ADD vs. ADHD: Understanding Your Symptoms and Finding Your Path

8 min read 2023 Aug 23

The terms attention deficit disorder (ADD) and attention deficit hyperactivity disorder (ADHD) are often used interchangeably, but there’s a catch – they mean almost the same thing.

Both acronyms represent a complex neurodevelopmental condition ADHD, though ADD is used to define inattentive ADHD.

In this comprehensive guide, we’ll delve into the nuances of the disorders, analyze ADHD vs. ADD, highlighting their differences, subtypes, symptoms, diagnosis based on the Diagnostic and Statistical Manual of Mental Disorders, and practical strategies for managing daily life.

Defining ADD and ADHD: clarity beyond acronyms

Before we get into the specifics, let’s get the terminology straight. ADHD is the umbrella term that encompasses a variety of presentations, including inattentive, hyperactive-impulsive, and combined types of ADHD.

On the other hand, ADD is not a term used in the medical community. The term was previously used to refer specifically to the inattentive type of ADHD.

However, in current medical terminology, ADD has been replaced by the broader term ADHD. This is due to updated diagnostic criteria – many individuals with inattentive ADHD also have internalized hyperactive symptoms.

What is ADHD?

Shortly, attention deficit hyperactivity disorder, or ADHD, is a neurodevelopmental disorder characterized by persistent patterns of inattention, impulsivity, and hyperactivity that interfere with daily functioning.

It affects individuals of all ages, genders, and races and can manifest in various ways. ADHD symptoms can create challenges in school, work, relationships, and overall well-being, especially if left untreated.

The confusion between ADD and ADHD

The confusion between ADD and ADHD arises from historical terminology shifts and the complexity of the condition.

The term ADHD refers to attention deficit hyperactivity disorder, while ADD – attention deficit disorder.

In the past, ADD was used to describe individuals who primarily struggled with attention-related symptoms, such as forgetfulness, lack of attention, and other difficulties with concentration.

However, modern diagnostic classifications no longer clearly distinguish between ADD and ADHD, ruling ADD as an outdated term.

Hence, using ADD and ADHD interchangeably nowadays is incorrect – it’s not ADD vs. ADHD, but rather ADHD as an umbrella term for inattentive and hyperactive-impulsive types. ADD, previously used to describe inattentive type ADHD, is considered an outdated term.

Unpacking ADHD subtypes

Attention deficit hyperactivity disorder, as the name suggests, primarily causes issues with hyperactivity and attention.

However, most likely based on genetics and environmental factors to which a person with ADHD has been exposed, the disorder manifests in three primary subtypes: inattentive (formerly known as attention deficit disorder, or ADD), hyperactive-impulsive, and combined.

Each subtype has distinct characteristics and symptom profiles, but all fall under the umbrella term ADHD.

Inattentive ADHD: when focus falters

Individuals with inattentive ADHD struggle primarily with maintaining focus and sustaining attention. They might not be as hyperactive or impulsive, but research shows these symptoms can be internalized and manifest as anxiety, especially in women.

People with inattentive type ADHD may appear dreamy, as if living in their own world, forgetful, and disorganized. Tasks that require prolonged mental effort and sustained concentration can become particularly challenging.

School or work assignments may often go unfinished due to difficulty focusing on details.

Hyperactive-impulsive ADHD: energy uncontained

High energy levels, impulsive actions, and difficulties in self-regulation characterize hyperactive-impulsive ADHD.

People with this subtype may find it challenging to sit still, feel the need to constantly fidget, tap their feet, or play with hair or other objects.

Impulsivity can lead to hasty decisions and a tendency to blurt out thoughts without considering consequences.

Combined type ADHD: a mixed presentation

Combined type is the most common presentation, where individuals experience a combination of inattentive, hyperactive, and impulsive symptoms.

They struggle with focus, exhibit restlessness, and engage in impulsive behaviors. This combination of symptoms can significantly impact various areas of their lives, from academic performance to social interactions.

Recognizing the symptoms: a guide to self-identification

Recognizing the symptoms of ADHD despite its type is the first step toward understanding and managing the condition.

While attention deficit hyperactivity disorder cannot be cured, the American Psychiatric Association (APA) suggests that both hyperactive and inattentive ADHD can be effectively managed in both children and adults.

The most common approach to treating ADHD is a combination of behavioral therapy and medication. However, to find the best treatment, it’s vital to properly evaluate individual symptoms and look at any possible comorbidities that often accompany ADHD.

Here are the primary symptoms of each ADHD type:

Symptoms of inattentive ADHD

Predominantly inattentive presentation of ADHD can include:

  • Difficulty sustaining attention
  • Making careless mistakes
  • Being forgetful in daily activities
  • Struggling with organization

Individuals might also frequently lose important items or appear to be daydreaming during conversations.

Symptoms of hyperactive-impulsive ADHD

Hyperactive-Impulsive ADHD symptoms often manifest as:

  • Constant restlessness
  • Impulsivity
  • Difficulty waiting for turns
  • Interrupting conversations

These individuals may struggle with following instructions and engaging in tasks that require sustained focus. People with predominantly hyperactive-impulsive presentations can often feel bored.

Symptoms of the combined type ADHD

Combined type ADHD combines both hyperactive-impulsive and inattentive symptoms.

People with this type of ADHD may struggle with a broad range of challenges, from forgetfulness to impulsivity, making daily tasks and responsibilities particularly demanding.

Research suggests that combined type ADHD is the most prevalent type, being 62% of all adult ADHD cases.
An infographic comparing ADD vs ADHD manifestations

Getting a diagnosis: how is ADHD identified?

While many people live their whole lives with undiagnosed attention deficit hyperactivity disorder, seeking a professional diagnosis can benefit some.

If attention deficit disorder impairs your daily functioning and other areas of life, it’s crucial to reach out to mental health professionals to diagnose ADHD or other mental disorders.

A mental health professional can provide a personal treatment plan and prescribe ADHD medications, if necessary, to help you manage this disorder effectively.

Professional diagnosis

A mental health professional, often a psychiatrist or psychologist, evaluates an individual’s symptoms, medical history, and behavior patterns to determine if ADHD is present.

Observations from different settings, such as home and school, are essential for an accurate assessment.

Diagnostic criteria for ADHD

The Diagnostic and Statistical Manual of Mental Disorders (DSM-5) created by the American Psychiatric Association (APA) outlines the criteria for diagnosing ADHD.

These criteria include specific signs that must be present for a particular duration and degree of impairment, such as the following symptoms:

  1. Six or more symptoms of inattention. These could be: not paying attention to details, making careless mistakes, difficulty maintaining attention in tasks, disinterest when spoken to, forgetfulness in daily activities, and being easily distracted by external stimuli.
  2. Six or more symptoms of hyperactivity-impulsivity. For example, trouble waiting for one’s turn to act or speak, trouble listening to and paying attention to directions, talking excessively, fidgeting, and difficulty staying still.
  3. Symptoms across multiple settings. To rule out situational factors, the inattentive symptoms should be present in two or more settings, such as home, school, or work.
  4. Symptoms interfere with functioning. The inattentiveness must lead to impairment in academic, occupational, social, or day-to-day activities, affecting the person’s ability to meet their potential.

Inattention symptoms are crucial when diagnosing the predominantly inattentive type of ADHD, while hyperactivity-impulsivity is studied when diagnosing the predominantly hyperactive-impulsive type.

In the case of combined presentation ADHD, the hyperactivity component is analyzed alongside inattentiveness.

Living with ADHD: practical coping strategies

Living with ADHD presents challenges, but practical strategies can help individuals manage their symptoms and thrive.

The strategies may vary based on the individual’s age, personality traits, attention deficit hyperactivity disorder (ADHD) type, severity of symptoms, and general mental health condition.

Centers for Disease Control and Prevention (CDC) advises using the criteria defined in the

Diagnostic and Statistical Manual (DSM-5) by the American Psychiatric Association (APA) to manage the inattentive type ADHD successfully.

Strategies for children and teens

A child’s symptoms might differ from those in adults, as certain behaviors are learned with age.

Child psychologists at the Centers for Disease Control and Prevention suggest doing parent training in behavior management for parents of preschool children with ADHD.

  • Monitoring a child’s behavior, identifying potential risks and challenges, and applying reward systems for positive behavior in classroom settings and at home.
  • Children and teenagers with ADHD can benefit from structured routines, clear expectations, and positive reinforcement (behavioral interventions). Teaching organizational skills and encouraging self-awareness can empower them to navigate academic and social demands.

If behavioral management does not provide wanted results, healthcare professionals can administer medication for children with ADHD to help cope with inattentive and hyperactive-impulsive type of ADHD.

Strategies for adults

Adults with an inattentive type of ADHD can benefit from adopting various strategies and tools to counteract attention deficit disorder (ADD) symptoms.

  • Creating to-do lists. People with predominantly inattentive presentations tend to struggle with the organization of tasks. A visible list of activities can help you remember, prioritize, and stay concentrated.
  • Setting reminders. Inattentive type ADHD makes individuals lose focus, especially on tedious tasks. Scheduled reminders, such as calendar events, can help with remembering and paying attention to the tasks at hand.
  • Breaking tasks into smaller steps. Those with a predominantly inattentive type can become overwhelmed by many assignments due to the inability to concentrate. To simplify the process of work, break tasks into smaller projects. This can help maintain productivity and prevent getting easily distracted.

Additionally, organizational tools, healthy coping techniques, time management techniques, virtual assistants or apps, like Sensa, and seeking help from medical professionals can aid in managing responsibilities and achieving personal and career goals.

While the inattentive type can be successfully managed with behavior therapy, some people might need additional assistance. Mental health specialists can prescribe stimulant or non-stimulant drugs to improve focus and reduce distractibility.

Understanding and navigating your ADHD journey

Understanding the nuances of ADHD, its inattentive presentation, and other subtypes empowers individuals to embark on self-discovery and effective ADHD management.

By recognizing symptoms in their own or their child’s behavior, seeking professional guidance, and adopting tailored strategies, individuals can begin to treat their ADHD and navigate their way to a full and productive life.

With the right tools and support, both adults and children with ADHD can transform mishaps into opportunities for growth and personal development.

Psychiatrist and Sensa consultant dr. Monisha Vasa Psychiatrist and Sensa consultant dr. Monisha Vasa

Dr. Monisha Vasa is a board-certified psychiatrist and wellness consultant with a thriving private practice in Newport Beach, California. She’s actively engaged in supporting physician mental health at UC Irvine and City of Hope National Cancer Center. As a co-founder of Sustainable Caring, she’s dedicated to preventing burnout among carers, and she promotes mindfulness and creativity through her work with InWord and her podcast, “More Happiness, Less Suffering”. Dr. Vasa is also an accomplished author, with her latest book, SALVE: Words for the Journey, encapsulating her introspective journey.

She is deeply committed to promoting mental health, personal wellbeing, and mindfulness in both her professional and personal life.

Ready to manage your ADHD?

Answer a quick quiz to discover which ADHD-management approach works for you