73 a Often fidgets with or taps hands or feet or squirms in seat b Often leaves

73 a often fidgets with or taps hands or feet or

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a. Often fidgets with or taps hands or feet or squirms in seat. b. Often leaves seat in situations when remaining seated is expected ( e.g., leaves his or her place in the classroom, office or other workplace, or in other situations that require remaining seated ). c. Often runs about or climbs in situations where it is inappropriate. ( Note: In adolescents or adults, may be limited to feeling restless ). d. Often unable to play or engage in leisure activities quietly. e. Is often “on the go,” acting as if “driven by a motor” (e.g., is unable or uncomfortable being still for an extended time, as in restaurants, meetings; may be experienced by others as being restless and difficult to keep up with ). f. Often talks excessively. g. Often blurts out an answer before a question has been completed ( e.g., completes people’s sentences and “jumps the gun” in conversations, cannot wait for next turn in conversation ). h. Often has difficulty waiting his or her turn ( e.g., while waiting in line ). i. Often interrupts or intrudes on others (e.g., butts into conversations, games, or activities; may start using other people’s things without asking or receiving permission; for adolescents and adults, may intrude into or take over what others are doing). Criterion B Age of onset Several inattentive or hyperactive-impulsive symptoms were present prior to age 12. Onset of impairing symptoms before age 7 has been changed to onset of symptoms before age 12 74
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Criterion C Cross-situational breadth Several inattentive or hyperactive-impulsive symptoms are present in two or more settings (e.g., at home, school or work, with friends or relatives, or in other activities). This criterion has been made more stringent, changing from “some impairment…is present” in DSM-IV to “several…symptoms are present” in DSM-5 Criterion D Impairment There is clear evidence that the symptoms interfere with or reduce the quality of, social, academic, or occupational functioning. No major changes Criterion E Exclusionary diagnoses The symptoms do not occur exclusively during the course of schizophrenia or another psychotic disorder and are not better accounted for by another mental disorder (e.g., mood disorder, anxiety disorder, dissociative disorder, personality disorder, substance intoxication or withdrawal). A comorbid diagnosis with Autism Spectrum Disorders is now allowed in the DSM-5 (previously in DSM-IV, Pervasive Developmental Disorder, which is now part of Autism Spectrum Disorder, was not allowed) Specifiers Specify Based on Current Presentation: Combined Presentation: If both Criterion A1 (Inattention) and Criterion A2 (Hyperactivity-Impulsivity) are met for the past 6 months. Predominantly Inattentive Presentation: If Criterion A1 (Inattention) is met but Criterion A2 (Hyperactivity- Impulsivity) is not met for the past 6 months. Predominantly Hyperactive/Impulsive Presentation: If Criterion A2 (Hyperactivity-Impulsivity) is met and Criterion A1 (Inattention) is not met for the past 6 months.
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