ADHD Symptoms: Hyperactive vs. Inattentive

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ADHD Symptoms: Hyperactive Vs.

Inattentive

The stereotypical ADHD patient is a 9-year-old boy who loves to jump off dangerously high
things and never remembers to raise his hand in class. In reality, only a fraction of people
with ADHD fit this description. Children with hyperactive ADHD symptoms are difficult to
ignore — they are the ones bouncing out of their chairs or clowning behind the teacher’s
back, and are the first to be evaluated for and diagnosed with ADHD.

Meanwhile, the students with inattentive ADHD are quietly staring out the window at a bird
while their work lays unfinished. 

ADHD Symptoms in Children

The Diagnostic and Statistical Manual of Mental Disorders (DSM-V) lists nine symptoms that


suggest ADHD Primarily Inattentive, and nine that suggest ADHD Primarily Hyperactive-
Impulsive. A child may be diagnosed with ADHD only if he or she exhibits at least six of the
symptoms from one of the lists below, and if the symptoms have been noticeable for at
least six months in two or more settings — for example, at home and at school. What’s
more, the symptoms must interfere with the child’s functioning or development, and at
least some of the symptoms must have been apparent before age 123. Older teens may
need to demonstrate just five of these symptoms in multiple settings.

Symptoms of ADHD – Primarily Inattentive Type (ADD)

A person with this Inattentive ADHD (formerly called ADD) will exhibit six of these nine
symptoms:

 Often fails to give close attention to details or makes careless mistakes in


schoolwork, at work, or during other activities (e.g., overlooks or misses details,
turns in inaccurate work).
 Often has difficulty sustaining attention in tasks or play activities (e.g., has difficulty
remaining focused during lectures, conversations, or lengthy reading).
 Often does not seem to listen when spoken to directly (e.g., mind seems elsewhere,
even in the absence of any obvious distraction).
 Often does not follow through on instructions and fails to finish schoolwork, chores,
or duties in the workplace (e.g., starts tasks but quickly loses focus and is easily side-
tracked).
 Often has difficulty organizing tasks and activities (e.g., struggle to manage
sequential tasks, keep materials and belongings in order, organize work, manage
time, and meet deadlines).
 Often avoids, dislikes, or is reluctant to engage in tasks that require sustained mental
effort (e.g., schoolwork or homework; for older adolescents and adults, this may
include preparing reports, completing forms, reviewing lengthy papers).
 Often loses things necessary for tasks or activities (e.g., school materials, pencils,
books, tools, wallets, keys, paperwork, eyeglasses, mobile telephones).
 Is often easily distracted by extraneous stimuli (for older adolescents and adults, this
may include unrelated thoughts).
 Is often forgetful in daily activities (e.g., doing chores, running errands; for older
adolescents and adults, this may include returning calls, paying bills, keeping
appointments).
According to the National Institute of Mental Health (NIMH), inattentive symptoms are far
less likely to be recognized by parents, teachers, and medical professionals. As a result,
individuals with inattentive ADHD rarely get the treatment they need. This leads to
academic frustration, apathy, and undue shame that can last a lifetime.

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