Reference
Guide | Reference

72  ADHD Pattern Prototype

72.1 Summary

  • A pattern of persistent inattention and/or hyperactivity-impulsivity across settings with functional impairment.

72.2 Prototype Features

  • Difficulty sustaining attention or organization.
  • Impulsivity, restlessness, or distractibility.
  • Symptoms present across settings and over time.

72.3 Threshold Guidance

  • Use when attention/executive difficulties are longstanding and impairing.

72.4 Expected Domain Profile

  • Cognitive Control and Executive Function: moderate to high.
  • Arousal, Sleep, and Circadian Regulation: variable.

72.5 Time-Course and Trajectory

  • Early-onset with persistent course.
  • Fluctuates with environmental demands.

72.6 Differential and Red Flags

  • Sleep deprivation or circadian disruption.
  • Mood or anxiety-driven inattention.
  • Substance effects.

72.7 Specifiers (treatment-relevant, non-prescriptive)

  • Course/time pattern (early-onset, persistent).
  • Contributors (sleep loss, stress, environment mismatch).
  • Risk modifiers (impulsivity, accidents).

72.8 Measurement Prompts

  • Attention rating scales.
  • Collateral reports across settings.

72.10 Documentation Snippet (1-2 lines)

  • “Longstanding inattention with organization problems across settings; Cognitive Control 3; persistent course.”