Types of ADHD

Understanding the three presentations of ADHD according to DSM-5

According to the DSM-5, ADHD can present in three different ways, depending on which types of symptoms are most prominent. Understanding these presentations helps in proper diagnosis and treatment planning.

Three Types of ADHD

1. Predominantly Inattentive Type

Characterized by difficulties with attention, organization, and completing tasks, with fewer hyperactive-impulsive symptoms.

• Six or more inattention symptoms (five for adults)
• Fewer than six hyperactivity-impulsivity symptoms
• Common challenges with focus and organization
• Previously known as ADD

2. Predominantly Hyperactive-Impulsive Type

Marked by significant hyperactivity and impulsivity, with fewer attention-related symptoms.

• Six or more hyperactivity-impulsivity symptoms (five for adults)
• Fewer than six inattention symptoms
• Challenges with impulse control and excessive activity
• More noticeable in social situations

3. Combined Type

Shows significant symptoms of both inattention and hyperactivity-impulsivity.

• Six or more symptoms from both categories (five for adults)
• Most common presentation of ADHD
• Impacts multiple areas of functioning
• May require comprehensive treatment approaches

How Types Are Diagnosed

• Comprehensive evaluation by healthcare professional
• Assessment of symptoms in multiple settings
• Consideration of age-appropriate behaviors
• Evaluation of impact on daily functioning
• Review of symptom history and duration