After receiving a diagnosis of Attention Deficit Hyperactivity Disorder (ADHD), you may wonder what to do about it. In this article, Ability Central will address the following:

• How do I know if my doctor got the ADHD diagnosis right?
• What do the three types of ADHD mean for adults?
• What is ADHD Predominantly Inattentive Presentation?
• What is ADHD, Predominantly Hyperactive-Impulsive Presentation?
• What is ADHD Combined Presentation?
• What is my first step in treatment for adult ADHD?
• Where can I find more information about ADHD in adults?

How do I know if my doctor got the ADHD diagnosis right?

To rule out other conditions, a doctor may ask for tests, including:

• Hearing and eyesight
• Blood tests for lead levels and diseases such as thyroid disease
• A test to measure electrical activity in the brain
• A CT scan or MRI to check for brain abnormalities
• Brain wave tests

These tests help diagnose other medical conditions that mimic ADHD, but they do not diagnose ADHD. For an ADHD diagnosis, clinicians refer to the descriptions, symptoms and other criteria used in the most recent Diagnostic and Statistical Manual of Mental Disorders (DSM-5). 

What do the three types of ADHD mean for adults?

The American Psychiatric Association provides clinical guidelines for diagnosing ADHD in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). In making the diagnosis, adults should have at least five of the symptoms present. 

The DSM-5 lists three presentations of ADHD: Predominantly Inattentive, Hyperactive-Impulsive, and Combined. 

What is ADHD Predominantly Inattentive Presentation?

The nine symptoms associated with the predominantly inattentive presentation of ADHD are:

1. Trouble focusing on tasks
2. Does not pay close attention to details or makes careless mistakes at work or while doing other tasks.
3. Trouble organizing tasks or activities.
4. Is easily distracted.
5. Frequently does not follow through on instructions or fails to complete work assignments, chores, or other activities.
6. Often forgets to do routine chores.
7. Avoids tasks that require extended periods of mental focus.
8. Often loses items needed to complete tasks or activities.
9. Does not appear to be listening even when spoken to directly. 

People who have the inattentive type are usually less disruptive and active than those who have the predominantly hyperactive-impulsive type. They may be seen as lazy or apathetic. This is often far from the case. 

What is ADHD, Predominantly Hyperactive-Impulsive Presentation?

An adult with ADHD predominantly hyperactive-impulsive presentation may:

• Fidget with hands or feet or squirm in the chair
• Have difficulty remaining seated
• Have extreme restlessness
• Have difficulty engaging in activities quietly
• Feel like a motor drives them
• Talk excessively
• Answers before questions have been completed
• Lack patience 

The pattern of hyperactivity and impulsivity must be consistent across multiple settings. These behaviors result in disruption in social, occupational, and family settings and impair one’s functioning in these areas of life. 

What is ADHD Combined Presentation?

ADHD, Combined Presentation, is characterized by hyperactivity, impulsivity, and inattention. It may include any combination of the above behaviors.

What is my first step in treatment for adult ADHD?

Medication for ADHD often improves attention and concentration, but it often does little to help symptoms of disorganization, poor time management, forgetfulness, and procrastination. After diagnosis, adults with ADHD should check out the long-term support options available.

In addition, these simple life changes can help manage ADHD symptoms:

• Exercising regularly may improve concentration, motivation, memory, and mood.
• Improving the quality of your sleep can make a big difference in your attention, focus, and mood.
• Making healthy food choices, including planning and shopping for healthy meals, scheduling mealtimes, and keeping healthful, easy snacks on hand.

Where can I find more information about ADHD in adults?

For more information on ADHD in adults, see Ability Central’s library of resources, including:

• Attention Deficit Hyperactivity Disorder (ADHD) in Adults: 8 Quick Facts
• Attention Deficit Hyperactivity Disorder (ADHD) in Adults: Symptoms 
• Attention Deficit Hyperactivity Disorder (ADHD) in Adults: Support Options