If you or your teen is preparing for an ADHD evaluation, you may be wondering what the results will mean.
One question comes up often:
“What if I get a high score on the Creyos test? Does that mean I don’t have ADHD?”
Not necessarily.
A strong performance on a particular Creyos cognitive measure does not automatically rule out ADHD. Creyos provides objective information about cognitive performance, but ADHD is a clinical condition that cannot be determined by one score or one test alone.
At Bubblegum and Duct Tape Psychiatry, we offer Creyos ADHD testing for adolescents ages 12 and older and adults as part of a broader ADHD evaluation. Our Psychiatry and Therapy Clinic in Sacramento helps teens and adults understand attention-related concerns and explore appropriate next steps.
📍 Sacramento Office:
180 Promenade Circle, Suite 300
Sacramento, CA 95834
💡 The Short Answer: No, a High Score Doesn’t Automatically Rule Out ADHD
A Creyos assessment measures specific areas of cognitive performance.
You might perform well on certain tasks involving:
- Attention
- Sustained attention
- Working memory
- Planning
- Response inhibition
That information can be useful to your provider.
However, ADHD is not diagnosed based solely on whether someone performs well or poorly on a cognitive test.
Your provider also considers your symptoms, developmental history, daily functioning, behavioral questionnaires, and other relevant clinical information.
So:
High Creyos performance ≠ automatically no ADHD
And:
Lower Creyos performance ≠ automatically ADHD
The results need to be interpreted in context.
⭐ What Is Creyos ADHD Testing?
Creyos is a digital cognitive assessment platform that provides healthcare professionals with objective information about cognitive performance.
Its ADHD assessment protocol combines interactive cognitive tasks with age-appropriate behavioral questionnaires.
Learn more about Creyos ADHD Assessment↗.(opens in new tab)
At Bubblegum and Duct Tape Psychiatry, Creyos ADHD testing is available for adolescents ages 12 and older and adults.
The assessment can give clinicians additional information about cognitive abilities that may be relevant when evaluating ADHD.
🎯 What Does Creyos Measure?
The Creyos ADHD protocol evaluates several areas of cognitive performance.
Attention
The ability to focus on relevant information.
Sustained Attention
The ability to maintain attention during an ongoing task.
Working Memory
The ability to temporarily hold and use information while completing a task.
Planning
The ability to organize steps toward a goal.
Response Inhibition
The ability to control an automatic response when necessary.
A person may perform strongly in some areas and have more difficulty in others.
That’s why looking at the overall pattern can be more informative than focusing on one number.
🧠 Why Can Someone With ADHD Perform Well on a Cognitive Test?
This is an important question.
ADHD does not mean that a person is incapable of concentrating.
People with ADHD can often focus extremely well under certain circumstances.
For example, someone may concentrate intensely when:
- A task is highly interesting
- There is an immediate deadline
- The environment is quiet
- The task is highly structured
- They are particularly motivated
- The activity provides immediate feedback
At other times, the same person may struggle significantly with a routine or uninteresting task.
This difference is one reason real-world functioning matters during an ADHD evaluation.
👉 A Structured Test Isn’t the Same as Everyday Life
Think about the difference between these two situations:
During a cognitive assessment:
You know you’re completing a short, structured task.
The instructions are clear.
There is a defined beginning and end.
There may be relatively few distractions.
In everyday life:
You may have dozens of things competing for your attention.
You might need to:
- Prioritize tasks
- Remember deadlines
- Switch between activities
- Ignore distractions
- Manage emotions
- Estimate how long something will take
- Start a task without immediate motivation
Someone can perform well in a structured environment while still experiencing significant executive-function difficulties in everyday life.
⭐ Does a High Creyos Score Mean Your Symptoms Aren’t Real?
Absolutely not.
A cognitive test result doesn’t invalidate what you’re experiencing.
If you’re regularly struggling with:
- Organization
- Time management
- Procrastination
- Forgetfulness
- Task completion
- Impulsivity
- Attention
- Managing multiple responsibilities
those experiences are still important to discuss with your provider.
The purpose of testing isn’t to determine whether your struggles are “real.”
It’s to provide additional information that can help your clinician understand them.
🤔 What If My Creyos Results Are Mostly Within the Expected Range?
That also doesn’t automatically mean ADHD is ruled out.
Your provider may consider:
- Your current symptoms
- Your childhood history
- How symptoms affect your daily life
- Whether difficulties occur across multiple settings
- Behavioral questionnaires
- School or workplace functioning
- Other mental health concerns
- Cognitive testing
A result within an expected range is simply one piece of information.
💭 What If Some Scores Are Lower Than Expected?
The opposite is also true.
A lower-than-expected result on one or more cognitive measures doesn’t automatically establish an ADHD diagnosis.
Performance can potentially be influenced by many factors, including:
- Fatigue
- Stress
- Anxiety
- Sleep
- Distractions
- Other mental health concerns
Your clinician needs to understand the circumstances surrounding the results.
That’s why the pattern and clinical context matter more than a single score.
🧠 Does Creyos Diagnose ADHD?
No.
Creyos is an assessment tool that provides objective information about cognitive performance. It is not a standalone diagnostic test.
A comprehensive ADHD evaluation may consider:
1. Symptoms
What difficulties are you experiencing?
2. History
When did these difficulties begin?
3. Functioning
How do they affect school, work, relationships, and daily responsibilities?
4. Questionnaires
What do standardized behavioral measures show?
5. Cognitive testing
How do you perform on structured cognitive tasks?
6. Other factors
Could anxiety, depression, sleep problems, stress, or another condition be contributing?
Putting these pieces together helps the provider understand the bigger picture.

🤝 What About Teens Taking Creyos ADHD Testing?
Parents may worry that their teenager will receive a “good” score and therefore have their concerns dismissed.
That’s not how a comprehensive evaluation should work.
For adolescents, providers may consider:
- Parent observations
- The teen’s own experiences
- School performance
- Teacher or school feedback when available
- Developmental history
- Behavioral questionnaires
- Cognitive testing
- Daily functioning
At our practice, Creyos ADHD testing is available for teens ages 12 and older.
The goal is to understand the adolescent’s functioning—not simply assign a score.
🤝 What About Adults?
Adults can have particularly complicated ADHD presentations.
You may have developed coping strategies that helped you compensate for symptoms.
You may also be highly successful in certain areas while struggling with others.
For example, an adult might excel professionally but regularly struggle with:
- Household organization
- Bills
- Appointments
- Procrastination
- Time management
- Completing administrative tasks
- Maintaining routines
A strong performance on a structured cognitive task doesn’t automatically erase those real-world difficulties.
🤯 Can Anxiety, Stress, or Sleep Affect Creyos Results?
They can be important factors to discuss with your provider.
Attention and cognitive performance can be influenced by a person’s current circumstances.
For example, significant anxiety may make it harder to concentrate, while poor sleep can contribute to fatigue and reduced attention.
This is another reason your provider needs to know what’s happening outside the testing environment.
Tell your provider if you or your teen has recently experienced:
- Major stress
- Significant anxiety
- Poor sleep
- Illness
- Major life changes
- Other factors that could affect concentration
🤔 Should You Try to Get a High or Low Score?
No.
Don’t try to manipulate the results in either direction.
You don’t need to intentionally perform poorly to “prove” that you have ADHD.
You also don’t need to try to perform perfectly.
The most useful approach is simply:
Complete the assessment naturally and honestly.
Your provider can interpret the results within the context of your overall evaluation.
💭 Is Creyos an Intelligence Test?
No.
Creyos ADHD testing isn’t designed to determine how intelligent someone is.
Having ADHD doesn’t mean someone has low intelligence.
Likewise, performing well on cognitive tasks doesn’t mean someone cannot have ADHD.
Cognitive ability and ADHD are different concepts.
The assessment focuses on specific cognitive markers relevant to the protocol rather than providing an overall measure of intelligence.
🤔 What Happens After Creyos Testing?
After testing, your provider can review the results alongside the rest of your evaluation.
You may discuss:
- Cognitive performance
- Behavioral questionnaire findings
- Current symptoms
- Developmental history
- Daily functioning
- Other possible contributing factors
Depending on the findings, next steps may include:
- ADHD education
- Therapy
- Behavioral strategies
- Organizational support
- School accommodations
- Workplace strategies
- Medication management when clinically appropriate
- Additional evaluation
- Ongoing follow-up
The purpose is not simply to receive a test score.
It’s to use the information to determine what support may be appropriate.
📍 Creyos ADHD Testing for Teens and Adults in Sacramento
If you’re looking for ADHD testing in Sacramento, Bubblegum and Duct Tape Psychiatry offers Creyos ADHD testing for adolescents ages 12 and older and adults.
Our Psychiatry and Therapy Clinic in Sacramento provides:
✔️ ADHD evaluations
✔️ Creyos ADHD testing for ages 12+
✔️ Adolescent psychiatry
✔️ Adult psychiatry
✔️ Individual therapy
✔️ Personalized treatment planning
✔️ Medication management when clinically appropriate
✔️ Ongoing follow-up and monitoring
We look beyond a single test result to understand the person behind the symptoms.
📍 Sacramento Office:
180 Promenade Circle, Suite 300
Sacramento, CA 95834
🎯 Your Score Is Only One Piece of the Puzzle
So, does a high Creyos score mean you don’t have ADHD?
No—not by itself.
A strong performance on a cognitive task can provide useful information, but it doesn’t automatically rule out ADHD.
Likewise, a lower score doesn’t automatically prove ADHD.
The most meaningful evaluation combines objective testing with symptoms, history, questionnaires, and real-world functioning.
That’s why the goal of ADHD testing isn’t simply to get a particular score.
It’s to better understand how you think, function, and experience everyday life.
If you or your teen is experiencing persistent difficulties with attention, organization, memory, planning, procrastination, or impulsivity, a comprehensive ADHD evaluation may help provide clarity.
Creyos ADHD testing is available for adolescents ages 12 and older and adults at our Sacramento clinic. Take the ADHD test at our clinic↗. A high score doesn’t tell the whole story. Neither does a low one. The bigger picture matters.

