Evidence from other sources, such as parents, social workers, teachers, police records, and any other informants who can shed light on the child's functioning. Children with behavior problems often perform erratically from one testing session to the next. Examples of maladaptive behavior that may influence test results Distractibility and inattention in ADHD Negativism and hostility in Oppositional Defiant Disorder Irritability and difficulty concentrating in mood disorders 3. Side effects of medication the child is taking, such as drowsiness or restlessness, may also influence test results. B. Assessment of impairment-related functional limitations 1.
Maladaptive behavior causes functional limitations.
The severity of a medically determinable impairment is assessed in terms of the functional limitations imposed by the impairment. We must consider how the impairment is manifested in each of the areas of functioning. Maladaptive behavior is most likely to affect a child's social functioning, but may also affect any of the other areas of functioning. For example, self destructive or dangerous behavior, even in the absence of suicidal ideation or attempt, is considered when assessing limitations in the area of personal functioning. Some children with impairments that cause maladaptive behavior may spend much of their time in a structured or highly supportive setting.