Under which condition should a certification not be granted for a patient diagnosed with ADD/ADHD?

A patient diagnosed with ADD/ADHD should not be granted certification if prominent negative symptoms affect their judgment. This is crucial because a patient's ability to make safe and sound decisions is essential for many responsibilities, especially those related to driving or operating machinery. If negative symptoms such as impulsivity, inattention, or distractibility significantly disrupt judgment, this can pose serious risks not only to the individual but also to others. Medical examiners must prioritize safety when determining whether to issue a certification.

In contrast, if a patient reports no symptoms, it suggests that their condition is well-managed, making them suitable for certification. Receiving counseling or being on supplementary medication typically indicates that the patient is taking steps to manage their condition effectively and remain stable. Therefore, these factors do not inherently disqualify someone from receiving certification. The focus should always be on the patient's current capacity to function safely in their environment, making the condition of their judgment paramount in the certification process.