DSM-IV Diagnostic Criteria for ADHD
1.Either (1) Symptoms of inattention, or (2) symptoms of hyperactivity-impulsivity or (3) both2.Onset <7 years of age (childhood-onset)3.>6 months of disturbance4.Cross-situational (home, work, school)5.Impairment in functioning
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 4
Edition, Text Revision. Washington, DC. AmericanPsychiatric Association. 2000;48:85-93.
Clinical Presentation in an Adolescent(13-18 Years of Age)
•May seem restless rather than hyperactive•Problems with attention, task completion, shifting of activitiesprematurely•School work disorganized and shows poor follow-through; failsto work independently•Seems emotionally immature•Has poor self-esteem•Has poor peer relationships•May engage in irresponsible or risky behavior
WolraichML, et al.
Attention-Deficit Hyperactivity Disorder: A Handbook for Diagnosis and Treatment
. 3rd ed. New York, NY: Guilford Press; 2006.Barkley RA, et al.
J Am Acad Child Adolesc Psychiatry
MotorichyperactivityLow frustration toleranceImpulsivenessDistractibilityShifting of activitiesFidgetinessImpatienceRestlessnessInattentiveness
ADHD Developmental Trends by Age
•Symptoms of ADHD decline and change from childhood toadulthood
. 2005;115:1734-1746.Millstein et al. J Attention Disorder 1997.