Attention-Deficit/Hyperactivity Disorder, Predominantly Hyperactive in Adults


ICD-10 code: F90.1

Attention-Deficit/Hyperactivity Disorder (ADHD) affects 30-50% of adults who had ADHD in childhood. Approximately 5% of adults in the U.S. have some form of ADHD.

There are three types of ADHD that can occur:

  • ADHD Predominantly Inattentive Presentation
  • ADHD Predominantly Hyperactive Presentation
  • ADHD Combined Presentation

Approximately 1.6% of U.S. adults display ADHD, Predominantly Hyperactive Presentation.

These disorders are characterized by difficulty regulating attention and behavior. Symptoms are divided into two categories of inattention and hyperactivity-impulsivity. Adults with ADHD, Predominantly Hyperactive Presentation may talk excessively, exhibit restlessness, have difficulty waiting in line, and frequently interrupt others. In contrast, those with ADHD, Predominantly Inattentive Presentation might have difficulty sustaining attention on tasks or activities, struggle with organization, and often lose needed materials. Adults with ADHD, Combined Presentation show both inattentive and hyperactive-impulsive symptoms.

Adults with ADHD show a persistent pattern of inattention and/or hyperactivity and impulsivity that is present in multiple settings. These behaviors result in disruption in social, occupational, and/or family settings and impair one’s functioning in these areas of life. Although historically considered a condition of childhood, ADHD is now recognized as a chronic condition, with many individuals with ADHD in childhood continuing to show symptoms into adulthood.

What is attention-deficit/hyperactivity disorder, predominantly hyperactive presentation?

ADHD, Predominantly Hyperactive Presentation is a neurobehavioral disorder that is characterized primarily by hyperactivity (moving constantly including in situations where this is not appropriate, fidgeting, excessive talking, restlessness, “wearing others out”) and impulsivity (making hasty, unplanned actions such as interrupting others or making big decisions without considering consequences and/or a desire for immediate rewards or inability to delay gratification). 

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Understanding Attention-Deficit/Hyperactivity Disorder, Predominantly Hyperactive Presentation

ADHD symptoms can range from mild to severe, with approximately 40% of those diagnosed with ADHD considered to be severe cases. Adults with ADHD may have difficulties at work and in their interpersonal and family lives related to ADHD symptoms, such as inconsistent performance in their careers, difficulties with day-to-day responsibilities, relationship problems, and chronic feelings of frustration, guilt, or blame. Historically, ADHD was considered to be a childhood disorder that most people outgrew. 

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How is attention-deficit/hyperactivity disorder, predominantly hyperactive presentation treated?

Proper diagnosis and treatment of ADHD can improve functioning. Published guidelines from the U.S. Department of Health and Human Services and National Institute for Health and Clinical Excellence and the National Institute of Mental Health recommend the following:

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