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What are the DSM-5 criteria for impulsivity in ADHD? 

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Updated
ByMy Patient Advice
Author: Avery Lombardi, MSc | Reviewed by: Dr. Rebecca Fernandez, MBBS

ADHD impulsivity is one of the key symptoms used to diagnose attention deficit hyperactivity disorder (ADHD), but how is it officially recognised? The DSM-5 criteria (Diagnostic and Statistical Manual of Mental Disorders, 5th Edition) outlines specific guidelines that help healthcare professionals identify impulsivity in ADHD. Understanding these criteria can provide clarity on what impulsivity looks like and how it fits into the broader picture of ADHD. 

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DSM-5 Criteria for Impulsivity in ADHD 

The DSM-5 criteria for ADHD describe impulsivity as one of the core symptoms, alongside inattention and hyperactivity. To meet the diagnostic guidelines for ADHD impulsivity, individuals must demonstrate behaviours that consistently reflect a lack of impulse control, resulting in hasty actions without forethought.  

Below are some of the key behaviours outlined in the DSM-5 criteria: 

Difficulty Waiting for One’s Turn 

An individual with ADHD may struggle to wait patiently in situations where taking turns is required. This might be evident in classroom settings, social events, or even at home, where waiting can lead to frustration or disruption. 

Interrupting or Intruding on Others 

ADHD impulsivity includes interrupting conversations, intruding on others’ activities, or finishing people’s sentences. This behaviour often occurs due to an inability to pause and consider when it’s the right moment to speak. 

Acting Without Thinking 

The diagnostic guidelines also highlight that individuals with ADHD might make decisions or act impulsively without considering the consequences. This could include risky behaviours, financial overspending, or making commitments without thinking through the outcomes. 

In conclusion, the DSM-5 criteria for ADHD impulsivity focus on behaviours that demonstrate a consistent pattern of acting without thinking. Recognising these traits is essential for an accurate diagnosis and understanding of ADHD. 

Visit providers like ADHD Certify for personal consultations and expert guidance tailored to your unique situation. 

For a deeper dive into the science, diagnosis, and full treatment landscape, read our complete guide to Impulsivity in ADHD. 

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Avery Lombardi, MSc
Author

Avery Lombardi is a clinical psychologist with a Master’s in Clinical Psychology and a Bachelor’s in Psychology. She has professional experience in psychological assessment, evidence-based therapy, and research, working with both child and adult populations. Avery has provided clinical services in hospital, educational, and community settings, delivering interventions such as CBT, DBT, and tailored treatment plans for conditions including anxiety, depression, and developmental disorders. She has also contributed to research on self-stigma, self-esteem, and medication adherence in psychotic patients, and has created educational content on ADHD, treatment options, and daily coping strategies.

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. 

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