American Academy of Child and Adolescent Psychiatry GUIDELINES Apps

Table 1. Five Cr 1. Symptoms ���� Inattention: ��� 6 of following symptoms of inattention have persisted ��� 6 mo to a degree th >> Often fails to pay close attention to details or makes careless mistakes in schoolwork, work >> Often has difficulty in 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, wor >> Often has difficulty organizing tasks and activities >> Often avoids, dislikes, or reluctant to engage in tasks requiring sustained mental effort (eg >> Often loses things necessary for tasks or activities (eg, written instructions, school assignm >> Often easily distracted by extraneous stimuli >> Often forgetful in daily activities AND/OR ���� Hyperactivity/impulsivity: ��� 6 of following symptoms of hyperactivity-impulsivity have pers >> Hyperactivity `` Often fidgets with hands or feet and squirms in seat `` Often leaves seat in classroom or other situations where remaining seated is expected `` Often runs about or climbs excessively in situations where considered inappropriate ( `` Often has difficulty playing or engaging in leisure activities quietly `` Often ���on the go��� or acts as if ���driven by a motor��� `` Often talks excessively >> Impulsivity `` Often blurts answers before questions completed `` Often has difficulty awaiting turn `` Often interrupts/intrudes on others (eg, butts into conversation, games) PLUS: 2. Some inattention or hyperactivity-impulsivity to be consistent symptoms causing impairment p 3. Some impairment from symptoms present in 2 or more settings (eg, home, school/work, social* 4. Clear evidence of clinically significant impairment in social, academic, or occupational function 5. Symptoms do not occur exclusively during course of a pervasive developmental disorder, schizop (eg, mood disorder, anxiety disorder, dissociative disorder, personality disorder) Types of ADHD ADHD, Combined Type: Criteria for inattention AND hyperactivity-impulsivity met for past 6 mo ( ADHD, Predominantly Inattentive Type: Criteria for inattention met but criteria for hyperactivity-im ADHD, Predominantly Hyperactive-Impulsive Type: Criteria for hyperactivity-impulsivity met but crit *Clinical consensus is that severe impairment in one setting can warrant treatment for ADHD (eg, inordinate amou NOTE: ��� Symptoms may not be observable when patient is in highly structured or novel settings, engaged in interesting acti appropriate behavior. ��� Symptoms typically worsen in situations that are unstructured, minimally supervised, boring, or require sustained ��� In adolescents, symptoms include restlessness (rather than hyperactivity as seen in children), impaired academic pe 4

• Cover