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The DSM IV criteria for AD/HD
All of the criteria from A to E must be met for AD/HD to be diagnosed.
- (1) or (2) must be present.
(1) Inattention: At least 6 of the 9 symptoms must be present; they must last at least 6 months and are clearly abnormal for age.
- often fails to give close attention to details or makes careless mistakes in schoolwork, work, or other activities
- often has difficulty sustaining attention in 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 difficulties organizing tasks and activities
- often avoids, dislikes, or is reluctant to engage in tasks that require sustained mental effort (such as schoolwork or homework)
- often loses things necessary for tasks or activities (e.g., school assignments, pencils, books, or tools)
- often easily distracted by extraneous stimuli
- often forgetful in daily activities
(2) Hyperactivity-impulsivity: Six (or more) of the following symptoms of hyperactivity-impulsivity have persisted for at least six months to a degree that is maladaptive and inconsistent with developmental level:
Hyperactivity
- often fidgets with hands or feet or squirms in seat
- often leaves seat in classroom or in other situations in which remaining seated is expected
- often runs about or climbs excessively in situations in which it is inappropriate (in adolescents or adults, may be limited to subjective feelings of restlessness)
- often had difficulty playing or engaging in 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 to questions before the questions have been completed
- often has difficulty awaiting turn
- often interrupts or intrudes on others (e.g., butts into conversations or games)
- Some hyperactive-impulsive or inattentive symptoms that caused impairment were present before age 7 years.
- Some impairment from the symptoms is present in two or more settings (e.g., at school, or work, and at home).
- There must be clear evidence of clinically significant impairment in social, academic, or occupational functioning.
- The symptoms do not occur exclusively during the course of a pervasive developmental disorder, schizophrenia, or other psychotic disorder, and are not better accounted for by another mental disorder (e.g., mood disorder, anxiety disorder, dissociative disorder, or a personality disorder).
The four types of AD/HD are:
Attention-deficit/hyperactivity disorder, combined type: if both criteria A1 and A2 are met for the past 6 months.
Attention-deficit/hyperactivity disorder, predominantly inattentive type: if criterion A1 is met but criterion A2 is not met for the past 6 months.
Attention-deficit/hyperactivity disorder, predominantly hyperactive-impulsive type: if criterion A2 is met but criterion A1 is not met for the past 6 months.
Coding note: For individuals (especially adolescents and adults) who currently have symptoms that no longer meet full criteria, "in partial remission" should be specified.
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Other pages of the AD/HD section:
AD/HD Main Page
What is AD/HD? |
How is AD/HD diagnosed?
The DSMV IV criteria for AD/HD
How does a child with AD/HD present?
The well-behaved difficult to diagnose child
Cognitive dysfunctions of AD/HD
The physiological basis for AD/HD
What are the best treatments for AD/HD?
Medications |
Comorbid disorders
When should medication start?
AD/HD Symptom Questionnaire
Contracted, structured and rewarded learning program
Associations/Links |
Local Psychologists/Support
[Print entire AD/HD section]
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