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How Many Symptoms Are Required for an ADHD Diagnosis in Children per DSM-5? 

According to the DSM-5 checklist, an ADHD child diagnosis requires a specific number of symptoms from two main categories: inattention and hyperactivity-impulsivity. For children aged 16 and under, at least six symptoms must be present in one or both categories. These symptoms should persist for at least six months and cause significant impairment in at least two settings, such as at home, school, or in social situations. 

In the child symptoms category, inattention symptoms can include difficulty sustaining attention in tasks, forgetfulness, or being easily distracted. For hyperactivity-impulsivity, symptoms include fidgeting, difficulty staying seated, and excessive talking or interrupting others. 

To meet the criteria for an ADHD child diagnosis, the symptoms must be inconsistent with the child’s developmental level and must result in significant difficulties in their academic, social, or daily functioning. Additionally, symptoms must not be better explained by another mental health condition. 

How It Helps 

The DSM-5 checklist ensures that ADHD is diagnosed consistently and accurately. By identifying at least six symptoms, healthcare providers can confirm an ADHD child diagnosis, allowing for targeted treatment plans that address the specific needs of the child. This helps in improving behavioural management and supporting the child’s development. 

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 - My patient advice author - mypatientadvice.co.uk

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, author and a reviewer for my patient advice - mypatientadvice.co.uk

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.