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Presentation / Course Clinical Presentations Clinical Presentations

Diagnosis in children: ≥6 of the symptoms that have persisted for at least 6 months to a degree that is inconsistent with developmental level and that negatively impacts directly on social and academic/occupational activities2

Diagnosis in individuals aged 17 and older:
≥5 of the symptoms2

The DSM-5 describes three different presentations of ADHD2

Symptoms of ADHD subtypes2,53,54

Inattentive

More common in adults

Careless mistakes

Short attention span

Poor listening skills

No follow through

Disorganization

Appearing lazy or apathetic

Routinely misplaces essential items (e.g., keys, wallet, backpack, etc.)

Distractibility

Forgetfulness

Hyperactive/Impulsive

More common in children

Fidgety

Moves frequently

Restless

Noisy

Always on the go

Talkative

Impulsive reactions

Has trouble waiting their turn

Disruptive

Combined

≥6 more symptoms inattentive

≥6 more symptoms of hyperactive/impulsive

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Clinical Presentations

Longitudinal course of ADHD

References

2. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th Ed. APA, 2013.
53. Wolraich ML, Feurer ID, Hannah JN, et al. Obtaining systematic teacher reports of disruptive behaviors utilizing DSM-IV. J Abnorm Child Psychol. 1998;26:141.
54. Wolraich ML, Lambert W, Doffing MA, et al. Psychometric properties of the Vanderbilt ADHD diagnostic parent rating scale in a referred population. J Pediatr Psychol. 2003;28:559.