
384- Focus on Inattentive ADHD: The Under-Diagnosed and Under-Treated Subtype
27 snips
Jan 12, 2022 AI Snips
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Episode notes
ADHD Presentations Can Shift Over Time
- DSM-5 uses 'presentations' not fixed subtypes because ADHD symptom profiles change over time.
- Predominantly inattentive (PI) requires 6/9 child symptoms (5/9 for adults) plus fewer hyperactive-impulsive signs.
Inattention vs Hyperactivity: Different Impacts
- Inattention mainly drives academic underachievement and passive social behavior.
- Hyperactive-impulsive symptoms cause more overt social disruption and externalizing problems.
Sluggish Cognitive Tempo Is Distinct But Treatable
- Sluggish cognitive tempo (SCT) — daydreaminess and slow processing — appears more in PI presentations.
- SCT increases executive dysfunction but can respond to stimulant medication in adults.
