Communication deficits associated with ADHD including reduced narrative organization, impaired pragmatic language, difficulty with topic maintenance, and executive-communication breakdowns affecting academic and social function.
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| Patient will maintain topic during a 3-minute conversational exchange without tangential comments in 4/5 opportunities given a visual topic reminder. |
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| Patient will retell a short narrative including setting, characters, problem, and resolution in correct sequence given a graphic organizer. |
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| Patient will wait for conversational partner to finish speaking before responding in 80% of opportunities during structured social tasks. |
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| Patient will follow 3-step oral directions with 85% accuracy given one repetition and a visual checklist. |
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| Patient will identify the main idea and 2 supporting details from a grade-level paragraph with 80% accuracy given highlighting strategies. |
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| Patient will use self-monitoring strategies to recognize and repair conversational breakdowns in 3/4 opportunities given verbal cueing. |
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| Patient will organize a verbal response using a beginning-middle-end framework before speaking in 75% of opportunities given a planning visual. |
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| Patient will interpret nonliteral language (idioms, sarcasm, figurative expressions) with 80% accuracy given contextual cues and discussion. |
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| Patient will demonstrate active listening behaviors (eye contact, nodding, relevant comments) during a 5-minute peer interaction in 4/5 observed intervals. |
Use the SOAP note templates on this page: build the Subjective, Objective, Assessment, and Plan sections from the ready-made adhd - communication impact phrases. Each uses skilled-service, insurance-defensible language — document the patient's performance plus the skilled intervention you provided, then review and individualize before signing.
The adhd - communication impact goal bank on this page provides SMART, measurable goals with a clear condition, target behavior, and mastery criteria. Copy a goal and adjust the specifics to your patient and setting (school/IEP or medical).
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