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DSM-IV
Diagnostic Criteria for ADHD
-
Meet Conditions Under Either 1 or 2:
- Six or more of the following symptoms of inattention have persisted for at least six
months to a degree that is maladaptive and inconsistent with developmental
level:
Inattention
-
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 difficulty organizing tasks and activities.
- Often avoids, dislikes, or is reluctant to engage in tasks that require sustained
mental effort (such as homework).
- Often loses things necessary for tasks or activities (toys, school assignments,
pencils, books, or tools).
- Is often easily distracted by extraneous stimuli.
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- Is often forgetful in daily activities.
- 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 has 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 before questions have been completed.
- Often has difficulty awaiting turn.
- Often interrupts or intrudes on others (such as butting 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 (such as in
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 another psychotic disorder and are not better
accounted for by another mental disorder (such as a mood, anxiety, dissociative,
or personality disorder)
ADHD Types Using DSM-IV Criteria
ADHD,
predominantly inattentive type.
Meets inattention criteria (section Al) for the past 6 mo
ADHD,
predominantly hyperactive-impulsive type.
Meets
hyperactive-impulsive criteria (section A2) for the past 6 mo
ADHD,
combined type.
Meets criteria for section Al
and section A2 for the past 6 mo
ADHD, NOS (not otherwise specified).
Prominent symptoms
of inattention or hyperactivity -
impulsivity that do not meet the criteria for ADHD
 In partial remission
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