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DSM-5 Is A Useful But Incomplete Map
- The DSM-5 gives a technical, checklist-style definition but doesn't tell the whole story of ADHD.
- ADHD is dynamic over time, so 'presentation' replaced 'subtype' to reflect developmental change.
Diagnosis Requires Thresholds And Context
- Diagnosis requires a threshold number of symptoms present for six months and earlier history dating to childhood.
- Symptoms must appear across multiple settings and be developmentally inappropriate for age.
Check Onset Age And Multiple Settings
- Look for symptom onset before puberty (DSM now uses age 12 instead of 7) when seeking diagnosis.
- Ensure symptoms are present in multiple areas like work, home, or school to support clinical assessment.