Predominantly Hyperactive-Impulsive Type ADHD
Understanding the hyperactive-impulsive presentation of ADHD
Predominantly Hyperactive-Impulsive Type ADHD is characterized by significant difficulties with hyperactivity and impulse control, without prominent inattention symptoms. This type can be particularly challenging in settings requiring calm, focused behavior.
Key Characteristics
To be diagnosed with predominantly hyperactive-impulsive ADHD, an individual must show:
- Six or more symptoms of hyperactivity-impulsivity (five for adults)
- Fewer than six symptoms of inattention
- Symptoms present for at least 6 months
- Symptoms present in multiple settings
Common Signs and Symptoms
Hyperactivity symptoms include:
- Frequent fidgeting or squirming
- Difficulty remaining seated
- Excessive running or climbing (restlessness in adults)
- Trouble engaging in quiet activities
- Often "on the go" or acting as if "driven by a motor"
- Excessive talking
Impulsivity symptoms include:
- Blurting out answers before questions are completed
- Difficulty waiting for one's turn
- Frequently interrupting or intruding on others
- Making decisions without considering consequences
- Difficulty with delayed gratification
Impact on Daily Life
This type of ADHD can affect:
- Social relationships and interactions
- Classroom or workplace behavior
- Safety and risk assessment
- Emotional regulation
- Decision-making processes
- Activities requiring stillness or quiet
Management Strategies
- Regular physical exercise
- Structured activities and routines
- Impulse control techniques
- Mindfulness and meditation practices
- Behavioral therapy approaches
- Environmental modifications