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David Baxter PhD

Late Founder
Diagnostic criteria for Attention-Deficit/Hyperactivity Disorder

A. Either (1) or (2):

  1. inattention: 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:
    • often fails to give close attention to details or makes careless mistakes in schoolwork, work, or other activities
    • often has difficulty sustaining attention in tasks or play activities
    • often does not seem to listen when spoken to directly
    • often does not follow through on instructions and fails to finish school work, chores, or duties in the workplace (not due to oppositional behavior or failure to understand instructions)
    • often has difficulty organizing tasks and activities
    • often avoids, dislikes, or is reluctant to engage in tasks that require sustained mental effort (such as schoolwork or homework)
    • often loses things necessary for tasks or activities (e.g., toys, school assignments, pencils, books, or tools)
    • is often easily distracted by extraneous stimuli
    • is often forgetful in daily activities
  2. hyperactivity-impulsivity: six (or more) of the following symptoms of hyperactivity-impulsivity have persisted for at least 6 months to a degree that is maladaptive and inconsistent with developmental level:

    Hyperactivity
    • often fidgets with hands or feet or squirms in seat
    • often leaves seat in classroom or in other situations in which remaining seated is expected
    • 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)
    • often has difficulty playing or engaging in leisure activities quietly
    • is often "on the go" or often acts as if "driven by a motor"
    • often talks excessively

    Impulsivity
    • often blurts out answers before questions have been completed
    • often has difficulty awaiting turn
    • often interrupts or intrudes on others (e.g., 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.g., Mood Disorder, Anxiety Disorder, Dissociative Disorders, or a Personality Disorder).

Code based on type:

  • 314.01 Attention-Deficit/Hyperactivity Disorder, Combined Type: if both Criteria A1 and A2 are met for the past 6 months
  • 314.00 Attention-Deficit/Hyperactivity Disorder, Predominantly Inattentive Type: if Criterion A1 is met but Criterion A2 is not met for the past 6 months
  • 314.01 Attention-Deficit/Hyperactivity Disorder, Predominantly Hyperactive-Impulsive Type: if Criterion A2 is met but Criterion A1 is not met for the past 6 months
 
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