DSM-5 ADHD criteria is flawed for various reasons: It overemphasizes attention deficits and doesn't focus enough executive function and self-regulation impairments. Current symptoms are also male-biased. Despite these flaws, clinicians can ensure more accurate diagnoses by following five recommendations during evaluations.
DSM-5 ADHD criteria is flawed for various reasons: It overemphasizes attention deficits and doesn’t focus enough executive function and self-regulation impairments. Current symptoms are also male-biased. Despite these flaws, clinicians can ensure more accurate diagnoses by following five recommendations during evaluations.diagnostic criteria adopted two years later were the most scientifically validated to date.
Its 18 symptoms were evenly divided into two lists: problems with inattention vs. problems with hyperactivity-impulsivity. To warrant a diagnosis, a patient had to exhibit at least six symptoms on either list, suffer impairment in one or more major life activities , and begin experiencing symptoms by age seven. Furthermore, the symptoms could not be better explained as those of another condition.’s rigor and diagnostic accuracy.
None of these clarifications arose out of prior research that tested them for their affiliation with ADHD, for their relationship to the root symptom they are supposed to clarify, for their accuracy in detecting ADHD, or for their relationship to impairment in major life activities. They were simply invented by committee members in a meeting.
Adding such new and untested symptoms may have broadened eligibility for the disorder by up to 6 percent in older teens and adults.So, until the status of these parenthetical clarifiers is better researched, clinicians would do best to ignore them in making a diagnosis of ADHD in a teen or an adult.Clinicians can ensure more accurate diagnoses and more appropriate care by following these five recommendations:has been viewed as a more prevalent ADHD symptom for the last 40 years.
Clients or their caregivers state that a child or teen has a high number of ADHD symptoms . Females with ADHD: An expert consensus statement taking a lifespan approach providing guidance for the identification and treatment of attention-deficit/ hyperactivity disorder in girls and women. BMC psychiatry, 20, 404. https://doi.org/10.1186/s12888-020-02707-9ADHD Is a Whole-Life Experience. The DSM Needs to Reflect That.
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