A. Either 1 or 2 |
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1. Six (or more) of the following symptoms of inattention have persisted for at least 6 months, to a degree that is maladaptive and inconsistent with developmental level: |
   a. Often fails to give close attention to details, or makes careless mistakes in schoolwork, work or other activities |
   b. Often has difficulty sustaining attention in tasks or play activities |
   c. Often does not seem to listen when spoken to directly |
   d. Often does not follow through on instructions, and fails to finish schoolwork, chores or workplace duties (not due to oppositional behavior or failure to understand instructions) |
   e. Often has difficulty organizing tasks and activities |
   f. Often avoids, dislikes or is reluctant to engage in tasks that require sustained mental effort (such as schoolwork or homework) |
   g. Often loses things necessary for tasks or activities (for example, toys, school assignments, pencils, books or tools) |
   h. Is often easily distracted by extraneous stimuli |
   i. Is often forgetful in daily activities |
2. Six (or more) of the following symptoms of hyperactivity/impulsivity have persisted for at least 6 months, to a degree that is maladaptive and inconsistent with developmental level: |
   a. Often fidgets with hands or feet or squirms in seat |
   b. Often leaves seat in classroom or in other situations in which remaining seated is expected |
   c. Often runs about or climbs excessively in situations in which it is inappropriate (in adolescents or adults, may be limited to subjective feelings of restlessness) |
   d. Often has difficulty playing or engaging in leisure activities quietly |
   e. Is often 'on the go' or often acts as if 'driven by a motor' |
   f. Often talks excessively |
   g. Often blurts out answers before questions have been completed |
   h. Often has difficulty awaiting turn |
   i. Often interrupts or intrudes on others (for example, butts into conversations or games) |
B. Some hyperactive-impulsive or inattentive symptoms that caused impairment were present before 7 years of age |
C. Some impairment from the symptoms is present in two or more settings (for example, at school/work or at home) |
D. There must be clear evidence of clinically significant impairment in social, academic or occupational functioning |
E. The symptoms do not occur exclusively during the course of a pervasive developmental disorder, schizophrenia or other psychotic disorder, and are not better accounted for by another mental disorder (or example,, mood disorder, anxiety disorder, dissociative disorder or personality disorder) |