ADHD Experts Podcast

384- Focus on Inattentive ADHD: The Under-Diagnosed and Under-Treated Subtype

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Jan 12, 2022
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INSIGHT

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.
INSIGHT

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.
INSIGHT

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.
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