How Are Treatment Approaches Influenced by ADHD Presentations as Per DSM-5? 

The ADHD treatment presentation plays a significant role in shaping the approach to managing the condition. The DSM-5 categorises ADHD into three primary presentations: Inattentive, Hyperactive-Impulsive, and Combined. Each presentation comes with its own set of challenges, and understanding which one an individual has is key to selecting the most effective treatment. 

For individuals with the Inattentive Presentation, the primary concern is difficulty with focus, organisation, and memory. Custom treatment for these individuals may focus on strategies to improve attention, such as cognitive behavioural therapy (CBT) or specific organisational skills training, often combined with medications like stimulants to enhance focus. 

In contrast, those with the Hyperactive-Impulsive Presentation may benefit from interventions aimed at managing impulsivity and hyperactivity. This might include behavioural therapies that help regulate emotions and control impulsive behaviours, alongside medications that address hyperactivity, such as stimulants or non-stimulant options like atomoxetine. 

For individuals with the Combined Presentation, a more holistic treatment approach is required, targeting both inattentive and hyperactive-impulsive symptoms. This may involve a mix of behavioural therapy, psychoeducation, and a combination of medications to address both symptom types effectively. 

How It Helps 

Recognising the specific ADHD treatment presentation is crucial for tailoring interventions. By focusing on the symptom type, clinicians can provide custom treatment plans that directly address the individual’s unique challenges, leading to better symptom management and improved daily functioning. 

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.