Table 1. Five Cr
1. Symptoms Î 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 Î 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
