Types

There are three different types of ADHD, depending on which types of symptoms are strongest in the individual:

  • Predominantly Inattentive Presentation: It is hard for the individual to organize or finish a task, to pay attention to details, or to follow instructions or conversations. The person is easily distracted or forgets details of daily routines.
  • Predominantly Hyperactive-Impulsive Presentation: The person fidgets and talks a lot. It is hard to sit still for long (e.g., for a meal or while doing homework). Smaller children may run, jump or climb constantly. The individual feels restless and has trouble with impulsivity. Someone who is impulsive may interrupt others a lot, grab things from people, or speak at inappropriate times. It is hard for the person to wait their turn or listen to directions. A person with impulsiveness may have more accidents and injuries than others.
  • Combined Presentation: Symptoms of the above two types are equally present in the person.

ADHD is one of the most common neurodevelopmental disorders of childhood. It is usually first diagnosed in childhood and often lasts into adulthood. Children with ADHD may have trouble paying attention, controlling impulsive behaviors (may act without thinking about what the result will be), or be overly active.[1]

Symptoms

Because symptoms can change over time, the presentation may change over time as well.

People with ADHD show an ongoing pattern of three different types of symptoms:

  • Difficulty paying attention (inattention)
  • Being overactive (hyperactivity)
  • Acting without thinking (impulsivity)

These symptoms get in the way of functioning or development. People who have ADHD have combinations of these symptoms:

  • Overlook or miss details, make careless mistakes in schoolwork, at work, or during other activities.
  • Have problems sustaining attention in tasks or play, including conversations, lectures, or lengthy reading.
  • Seem to not listen when spoken to directly.
  • Fail to not follow through on instructions, fail to finish schoolwork, chores, or duties in the workplace, or start tasks but quickly lose focus and get easily sidetracked.
  • Have problems organizing tasks and activities, such as doing tasks in sequence, keeping materials and belongings in order, keeping work organized, managing time, and meeting deadlines.
  • Avoid or dislike tasks that require sustained mental effort, such as schoolwork or homework, or for teens and older adults, preparing reports, completing forms, or reviewing lengthy papers.
  • Lose things necessary for tasks or activities, such as school supplies, pencils, books, tools, wallets, keys, paperwork, eyeglasses, and cell phones
    Become easily distracted by unrelated thoughts or stimuli.
  • Forgetful in daily activities, such as chores, errands, returning calls, and keeping appointments