Are There Specific Interventions for Different ADHD Presentations in DSM-5? 

The DSM-5 recognises that ADHD can manifest in different ways, leading to the need for tailored ADHD interventions based on the presentation of the disorder. The three primary ADHD presentations arebinattentive, hyperactive-impulsive, and combined that require distinct approaches to treatment. 

For the inattentive presentation, interventions focus on improving attention, organisational skills, and reducing distractibility. Cognitive-behavioural therapy (CBT) is often employed, along with organisational training and strategies to improve focus. ADHD interventions for this type often involve creating structured environments to reduce distractions and improve task completion. 

For the hyperactive-impulsive presentation, interventions are aimed at managing impulsivity, improving self-regulation, and enhancing behaviour control. Behavioural strategies, such as positive reinforcement and impulse control techniques, are effective. Medications such as stimulants are often part of the DSM-5 treatments recommended for this presentation, as they help in regulating hyperactivity and impulsivity. 

The combined presentation requires a more comprehensive approach, addressing both inattention and hyperactivity-impulsivity. Interventions may include a mix of CBT, medication, and behaviour management techniques to address the full spectrum of symptoms. 

How It Helps 

By recognising the distinct presentations of ADHD, the DSM-5 encourages customised care based on the symptom type. This allows clinicians to implement targeted ADHD interventions that are more effective, leading to better symptom management and improved outcomes for individuals with 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.