A. Either 1) or 2): |
Inattention |
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: |
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 does not seem to listen when spoken to directly |
d) Often does not follow through on instructions and fails to finish schoolwork, chores, or duties in the workplace (not due to oppositional behavior or failure to understand instructions) |
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 schoolwork 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 6 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) Often has difficulty playing 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 (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 disorder, or a personality disorder) |