How Does DSM-5 Differentiate Between ADHD Presentations? 

The ADHD presentation criteria in the DSM-5 distinguish between three primary types of ADHD: the Inattentive Presentation, the Hyperactive-Impulsive Presentation, and the Combined Presentation. Each presentation is characterised by a specific set of symptoms, which are used to make a diagnosis and guide treatment decisions. 

For the Inattentive Presentation, the DSM-5 focuses on diagnostic features such as difficulty maintaining attention, following instructions, and completing tasks. Individuals with this presentation may appear forgetful, easily distracted, or disorganised. In contrast, Hyperactive-Impulsive Presentation is characterised by symptoms like excessive movement, fidgeting, impulsivity, and difficulty staying seated or waiting for a turn. This presentation is more evident in situations that require sustained focus or self-control, such as in classrooms or social settings. 

The Combined Presentation includes both sets of symptoms, meaning the individual exhibits signs of inattention as well as hyperactivity and impulsivity. The DSM-5 ADHD presentation criteria require that at least six symptoms from each category be present for diagnosis. 

How It Helps 

The ADHD presentation criteria in the DSM-5 help clinicians make an accurate diagnosis by symptom comparison across the three presentations. This allows for tailored treatment plans that address the specific challenges of each individual, ensuring the most effective management of ADHD. By clearly differentiating between the presentations, the DSM-5 supports a comprehensive approach to diagnosing and treating ADHD. 

Visit providers like ADHD Certify for personal consultations and expert advice tailored to your needs.   

For a deeper dive into the science, diagnosis, and full treatment landscape, read our complete guide to DSM-5 Diagnostic Guidelines.  

Harriet Winslow, BSc

Author

Harriet Winslow is a clinical psychologist with a Bachelor’s in Clinical Psychology and extensive experience in behaviour therapy and developmental disorders. She has worked with children and adolescents with ADHD, autism spectrum disorder (ASD), learning disabilities, and behavioural challenges, providing individual and group therapy using evidence-based approaches such as CBT and DBT. Dr. Winslow has developed and implemented personalised treatment plans, conducted formal and informal assessments, and delivered crisis intervention for clients in need of urgent mental health care. Her expertise spans assessment, treatment planning, and behavioural intervention for both neurodevelopmental and mental health conditions.

All qualifications and professional experience stated above are authentic and verified by our editorial team. However, pseudonym and image likeness are used to protect the author's privacy.

Dr. Rebecca Fernandez, MBBS

Reviewer

Dr. Rebecca Fernandez is a UK-trained physician with an MBBS and experience in general surgery, cardiology, internal medicine, gynecology, intensive care, and emergency medicine. She has managed critically ill patients, stabilised acute trauma cases, and provided comprehensive inpatient and outpatient care. In psychiatry, Dr. Fernandez has worked with psychotic, mood, anxiety, and substance use disorders, applying evidence-based approaches such as CBT, ACT, and mindfulness-based therapies. Her skills span patient assessment, treatment planning, and the integration of digital health solutions to support mental well-being.

All qualifications and professional experience stated above are authentic and verified by our editorial team. However, pseudonym and image likeness are used to protect the reviewer's privacy.