulty coping with stress.

Early diagnosis and interventions are key to developing effective coping skills and adapting to these challenges. By understanding the symptoms and impacts of ADHD, individuals and families can seek proper assessment and treatment, which may include medication, behavioral interventions, and lifestyle changes, to effectively manage the condition and lead a fulfilling life.

 

Types of ADHD

There are three primary subtypes of ADHD:

Hyperactive-Impulsive Type: Characterized by restlessness, difficulty staying seated, impulsive actions, and excessive movement.

Inattentive Type: Exhibits trouble focusing, completing tasks, and following instructions.

Combined Type: A mixture of inattentive and hyperactive-impulsive symptoms, persisting for at least six months.

 

Why It’s Important to Test for Adult ADHD

Testing for ADHD in adulthood is crucial because undiagnosed ADHD can lead to chronic challenges in everyday functioning. Adults with ADHD may experience problems at work, strained relationships, and low self-esteem. By getting properly diagnosed, individuals can pursue treatment strategies such as therapy, medication, or behavioral coaching, which can help improve attention, organizational skills, and overall quality of life.

 

Causes of ADHD

ADHD is primarily genetic, though environmental factors and brain function alterations can also contribute. Research involving twins and families has shown a strong genetic link in the prevalence of ADHD.

 

Treatment for ADHD 

While ADHD cannot be cured, early diagnosis and treatment are essential for managing symptoms. Treatment typically includes medications and behavioral therapy, which help individuals cope with the challenges of ADHD and improve daily functioning. At Abdali Hospital, we provide a comprehensive assessment to ensure that patients receive the most accurate diagnosis and tailored treatment plan for long-term success.

 

How to Get Started

If you believe that you or your child might benefit from an ADHD assessment, contact Abdali Hospital at 06 – 510 9999 ext. 2301/2302 to schedule an evaluation with Ms. Rasha Salib, our experienced clinical psychologist. We’re here to provide the expert care and support you need.