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DSM -5 DIAGNOSTIC CRITERIA

For children <17 years, the DSM-5 diagnosis of ADHD requires ≥6 symptoms out of 9 of hyperactivity and impulsivity or ≥6 out of 9 symptoms of inattention. The symptoms of hyperactivity/impulsivity or inattention must:

  • Occur often
  • Be present in more than one setting (e.g., school and home); present across settings
  • Persist for at least six months; not just situational
  • e present before the age of 12 years
  • Impair function in academic, social, or occupational activities
  • Be excessive for the developmental level of the child
  • In addition, other physical, situational, or mental health conditions that could account for the symptoms must be excluded.

Inattention

  1. Failure to provide close attention to detail, making careless mistakes
  2. Difficulty maintaining attention in play, school, or home activities
  3. Seems not to listen, even when directly addressed
  4. Fails to follow through (e.g., homework, chores, etc)
  5. Difficulty organizing tasks, activities, and belongings
  6. Avoids tasks that require consistent mental effort
  7. Loses objects required for tasks or activities (e.g., schoolbooks, sports equipment, etc)
  8. Easily distracted by irrelevant stimuli
  9. Forgetfulness in routine activities (e.g., homework, chores, etc)

Hyperactivity

  1. Excessive fidgetiness (e.g., tapping the hands or feet, squirming in seat)
  2. Difficulty remaining seated when sitting is required (e.g., at school, work)
  3. Feelings of restlessness (in adolescents) or inappropriate running around or climbing in younger children
  4. Difficulty playing quietly
  5. Difficult to keep up with, seeming to always be “on the go”

Impulsivity

  1. Excessive talking, limited airtime for others
  2. Difficulty waiting turns
  3. Blurting out answers too quickly or calling out
  4. Interrupting or intruding other conversations