diff --git a/apps/web/app/api/assessment/interview/save-response/route.ts b/apps/web/app/api/assessment/interview/save-response/route.ts
index 20aa094..f7ab480 100644
--- a/apps/web/app/api/assessment/interview/save-response/route.ts
+++ b/apps/web/app/api/assessment/interview/save-response/route.ts
@@ -1,5 +1,5 @@
 import { NextRequest, NextResponse } from 'next/server';
-import { detectFollowUpNeeded } from '@/lib/claude/client';
+import { detectFollowUpNeeded, generateMemoryScaffolds } from '@/lib/claude/client';
 import { updateAssessment, insertInterviewResponse, getInterviewResponseCount } from '@/lib/supabase-server';
 import { TOTAL_INTERVIEW_QUESTIONS } from '@/lib/constants';
 
@@ -36,6 +36,44 @@ export async function POST(request: NextRequest) {
       console.warn('Follow-up detection failed, continuing without:', error);
     }
 
+    // Check if memory scaffolding is needed
+    let memoryScaffolds: string[] | null = null;
+    const memoryTriggerPhrases = [
+      "i don't remember",
+      "i can't recall",
+      "i don't know",
+      "no memory",
+      "can't remember",
+      "don't recall",
+      "fuzzy memory",
+      "unclear",
+      "not sure about that"
+    ];
+
+    const needsMemoryHelp = memoryTriggerPhrases.some(phrase =>
+      response.toLowerCase().includes(phrase)
+    );
+
+    if (needsMemoryHelp) {
+      try {
+        // Determine age group based on question content (simplified logic)
+        let ageGroup: 'early' | 'school' | 'adolescent' | 'general' = 'general';
+        const questionLower = (questionText || '').toLowerCase();
+
+        if (questionLower.includes('child') || questionLower.includes('early') || questionLower.includes('preschool')) {
+          ageGroup = 'early';
+        } else if (questionLower.includes('school') || questionLower.includes('elementary') || questionLower.includes('middle')) {
+          ageGroup = 'school';
+        } else if (questionLower.includes('teen') || questionLower.includes('adolescent') || questionLower.includes('high school')) {
+          ageGroup = 'adolescent';
+        }
+
+        memoryScaffolds = await generateMemoryScaffolds(ageGroup);
+      } catch (error) {
+        console.warn('Memory scaffolding failed, continuing without:', error);
+      }
+    }
+
     // Get current response count BEFORE inserting the new one
     const previousCount = await getInterviewResponseCount(assessmentId);
     
@@ -66,6 +104,7 @@ export async function POST(request: NextRequest) {
       success: true,
       assessment,
       followUpQuestion: shouldReturnFollowUp ? followUpResult.followUpQuestion || null : null,
+      memoryScaffolds: memoryScaffolds || null,
     });
   } catch (err) {
     console.error('Interview save error:', err);
diff --git a/apps/web/lib/claude/client.ts b/apps/web/lib/claude/client.ts
index 7f4425d..a8b0848 100644
--- a/apps/web/lib/claude/client.ts
+++ b/apps/web/lib/claude/client.ts
@@ -1,4 +1,5 @@
 import Anthropic from '@anthropic-ai/sdk';
+import { INTERVIEW_SYSTEM_PROMPTS, getFallbackQuestionsForDomain, getMemoryScaffoldsForAgeGroup } from './prompts';
 
 let anthropicClient: Anthropic | null = null;
 
@@ -24,27 +25,17 @@ export async function generateInterviewQuestion(
 ): Promise<string> {
   const client = getAnthropicClient();
 
-  const systemPrompt = `You are an empathic clinical interviewer specializing in ADHD assessment.
-Your role is to ask thoughtful, open-ended questions that help gather detailed information about the person's experiences.
+  const systemPrompt = INTERVIEW_SYSTEM_PROMPTS.interviewer;
 
-Guidelines:
-- Ask one question at a time
-- Questions should be conversational and non-judgmental
-- Focus on gathering specific examples and experiences
-- Avoid yes/no questions when possible
-- Keep questions under 150 characters
-- Be supportive and understanding in tone
+  const userPrompt = `CONTEXT: ADHD assessment interview in "${section}" domain
+PREVIOUS RESPONSES: ${previousResponses.join('; ')}
 
-Current context: This is for an ADHD assessment interview in the "${section}" section.`;
-
-  const userPrompt = `Based on these previous responses: ${previousResponses.join('; ')}
-
-Generate the next most appropriate interview question for the "${section}" section.`;
+Generate the next most appropriate interview question.`;
 
   try {
     const response = await client.messages.create({
       model: 'claude-3-5-sonnet-20241022',
-      max_tokens: 150,
+      max_tokens: 120,
       system: systemPrompt,
       messages: [{ role: 'user', content: userPrompt }],
       temperature: 0.7,
@@ -58,6 +49,14 @@ Generate the next most appropriate interview question for the "${section}" secti
       throw new Error('No question generated');
     }
 
+    return question;
+  } catch (error) {
+    console.error('Claude API error:', error);
+    // Enhanced fallback using domain-specific question banks
+    return getEnhancedFallbackQuestion(section);
+  }
+}
+
     return question;
   } catch (error) {
     console.error('Claude API error:', error);
@@ -72,28 +71,17 @@ export async function detectFollowUpNeeded(
 ): Promise<{ needsFollowUp: boolean; followUpQuestion?: string | null }> {
   const client = getAnthropicClient();
 
-  const systemPrompt = `You are analyzing interview responses for ADHD assessment.
-Determine if the response is vague, incomplete, or would benefit from a follow-up question.
-
-Return a JSON object with:
-- needsFollowUp: boolean
-- followUpQuestion: string (only if needsFollowUp is true, max 100 characters)
-
-Guidelines:
-- Mark as needing follow-up if response is very brief (< 20 words)
-- Mark as needing follow-up if response lacks specific examples
-- Mark as needing follow-up if response seems incomplete
-- Follow-up questions should be specific and probing`;
+  const systemPrompt = INTERVIEW_SYSTEM_PROMPTS.followUpDetector;
 
-  const userPrompt = `Question: ${question}
-Response: ${response}
+  const userPrompt = `QUESTION: ${question}
+RESPONSE: ${response}
 
-Analyze if this response needs a follow-up question:`;
+DETERMINE if follow-up needed:`;
 
   try {
     const response = await client.messages.create({
       model: 'claude-3-5-sonnet-20241022',
-      max_tokens: 200,
+      max_tokens: 150,
       system: systemPrompt,
       messages: [{ role: 'user', content: userPrompt }],
       temperature: 0.3,
@@ -106,12 +94,39 @@ Analyze if this response needs a follow-up question:`;
     try {
       const result = JSON.parse(content);
 
-      // Validate the result structure
-      if (typeof result !== 'object' || result === null) {
-        console.error('Claude response is not a valid object');
+      // Enhanced validation with better error handling
+      if (!result || typeof result !== 'object') {
+        console.error('Invalid Claude response structure');
+        return { needsFollowUp: false };
+      }
+
+      if (typeof result.needsFollowUp !== 'boolean') {
+        console.error('Missing or invalid needsFollowUp boolean');
         return { needsFollowUp: false };
       }
 
+      if (result.needsFollowUp) {
+        if (typeof result.followUpQuestion !== 'string') {
+          console.error('Follow-up needed but question missing');
+          return { needsFollowUp: false };
+        }
+        if (result.followUpQuestion.length > 80) {
+          console.warn('Follow-up question truncated to 80 chars');
+          result.followUpQuestion = result.followUpQuestion.substring(0, 80);
+        }
+      }
+
+      return result;
+    } catch (parseError) {
+      console.error('JSON parse error in follow-up detection:', parseError);
+      return { needsFollowUp: false };
+    }
+  } catch (error) {
+    console.error('Claude API error in follow-up detection:', error);
+    return { needsFollowUp: false };
+  }
+}
+
       if (typeof result.needsFollowUp !== 'boolean') {
         console.error('Claude response missing valid needsFollowUp boolean');
         return { needsFollowUp: false };
@@ -139,25 +154,51 @@ Analyze if this response needs a follow-up question:`;
   }
 }
 
-function getFallbackQuestion(section: string): string {
-  const fallbacks: Record<string, string[]> = {
-    'attention': [
-      'Can you tell me about a specific time when you struggled to maintain focus?',
-      'How does difficulty concentrating affect your daily activities?',
-      'What strategies have you tried to improve your focus?'
-    ],
-    'hyperactivity': [
-      'How do you handle feelings of restlessness?',
-      'Can you describe situations where you feel the need to move constantly?',
-      'How does physical restlessness impact your work or relationships?'
-    ],
-    'impulsivity': [
-      'Tell me about a time when acting quickly led to unintended consequences.',
-      'How do you manage impulsive decisions?',
-      'What situations tend to trigger impulsive behavior for you?'
-    ]
-  };
-
-  const questions = fallbacks[section] || fallbacks['attention'];
+// Enhanced fallback question selection using comprehensive question banks
+function getEnhancedFallbackQuestion(section: string): string {
+  const questions = getFallbackQuestionsForDomain(section.toLowerCase());
   return questions[Math.floor(Math.random() * questions.length)];
+}
+
+// Memory scaffolding for patients who express difficulty remembering
+export async function generateMemoryScaffolds(ageGroup: 'early' | 'school' | 'adolescent' | 'general' = 'general'): Promise<string[]> {
+  const client = getAnthropicClient();
+
+  const systemPrompt = INTERVIEW_SYSTEM_PROMPTS.memoryScaffolding;
+
+  const scaffolds = getMemoryScaffoldsForAgeGroup(ageGroup);
+  const contextPrompt = `AGE GROUP: ${ageGroup} childhood
+AVAILABLE SCAFFOLDS: ${scaffolds.slice(0, 5).join('; ')}
+
+Generate 2-3 contextual memory prompts for ADHD recall:`;
+
+  try {
+    const response = await client.messages.create({
+      model: 'claude-3-5-sonnet-20241022',
+      max_tokens: 200,
+      system: systemPrompt,
+      messages: [{ role: 'user', content: userPrompt }],
+      temperature: 0.6,
+    });
+
+    const content = response.content[0]?.type === 'text'
+      ? response.content[0].text.trim()
+      : '';
+
+    try {
+      const result = JSON.parse(content);
+      if (result.scaffolds && Array.isArray(result.scaffolds) && result.scaffolds.length >= 2) {
+        return result.scaffolds.slice(0, 3); // Limit to 3 scaffolds
+      }
+    } catch (parseError) {
+      console.error('Failed to parse memory scaffold response:', parseError);
+    }
+
+    // Fallback to static scaffolds
+    return scaffolds.slice(0, 3);
+  } catch (error) {
+    console.error('Claude API error in memory scaffolding:', error);
+    // Return static scaffolds as fallback
+    return getMemoryScaffoldsForAgeGroup(ageGroup).slice(0, 3);
+  }
 }
\ No newline at end of file
diff --git a/apps/web/lib/claude/prompts.ts b/apps/web/lib/claude/prompts.ts
index eee3b80..cac7b55 100644
--- a/apps/web/lib/claude/prompts.ts
+++ b/apps/web/lib/claude/prompts.ts
@@ -1,109 +1,363 @@
-// System prompts for Claude-powered interview questions
+// Enhanced system prompts for Claude-powered ADHD assessment interview
+// Optimized for LLM consumption with clear structure, precise instructions, and structured outputs
 
 export const INTERVIEW_SYSTEM_PROMPTS = {
-  // Main interview system prompt
-  interviewer: `You are an empathic clinical interviewer specializing in ADHD assessment.
-Your role is to conduct a structured interview that helps gather detailed, clinically relevant information about the person's experiences with ADHD symptoms.
-
-Guidelines for questions:
-- Ask one focused question at a time
-- Use conversational, non-judgmental language
-- Encourage specific examples and personal experiences
-- Avoid medical jargon unless the person uses it first
-- Keep questions under 150 characters
-- Show empathy and understanding
-- Focus on current impact and historical patterns
-
-The interview covers these domains:
-1. Attention and focus difficulties
-2. Hyperactivity and restlessness
-3. Impulsivity and decision-making
+  // Primary interview question generation
+  interviewer: `ROLE: Empathic ADHD assessment interviewer
+GOAL: Generate one clinically-relevant interview question per request
+DOMAIN: ADHD symptoms, impacts, and experiences
+
+INSTRUCTIONS:
+- Generate exactly one question per response
+- Maximum 120 characters
+- Use conversational, supportive language
+- Encourage specific examples over generalizations
+- Avoid medical jargon
+- Focus on personal experiences and current impacts
+- Adapt based on conversation context
+
+CONTEXT DOMAINS:
+1. Attention/focus difficulties
+2. Hyperactivity/restlessness
+3. Impulsivity/decision-making
 4. Executive function challenges
-5. Emotional regulation
-
-Adapt questions based on previous responses and maintain a supportive tone throughout.`,
-
-  // Follow-up question detection
-  followUpDetector: `You are analyzing interview responses for ADHD assessment to determine if follow-up questions are needed.
-
-Criteria for follow-up:
-- Response is very brief (under 20 words)
-- Response lacks specific examples or details
-- Response seems incomplete or vague
-- Response contradicts earlier information
-- Response indicates significant impact that needs exploration
-
-When suggesting follow-up:
-- Make the question specific and targeted
-- Keep it under 100 characters
-- Focus on gathering missing details
-- Maintain empathic tone
-
-Return format: { "needsFollowUp": boolean, "followUpQuestion": "string or null" }`,
-
-  // Response validation
-  validator: `You are validating the quality and appropriateness of AI-generated interview questions for ADHD assessment.
-
-Check for:
-- Clinical relevance to ADHD symptoms
-- Appropriate language (not too technical)
-- Empathy and non-judgmental tone
-- Focus on personal experiences
-- Length appropriateness (< 150 characters)
-
-Flag questions that:
-- Are yes/no format
-- Use clinical jargon inappropriately
-- Are too broad or vague
-- Lack empathy
-- Are too long
-
-Return format: { "isValid": boolean, "issues": ["issue1", "issue2"] }`
+5. Emotional regulation patterns
+
+OUTPUT: Single question string only`,
+
+  // Follow-up question detection and generation
+  followUpDetector: `ROLE: ADHD interview response analyzer
+GOAL: Determine if response needs clarification and suggest targeted follow-up
+
+ANALYSIS CRITERIA:
+- Length < 20 words = needs follow-up
+- Lacks specific examples = needs follow-up
+- Contradicts previous information = needs follow-up
+- Indicates significant impact without details = needs follow-up
+- Vague or incomplete descriptions = needs follow-up
+
+FOLLOW-UP RULES:
+- Maximum 80 characters
+- Specific and targeted to missing information
+- Empathic and non-judgmental tone
+- Focus on concrete details or examples
+
+OUTPUT FORMAT:
+{
+  "needsFollowUp": boolean,
+  "followUpQuestion": "string or null"
+}`,
+
+  // AI-generated question validation
+  validator: `ROLE: ADHD interview question quality validator
+GOAL: Ensure questions are clinically appropriate and patient-friendly
+
+VALIDATION CHECKS:
+- Clinically relevant to ADHD symptoms ✓
+- Conversational language (no medical jargon) ✓
+- Empathic and non-judgmental tone ✓
+- Encourages personal examples ✓
+- Under 120 characters ✓
+- Open-ended format ✓
+
+INVALID PATTERNS:
+- Yes/no questions ✗
+- Technical medical terminology ✗
+- Broad or vague wording ✗
+- Judgmental language ✗
+- Over 120 characters ✗
+
+OUTPUT FORMAT:
+{
+  "isValid": boolean,
+  "issues": ["specific_issue_1", "specific_issue_2"]
+}`,
+
+  // Memory scaffolding for recall difficulties
+  memoryScaffolding: `ROLE: Memory scaffolding assistant for ADHD assessment
+GOAL: Help patients recall childhood experiences when they say "I don't remember"
+
+SCAFFOLDING PRINCIPLES:
+- Suggest 2-3 specific memory prompts
+- Use developmental milestones as anchors (ages 5-18)
+- Include concrete situations, people, places
+- Incorporate sensory details and emotions
+- Never suggest symptoms - remain neutral
+- Keep prompts conversational and supportive
+
+ANCHOR POINTS:
+- School experiences and report cards
+- Family relationships and dynamics
+- Hobbies, sports, and activities
+- Major life events or transitions
+- Daily routines and responsibilities
+
+OUTPUT FORMAT:
+{
+  "scaffolds": [
+    "Think about elementary school - what subjects did you enjoy most?",
+    "Consider family vacations or trips - what stood out to you?"
+  ]
+}`,
+
+  // Symptom pattern analysis for clinical insights
+  patternAnalyzer: `ROLE: ADHD symptom pattern analyst
+GOAL: Identify consistent patterns across life domains and developmental stages
+
+ANALYSIS DIMENSIONS:
+- Cross-situational consistency (home vs work/school)
+- Developmental trajectory (onset, progression, current)
+- Compensatory strategies developed
+- Impact severity and functional impairment
+- Co-occurring patterns suggested
+- Resilience factors observed
+
+CONFIDENCE SCORING:
+- 0.8-1.0: Strong evidence across multiple domains
+- 0.6-0.8: Moderate evidence with some consistency
+- 0.4-0.6: Emerging patterns, limited evidence
+- 0.0-0.4: Insufficient data for reliable patterns
+
+OUTPUT FORMAT:
+{
+  "patterns": ["consistent_attention_difficulties", "hyperfocus_capability"],
+  "severity": "mild|moderate|severe",
+  "confidence": 0.85
+}`,
+
+  // Emotional impact assessment
+  emotionalAssessor: `ROLE: Emotional impact evaluator for ADHD experiences
+GOAL: Assess psychological burden and coping mechanisms
+
+EVALUATION AREAS:
+- Frustration and shame experiences
+- Self-esteem impacts
+- Relationship strain indicators
+- Achievement vs potential gaps
+- Coping strategy effectiveness
+- Support system utilization
+- Emotional regulation patterns
+
+BURDEN LEVELS:
+- Low: Minimal emotional impact, effective coping
+- Moderate: Noticeable frustration, developing coping skills
+- High: Significant shame/guilt, limited coping effectiveness
+
+OUTPUT FORMAT:
+{
+  "emotionalBurden": "low|moderate|high",
+  "copingStrategies": ["mindfulness_practice", "support_groups"],
+  "supportNeeds": ["therapy_referral", "peer_support"]
+}`,
+
+  // Executive function evaluation
+  executiveFunctionEvaluator: `ROLE: Executive function impairment assessor
+GOAL: Evaluate cognitive control and self-regulation capacities
+
+ASSESSMENT DOMAINS:
+- Task initiation and completion
+- Sustained attention capacity
+- Working memory limitations
+- Organization and planning skills
+- Time management effectiveness
+- Goal-directed persistence
+- Cognitive flexibility
+- Response inhibition
+
+COMPENSATORY SKILLS:
+- External reminders and alarms
+- Breaking tasks into smaller steps
+- Environmental modifications
+- Technology-assisted organization
+- Accountability partnerships
+
+OUTPUT FORMAT:
+{
+  "executiveDeficits": ["task_initiation", "time_management"],
+  "compensatorySkills": ["digital_reminders", "task_chunking"],
+  "recommendations": ["cognitive_training", "organizational_coaching"]
+}`
 };
 
-// Pre-defined question banks for fallback
+// Enhanced fallback question banks organized by ADHD symptom domains
+// Questions designed for clinical relevance and patient engagement
+
 export const FALLBACK_QUESTIONS = {
   attention: [
-    'Can you tell me about a time when you struggled to maintain focus on a task?',
-    'How does difficulty concentrating affect your daily activities?',
-    'What happens when you try to read or study for extended periods?',
-    'Describe how forgetfulness impacts your work or relationships.',
-    'How do you handle tasks that require sustained mental effort?'
+    'Can you describe a recent time when you struggled to stay focused on something important?',
+    'How does difficulty concentrating show up in your daily work or school activities?',
+    'What happens when you try to read a book or work on a detailed project?',
+    'How does forgetting things affect your relationships or responsibilities?',
+    'Tell me about a task that requires sustained mental effort - how does that go for you?',
+    'How do you know when your attention is starting to drift during conversations?',
+    'What strategies help you when you need to focus for longer periods?',
+    'How does mental fatigue affect your ability to concentrate?',
+    'Can you give an example of when your mind wandered during something important?',
+    'How do distractions in your environment impact your focus?',
+    'What does it feel like when you\'re trying hard to pay attention but can\'t?',
+    'How do you handle meetings or classes that require focused listening?',
+    'Tell me about times when you\'ve missed important details because of distraction.',
+    'How does switching between different tasks affect your concentration?',
+    'What helps you get back on track when your mind has wandered?'
   ],
 
   hyperactivity: [
-    'How do you manage feelings of restlessness during quiet activities?',
-    'Can you describe situations where you feel the need to move constantly?',
-    'What does physical restlessness feel like for you?',
-    'How do you handle sitting still for meetings or lectures?',
-    'Tell me about your experience with feeling "on the go" all the time.'
+    'How do you handle feeling restless during quiet or sedentary activities?',
+    'Can you describe what physical restlessness feels like for you?',
+    'What situations make you feel like you need to move around constantly?',
+    'How do you manage during meetings or situations where you need to sit still?',
+    'Tell me about your experience with feeling "on the go" throughout the day.',
+    'How does restlessness affect your ability to relax or unwind?',
+    'What does it feel like when you have excess physical energy?',
+    'How do you handle activities that require patience and stillness?',
+    'Can you describe times when your body feels like it needs to keep moving?',
+    'How does physical restlessness impact your sleep or relaxation time?',
+    'What helps you when you feel the urge to fidget or move around?',
+    'How do you manage in situations like waiting in line or sitting in traffic?',
+    'Tell me about activities where you find it hard to stay physically still.',
+    'How does your physical energy level affect your daily routines?',
+    'What coping strategies work for you when you feel physically restless?'
   ],
 
   impulsivity: [
-    'Tell me about a time when acting quickly led to unintended consequences.',
-    'How do you approach decisions that require careful thought?',
-    'What situations tend to trigger impulsive behavior for you?',
-    'How do you handle interrupting others or speaking out of turn?',
-    'Describe your experience with buying things impulsively.'
+    'Tell me about a time when acting quickly led to unexpected consequences.',
+    'How do you approach decisions that would benefit from more careful thought?',
+    'What situations tend to trigger impulsive actions for you?',
+    'How do you handle interrupting others during conversations?',
+    'Can you describe your experience with impulsive spending or purchases?',
+    'How does impulsivity affect your ability to think before speaking?',
+    'What does it feel like when you act on impulse and regret it later?',
+    'How do you manage when you want to make quick decisions?',
+    'Tell me about times when blurting out thoughts caused difficulties.',
+    'How does impulsivity show up in your daily decision-making?',
+    'What helps you pause before acting on immediate urges?',
+    'How do you handle when you want to say something immediately?',
+    'Can you give examples of when waiting would have been better than acting fast?',
+    'How does impulsivity affect your relationships or social interactions?',
+    'What strategies help you think before you act?'
   ],
 
   executiveFunction: [
-    'How do you organize and prioritize multiple tasks?',
-    'Tell me about your experience with starting and finishing projects.',
-    'How do you manage time and deadlines?',
+    'How do you organize and prioritize when you have multiple tasks to handle?',
+    'Tell me about your experience starting and completing long-term projects.',
+    'How do you manage time and meet deadlines in your daily life?',
     'What challenges do you face with planning and sequencing activities?',
-    'How do you handle transitions between different activities?'
+    'How do you handle transitions between different tasks or activities?',
+    'Can you describe how you approach getting started on difficult tasks?',
+    'How do you keep track of appointments, deadlines, or important dates?',
+    'What does it feel like when you\'re trying to organize complex information?',
+    'How do you manage when unexpected changes disrupt your plans?',
+    'Tell me about times when following through on plans was challenging.',
+    'How do you break down large projects into manageable steps?',
+    'What helps you stay on track with multi-step processes?',
+    'How does planning ahead work for you in daily routines?',
+    'Can you describe your experience with time management challenges?',
+    'How do you handle when you need to shift from one activity to another?'
   ],
 
   emotionalRegulation: [
-    'How do you manage frustration when things don\'t go as planned?',
-    'Tell me about your emotional reactions to criticism or failure.',
-    'How do you handle mood swings or irritability?',
-    'What helps you calm down when you feel overwhelmed?',
-    'How do emotions affect your focus and decision-making?'
+    'How do you manage frustration when things don\'t go as you planned?',
+    'Tell me about your emotional reactions to criticism or setbacks.',
+    'How do you handle mood swings or irritability throughout the day?',
+    'What helps you calm down when you feel emotionally overwhelmed?',
+    'How do emotions affect your ability to focus or make decisions?',
+    'Can you describe times when emotions felt particularly intense or hard to manage?',
+    'How do you respond when you feel disappointed or let down?',
+    'What strategies help you regulate strong emotions?',
+    'How does emotional intensity impact your relationships?',
+    'Tell me about your experience with feeling emotionally dysregulated.',
+    'How do you manage when you feel anxious or stressed?',
+    'What helps you return to emotional balance after upsetting events?',
+    'How do emotions influence your behavior in different situations?',
+    'Can you describe how you cope with feelings of overwhelm?',
+    'What supports help you maintain emotional stability?'
+  ]
+};
+
+// Enhanced memory scaffolding prompts for childhood recall
+// Triggered when patients express difficulty remembering ADHD-related experiences
+
+export const MEMORY_SCAFFOLDS = {
+  earlyChildhood: [
+    'Think about preschool or kindergarten - what activities did you enjoy most?',
+    'Consider age 4-6: What games or toys held your attention for long periods?',
+    'Recall early school experiences - how did you feel about learning new things?',
+    'Think about family routines - were there daily activities you found challenging?',
+    'Consider age 5-7: What did adults say about your behavior or attention?',
+    'Remember playtime with other children - how did you interact during group activities?',
+    'Think about bedtime routines - how easy or difficult was winding down?',
+    'Consider age 3-5: What activities made you feel particularly excited or engaged?',
+    'Recall family gatherings - how did you behave during longer social events?',
+    'Think about learning to read or write - what was that experience like for you?'
+  ],
+
+  schoolAge: [
+    'Consider elementary school (grades 1-5) - which subjects interested you most?',
+    'Think about classroom behavior - how did teachers describe your focus?',
+    'Recall homework time - how did you approach assignments and studying?',
+    'Consider recess and breaks - how did you handle free time with other kids?',
+    'Think about age 8-10: What extracurricular activities did you try?',
+    'Recall parent-teacher meetings - what feedback did you receive?',
+    'Consider age 7-9: How did you feel about following classroom rules?',
+    'Think about reading or learning activities - what challenged you most?',
+    'Recall birthday parties or playdates - how did you engage with friends?',
+    'Consider age 10-12: What hobbies or interests captured your attention?'
+  ],
+
+  adolescence: [
+    'Think about middle school (ages 11-14) - how did academic demands feel?',
+    'Recall teenage years - what subjects or activities energized you?',
+    'Consider age 13-15: How did you manage multiple classes and assignments?',
+    'Think about friendships - how did you maintain relationships during this time?',
+    'Recall after-school activities or jobs - what was your experience like?',
+    'Consider age 15-17: How did you manage time between school and other commitments?',
+    'Think about driving or transportation independence - how did that go?',
+    'Recall high school projects - how did you approach long-term assignments?',
+    'Consider social activities - how did you navigate group dynamics?',
+    'Think about age 16-18: What future plans or goals motivated you?'
+  ],
+
+  generalRecall: [
+    'Consider a specific birthday or holiday memory from childhood.',
+    'Think about family vacations or trips - what stood out?',
+    'Recall a time you received praise or recognition for something.',
+    'Consider moments when you felt different from other kids.',
+    'Think about activities you loved so much you lost track of time.',
+    'Recall situations where you felt frustrated or stuck.',
+    'Consider times when adults helped you with challenging tasks.',
+    'Think about hobbies or interests that absorbed your attention.',
+    'Recall experiences with rules or expectations you found difficult.',
+    'Consider moments of success or accomplishment you remember fondly.'
+  ],
+
+  contextualAnchors: [
+    'Think about your favorite toys or games as a child - why did you like them?',
+    'Consider family mealtimes - how did you participate in conversations?',
+    'Recall bedtime stories or reading time - what was that like?',
+    'Think about helping with household chores - how did that go?',
+    'Consider doctor visits or medical appointments from childhood.',
+    'Recall shopping trips or outings with family members.',
+    'Think about religious or cultural activities you participated in.',
+    'Consider sports teams or physical activities you tried.',
+    'Recall music lessons or creative activities like art or dance.',
+    'Think about pets or animals you had as a child.'
   ]
 };
 
 export function getFallbackQuestionsForDomain(domain: string): string[] {
   return FALLBACK_QUESTIONS[domain as keyof typeof FALLBACK_QUESTIONS] || FALLBACK_QUESTIONS.attention;
+}
+
+export function getMemoryScaffoldsForAgeGroup(ageGroup: 'early' | 'school' | 'adolescent' | 'general'): string[] {
+  switch (ageGroup) {
+    case 'early':
+      return MEMORY_SCAFFOLDS.earlyChildhood;
+    case 'school':
+      return MEMORY_SCAFFOLDS.schoolAge;
+    case 'adolescent':
+      return MEMORY_SCAFFOLDS.adolescence;
+    case 'general':
+    default:
+      return MEMORY_SCAFFOLDS.generalRecall;
+  }
 }
\ No newline at end of file