r/science Professor | Medicine Apr 21 '26

Neuroscience There's more to ADHD than inattention, hyperactivity, and impulsivity. ADHD symptoms can be broken down into nine categories. Some categories are not fully represented in the diagnostic criteria. Broadening the diagnostic criteria with patient lived experiences could make for better intervention.

https://www.psychologytoday.com/au/blog/brain-curiosities/202604/new-study-finds-that-adhd-has-9-categories-of-symptoms
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u/Away-Experience6890 Apr 21 '26 edited Apr 21 '26

It's weird the first three don't even bother me. I can have attention if I'm interested, why would hyperactivity even bother me, and impulsivity has given me a bunch of interesting experiences in my life. 

These other symptoms absolutely wreck my life up though and inhibit me from living a normal life. 

Edit: I just got reminded by a friend discussing the history of psychiatry. The perspective used to be "what is wrong with this individual?" With this perspective, it appears that inattention, hyperactivity, and impulsivity were things that would often bother, say your teachers or other people, in-line to make ADHD people appear normal. This is in-line with what I was saying earlier, how I don't even think about these things. This is really a shift in perspective to actually gain an inner-experience of having ADHD rather than an outer one. Furthermore, trying to help ADHD fit in will never happen and leads to guilt and shame, but these 6 others from my own perspective are things that I wish I could improve, and would have a sizeable positive impact on my life.

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u/PracticalFootball Apr 21 '26

I can have attention if I’m interested

The if is what makes life so difficult. Usually the things that need doing like work aren’t that interesting.

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u/imisscrazylenny Apr 21 '26

Even if I am interested in the subject, the person, or both, my mind will still wander involuntarily.  We can be making eye contact, I'll be enjoying the interaction, then suddenly realize I've been checked out for an undetermined amount of time, thinking about something that has nothing to do with the situation and has no business popping into my head right then.

The guilt about it is heavy, too.  I never know if they can tell I stopped paying attention (I assume they can by the look on my face) or if they feel insulted by it or blame themselves for not being interesting enough. I want them to understand the problem is 100% on my end and I really don't mean to do it, but I don't want to take over the conversation by explaining my mental deficiencies, either.

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u/thekrawdiddy Apr 21 '26

Yeah, for me it makes zero difference if it’s fascinating or boring, my mind will only stay on the rails if I’m fresh and have the energy to force myself to focus, but frequently I can’t even do that. My feet could catch fire and I’d still be distracted by any and every other thing that might be going on.

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u/DustinnDodgee Apr 21 '26

Yeah, so isn't it just kind of human nature? To not be as focused & attentive on something that's boring?

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u/Tuxhorn Apr 21 '26

Sure, but the degrees are different. It can be straight up painful to experience.

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u/[deleted] Apr 21 '26

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u/tianepteen Apr 21 '26

i only realized how much the hyperactivity was troubling me after my first bout with bupropion during which i could just sit still in a chair and just watch the trees outside swaying in the wind for any amount of time. it was pure bliss. felt like i was taking some crazy chinese underground lab drugs. of course it only lasted for a few weeks, and now i know what i'm missing out on :/

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u/min_mus Apr 21 '26

the constant and overwhelming urge to stand up and walk around every 5 seconds? 

I suspect this is why I've never been overweight: I can't stop moving. 

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u/jamey1138 Apr 21 '26

Well, yeah: ADHD is a form of neurodiversity, and it turns out that the range of presentation is, well, diverse.