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Course of different ADHD symptoms over the life span. Hyperactivity tends to wane with maturity, being replaced by a feeling of restlessness. Impulsivity also tends to wane except for a possible blip in adolescence under the influence of raging hormones. The most persistent cluster of symptoms is inattentiveness, with the main adult manifestations being disorganization, difficulty managing money, keeping schedules, and sticking with a relationship or job. (Reproduced from Arnold LE, Contemporary Diagnosis and Management of ADHD. Newtown, PA: , 2004, with permission).

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Ingram S. Mental Retardation and Development Disabilities Research Reviews. 1999;5:243.Weiss M, Jain U. ADHD Report. 2000;8:4-10.

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Utah Criteria for Adult Attention-Deficit/ Hyperactivity Disorder (ADHD) Retrospective childhood ADHD diagnosis Narrow criterion: met DSM-IV criteria in childhood by parent interviewa Broad criterion: both (1) and (2) are met as reported by patientb Childhood hyperactivity Childhood attention deficitsAdult characteristics: five additional symptoms, including ongoing difficulties with inattentiveness and hyperactivity and at least three other symptoms: Inattentiveness Hyperactivity Mood lability Irritability and hot temper Impaired stress tolerance Disorganization ImpulsivityExclusions: not diagnosed in presence of severe depression, psychosis, or severe personality disorder*Paul Wenderin1970s

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Barkley RA et al. J Am Acad Child Adolesc Psychiatry. 1990;29:546-557.Murphy K, Barkley RA. Compr Psychiatry. 1996;37:393-401.

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