Combined ADHD vs Hyperactive-Impulsive ADHD: The Complete Guide 

There are three recognised types of ADHD, and it can be confusing to understand which type applies to you or your child. This brief comparison on combined ADHD vs hyperactive-impulsive ADHD highlights the need for clarity and provides guidance for further exploration. If you would like a full breakdown on each subtype, see our dedicated articles on Combined and Hyperactive-Impulsive ADHD

What Is Combined ADHD? 

Combined ADHD involves both inattentive and hyperactive-impulsive traits in roughly equal measure. In both adults and children, it is the most frequently diagnosed subtype. It may involve challenges with task organisation and tendencies such as fidgeting or interrupting others. See our full article on Combined ADHD for a more comprehensive overview. 

What Is Hyperactive-Impulsive ADHD? 

Hyperactive-impulsive ADHD is dominated by strong symptoms of hyperactivity and impulsivity, with little to no inattentive traits. Children who are constantly active or struggle to wait their turn are more likely to be diagnosed with this type. See our comprehensive guide on Hyperactive-Impulsive ADHD for a detailed examination of this subtype. 

Key Differences between the Two 

Here is how combined ADHD vs hyperactive-impulsive ADHD compare briefly: 

Feature	Combined ADHD	Hyperactive‑Impulsive ADHD
Symptom Balance	Mix of inattention and hyperactivity/impulsivity	Predominantly hyperactivity/impulsivity
Age of Onset	Often noticed in school years or adulthood	Often diagnosed in early childhood
Visibility	Some symptoms less obvious, like daydreaming	More visibly hyperactive behaviours, such as running or climbing excessively
Diagnosis & Treatment	See full Combined ADHD guide	See full Hyperactive-Impulsive ADHD guide

To explore further differences or learn about diagnosis and treatment, visit our in-depth articles linked above. 

Similarities to Be Aware Of 

Despite their differences, both types share significant similarities. Children and adults alike may struggle with emotional regulation, maintaining focus, and both internal and physical restlessness. When considering support strategies and reaching the correct diagnosis, these overlaps are crucial. 

Not Sure What Type You Have? 

If you are still unsure, you’re not alone. The journey to clarity often begins with self-assessment. Take a free ADHD self‑assessment to start understanding your symptoms 
Whether you’re considering an NHS referral or private ADHD diagnosis, professional input helps translate a self-report into a clear picture. 

Final Thoughts 

Although ADHD is a lifelong condition, both subtypes are manageable with the right support, whether through therapy, medication, or accommodations at school or work. Whether you are investigating Hyperactive Impulsive ADHD or Combined ADHD, awareness comes first. Explore our full-length articles on both subtypes to learn more and consider starting with a self-assessment today. If you find this guide helpful, we invite you to read our full-length guides on Combined ADHD and Hyperactive-Impulsive ADHD