How strict are doctors when diagnosising for add?

Variable: That is exremely variable which is why it is an overdiagnosed disorder. Probably the most accurate assessment would come from neuropsychological testing (but this is costly).

Depends on the doc: Docs have multiple challenges is labeling anyone with a diagnosis based on symptoms rather than a recognised test.Since the treatment may involve controlled drugs, s/he must also document enough during the evaluation that a reasonable doc would agree with the label. (or risk loss of his/her license) Some choose to leave management to those that do it on a regular basis to avoid the hassle involved