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Psychiatrist Template

ADHD DSM-5 Criteria

A professional Psychiatrist template for healthcare professionals.
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Specialty

Psychiatrist

Used

2278 times

Type

Document

Last edited

6/11/2025

Created by

Kieran McLeod

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About this template

This ADHD DSM-5 Criteria template is designed for psychiatrists, psychologists and mental health practitioners to accurately diagnose ADHD in patients. The template includes detailed criteria for both Inattentive and Hyperactive/Impulsive types, with specific symptoms and related quotations from patient transcripts. It ensures that all necessary diagnostic requirements are met, including symptom duration and impact on functioning. This template is essential for clinicians to make a precise ADHD diagnosis and classify the type and severity of the disorder. Ideal for use in psychiatric evaluations, this template streamlines the diagnostic process and ensures comprehensive documentation.

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DSM-5 ADHD Diagnosis Criteria Form Inattentive Type Diagnosis Criteria: - [x] Displays poor listening skills Quotations: "I often have to repeat myself when talking to him." - [x] Loses and/or misplaces items needed to complete activities or tasks Quotations: "He frequently loses his school supplies." - [x] Sidetracked by external or unimportant stimuli Quotations: "He gets distracted by the smallest things." - [x] Forgets daily activities Quotations: "He often forgets to do his chores." - [x] Diminished attention span Quotations: "He can't focus on his homework for more than a few minutes." - [x] Lacks ability to complete schoolwork and other assignments or to follow instructions Quotations: "He rarely finishes his assignments on time." - [x] Avoids or is disinclined to begin homework or activities requiring concentration Quotations: "He always puts off starting his homework." - [ ] Fails to focus on details and/or makes thoughtless mistakes in schoolwork or assignments Quotations: not mentioned in transcript Inattentive Type Diagnosis Criteria met: yes Hyperactive/Impulsive Type Diagnosis Criteria: Hyperactivity Symptoms: - [] Squirms when seated or fidgets with feet/hands Quotations: not mentioned in transcript - [x] Marked restlessness that is difficult to control Quotations: "He is always moving around." - [x] Appears to be driven by “a motor” or is often “on the go” Quotations: "He seems like he has endless energy." - [x] Lacks ability to play and engage in leisure activities in a quiet manner Quotations: "He can't play quietly." - [ ] Incapable of staying seated in class Quotations: not mentioned in transcript - [x] Overly talkative Quotations: "He talks non-stop." Impulsive Symptoms: - [x] Difficulty waiting turn Quotations: "He can't wait for his turn in games." - [x] Interrupts or intrudes into conversations and activities of others Quotations: "He often interrupts others." - [x] Impulsively blurts out answers before questions completed Quotations: "He answers questions before they are finished." Hyperactive/Impulsive Type Diagnosis Criteria met: yes Additional Requirements for Diagnosis (all must be met): - [x] Symptoms present prior to age 12 years Quotations: "His symptoms started when he was around 8 years old." - [x] Symptoms not better accounted for by a different psychiatric disorder (e.g., mood disorder, anxiety disorder) and do not occur exclusively during a psychotic disorder (e.g., schizophrenia) Quotations: "No other psychiatric disorders have been diagnosed." - [x] Symptoms not exclusively a manifestation of oppositional behaviour Quotations: "His behaviour is not oppositional." Classification: - [x] Combined Type: Patient meets both inattentive and hyperactive/impulsive criteria for the past 6 months: yes - [ ] Predominantly Inattentive Type: Patient meets inattentive criterion, but not hyperactive/impulsive criterion, for the past 6 months: no - [ ] Predominantly Hyperactive/Impulsive Type: Patient meets hyperactive/impulsive criterion, but not inattentive criterion, for the past 6 months: no (Symptoms may be classified as mild, moderate, or severe based on symptom severity)

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