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DSM-IV Diagnostic Criteria for Attention Deficit Disorders
CRITERIA:
Attention-deficit/Hyperactivity Disorder
A. Either (1) or (2)
(1) six (or more) of the following symptoms of inattention have persisted for at least 6 months to a degree
that is maladaptive and inconsistent with developmental level:
INATTENTION:
(a) often fails to give close attention to details or makes careless mistakes in schoolwork, work, or other
activities
(b) often has difficulty sustaining attention in tasks or play activities
(c) often doe snot seem to listen when spoken to directly
(d) often does not follow through on directions and fails to finish school work, chores, or duties in the
workplace (not due to oppositional behavior or failure to understand directions)
(e) often has difficulty organizing tasks and activities
(f) often avoids, dislikes, or is reluctant to engage in tasks that require sustained mental effort (such as
school work or homework)
(g) often loses things necessary for tasks or activities (e.g., toys, school assignments, pencils,
books, or tools)
(h) is often easily distracted by extraneous stimuli
(i) is often forgetful in daily activities
(2) 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:
(a) often fidgets with hands or feet or squirms in seat
(b) often leaves seat in classroom or in other situations in which remaining seated is expected
(c) 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)
(d) ofen has difficulty planing or engaging in leisure activities quietly
(e) is often "on the go" or often acts as if "driven by a motor"
(f) often talks excessively
IMPULSIVITY:
(g) often blurts out answers before questions have been completed
(h) often has difficulty awaiting turn
(i) often interrupts or intrudes on others (i.e., butts into conversations or games)
B. Some hyperactive-impulsive or inattentive symptoms that caused impairment were present before
age 7 years.
C. Some impairment from the symptoms is present in two or more settings (e.g., at school or work and at home)
D. There must be clear evidence of clinically significant impairment in social, academic, or
occupational functioning.
E. The symptoms do not occur exclusively during the course of a Pervasive Developmental Disorder,
Schizophrenia, or other Psychotic Disorder, and are not better accounted for by another mental disorder
(e.d., Mood Disorder, Anxiety Disorder, Dissociative Disorder, or a Personality disorder).
POSSIBLE DIAGNOSIS:
314.01 Attention-deficit/Hyperactivity Disorder, Combined Type: if both criteria A(1) and A(2) are
met for the past
six months.
314.00 Attention-deficit/Hyperactivity Disorder. Predominately Inattentive Type: if criterion A(1) is
met but criterion A(2) is not
met for the past six months.
[Formerly called Undifferentiated ADD or ADD without hyperactivity)
314.01 Attention-deficit/Hyperactivity Disorder. Predominately Hyperactive-Impulsive Type:
if criterion A(2) is met but criterion
A(1) is not met for the past six months.
314.9 Attention-deficit/Hyperactivity Disorder Not Otherwise Specified: This category is for
disorders with prominent symptoms of inattention or hyperactivity-impulsivity that do not
meet criteria for Attention-deficit/Hyperactivity Disorder.
understanding this disorder.
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