ADHD
ADHD
hyperactivity-impulsivity that interfere with functioning or development. Diagnosis requires the presence of
at least six symptoms from two categories: inattention and hyperactivity-impulsivity, with symptoms typically
observed before age seven and across multiple settings such as home and school. Three main types of ADHD
are identified: Combined Type, Predominantly Inattentive Type, and Predominantly Hyperactive-Impulsive
Type.
I. Either A or B:
A. Six or more of the following symptoms of inattention have been present for at least 6 months to a point
that is inappropriate for developmental level:
Inattention
Often does not give close attention to details or makes careless mistakes in schoolwork, work, or
other activities.
Often has trouble keeping attention on tasks or play activities.
Often does not seem to listen when spoken to directly.
Often does not follow through on instructions and fails to finish schoolwork, chores, or duties in the
workplace (not due to oppositional behavior or failure to understand instructions).
Often has trouble organizing activities.
Often avoids, dislikes, or doesn't want to do things that take a lot of mental effort for a long period of
time (such as schoolwork or homework).
Often loses things needed for tasks and activities (e.g. toys, school assignments, pencils, books, or
tools).
Is often easily distracted.
Is often forgetful in daily activities.
B. Six or more of the following symptoms of hyperactivity-impulsivity have been present for at least 6
months to an extent that is disruptive and inappropriate for developmental level:
Hyperactivity
Often fidgets with hands or feet or squirms in seat when sitting still is expected.
Often gets up from seat when remaining in seat is expected.
Often excessively runs about or climbs when and where it is not appropriate (adolescents or adults
may feel very restless).
Often has trouble playing or doing leisure activities quietly.
Is often "on the go" or often acts as if "driven by a motor".
Often talks excessively.
Impulsivity
Often blurts out answers before questions have been finished.
Often has trouble waiting one's turn.
Often interrupts or intrudes on others (e.g., butts into conversations or games).
II. Some symptoms that cause impairment were present before age 7 years.
III. Some impairment from the symptoms is present in two or more settings (e.g. at school/work and at
home).
IV. There must be clear evidence of clinically significant impairment in social, school, or work functioning.
V. The symptoms do not happen only during the course of a Pervasive Developmental Disorder,
Schizophrenia, or other Psychotic Disorder. The symptoms are not better accounted for by another mental
disorder (e.g. Mood Disorder, Anxiety Disorder, Dissociative Disorder, or a Personality Disorder).
Based on these criteria, three types of ADHD are identified:
IA. ADHD, Combined Type: if both criteria IA and IB are met for the past 6 months
IB. ADHD, Predominantly Inattentive Type: if criterion IA is met but criterion IB is not met for the past 6
months
IC. ADHD, Predominantly Hyperactive-Impulsive Type: if Criterion IB is met but Criterion IA is not met for the
past six months.