Diagnostic Criteria

DSM V CRITERIA

DSM V Criteria:

Inattention

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.

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 (loses focus, gets sidetracked).

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. Hyperactivity / Impulsivity

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.

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.

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).

In addition, the following conditions must be met:

Several inattentive or hyperactive-impulsive symptoms were present before age 12 years. Several symptoms are present in two or more setting, (such as at home, school or work; with friends or relatives; in other activities). There is clear evidence that the symptoms interfere with, or reduce the quality of, social, school, or work functioning. The symptoms are not better explained by another mental disorder (such as a mood disorder, anxiety disorder, dissociative disorder, or a personality disorder). The symptoms do not happen only during the course of schizophrenia or another psychotic disorder. Based on the types of symptoms, three kinds (presentations) of ADHD can occur:

Combined Presentation: if enough symptoms of both criteria inattention and hyperactivity-impulsivity were present for the past 6 months

Predominantly Inattentive Presentation: if enough symptoms of inattention, but not hyperactivity-impulsivity, were present for the past six months

Predominantly Hyperactive-Impulsive Presentation: if enough symptoms of hyperactivity-impulsivity but not inattention were present for the past six months.

Because symptoms can change over time, the presentation may change over time as well.