Tabula Medica · attention assessment

Objective attention screening that's hard to fake — and fair to the youngest kid in class.

Tabula Attentiva measures what a clinician can't catch by eye: reaction-time variability, effort validity, and change across visits. Built for the primary-care and neurology office, and normed to a child's exact age so immaturity isn't mistaken for a disorder.

A screening & decision-support aid. Not a diagnosis. Investigational — not yet FDA cleared.
The gap

Today the choice is flimsy or expensive. Nothing in between.

A symptom checklist is fast and cheap — and anyone who has read about ADHD can produce the right answers. A full neuropsychological battery is rigorous — and out of reach for most families. Tabula Attentiva is the missing middle: objective, repeatable, and fast enough to run at the point of care.

Checklist

Fast, but face-valid

Measures reported symptoms, not performance. No way to tell genuine difficulty from a coached or exaggerated profile.

~5 min · low confidence
Tabula Attentiva

Objective and repeatable

Performance markers plus built-in effort checks, in about 20 minutes. Defensible data without a referral, and a clear triage signal for who needs more.

~20 min · objective + validity
Neuropsych battery

Rigorous, but gated

The thorough option, at $2,500–5,000 and waitlists of weeks to months. Reserved for complex cases — most people never reach it.

$2,500–5,000 · weeks–months
How it works

One sitting. Four engines. A reading a clinician can act on.

A clinician reads it as: Attentiva measures → Critica checks → Lucida explains. Bundle complementary tasks into a single visit; re-run at each follow-up to track whether treatment actually helps.

the test
Attentiva

Age-appropriate attention tasks — picture stimuli for young children, symbols then letters as they grow — with difficulty that adapts to each person's own threshold.

scoring
Metrica

Month-precise, age-normed scoring of reaction-time variability and the lapse tail into a single calibrated screening probability — with its uncertainty shown.

validity
Critica

Effort and validity checks adapted from forensic neuropsychology. When the data can't be trusted, the score is suppressed — confidence at low cost, not a fraud filter.

report
Lucida

A plain-language clinician summary and visit-over-visit tracking that separates real treatment response from practice effects and noise.

Fair by design

It corrects the bias instead of laundering it.

The youngest children in a class are diagnosed and medicated more than the oldest — for being younger, not for having ADHD. A tool only fixes that if its norms are precise enough to tell a 6.1-year-old from a 6.9-year-old.

  • Month-precise norming. Every marker is scored against the exact-age curve, so normal childhood variability isn't read as a deficit.
  • Relative-age context. The report flags when a child is the youngest in their cohort, so a teacher-driven referral is weighted accordingly.
  • Ability-adaptive difficulty. Attention is measured against each child's own threshold — low ability is never mistaken for inattention.
  • Developmental history, weighted honestly. Family history counts most; "responded to medication" counts for nothing, because it isn't diagnostic.
Adapts across the lifespan
🐶
ages 6–9 · pictures
preteen · shapes
X
teen–adult · letters
same raw score, two children

A 6.1-year-old and a 6.9-year-old with identical reaction times receive different results — because more variability is normal at 6.1. That difference is the whole point.

Where we draw the line

A screening aid. Not a diagnosis.

No blood test, gene panel, or EEG has ever delivered a standalone ADHD diagnosis — the biology is too heterogeneous and the markers too non-specific. ADHD is diagnosed clinically, across settings, with history and impairment. Tabula Attentiva gives a clinician better objective data and a clearer triage decision. It does not replace their judgment, and it never claims to.

For clinics

Built for primary care and neurology.

Runs in-office, bundles with complementary tasks in one sitting, and produces a clinician-ready report and a longitudinal trajectory. We're partnering with pilot sites and clinical advisors ahead of formal validation. If that's you, get in touch.

Request clinical access See the demo first
Questions clinicians ask

FAQ

Does Tabula Attentiva diagnose ADHD?

No. It's a screening and decision-support aid. ADHD is diagnosed clinically under DSM-5-TR using cross-setting history, functional impairment, and rule-out of other causes. The tool gives objective data and a triage signal; it never replaces clinical judgment.

What does it actually measure?

Objective attention markers from reaction-time tasks — chiefly reaction-time variability and the ex-Gaussian lapse tail (tau), the most replicated objective ADHD signals — plus built-in performance- and symptom-validity checks, all normed to the person's exact age.

Is there a blood test for ADHD?

No validated blood test, gene panel, or EEG gives a standalone ADHD diagnosis. The disorder is biologically heterogeneous and candidate markers are non-specific — which is exactly why an objective behavioral measure is the practical adjunct.

How does it avoid over-flagging the youngest kids in a class?

The youngest children in a class are diagnosed with ADHD more than the oldest — an artifact of teacher referral, not biology. Every marker is normed to a child's exact age (month-precise), so normal immaturity isn't read as a deficit, and the report flags the child's relative-age position.

Does responding to stimulant medication confirm ADHD?

No. Stimulants improve attention in people without ADHD too, so a positive response isn't diagnostic. The developmental-history scoring deliberately gives it zero weight.

Try it

See a session end to end.

Run the attention task, watch the reaction-time distribution build, and see how the validity and relative-age layers change the read — right in your browser.