ADHD Combined in Children and Adolescents


ICD-10 code: F90.2

Attention-Deficit/Hyperactivity Disorder (ADHD) is a neurobehavioral disorder that usually first becomes apparent in childhood. There are three types of ADHD that can occur:

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

These disorders are characterized by difficulty regulating attention and behavior. Symptoms are divided into two categories of inattention and hyperactivity-impulsivity. Children with ADHD, Predominantly Inattentive Presentation might have difficulty sustaining attention on tasks or activities, struggle with organization, and often lose needed materials.

Children with ADHD, Predominantly Hyperactive Presentation may talk or fidget excessively, have difficulty remaining seated when necessary, and frequently interrupt others. Children with ADHD, Combined Presentation show both inattentive and hyperactive-impulsive symptoms.

Children 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, educational, and/or family settings and impair the child’s functioning in these areas of life. Although many children, particularly young children, may show some of these behavioral characteristics, children with ADHD show these characteristics to a much greater degree or frequency that is developmentally inappropriate for their age group. ADHD is a chronic condition, with most children continuing to show symptoms throughout childhood and into adolescence and adulthood.

What is attention-deficit/hyperactivity disorder, combined presentation?

ADHD, Combined Presentation is a neurobehavioral disorder that affects approximately 2.5% of preschoolers, 3% of school age children, and 1% of adolescents. It is one of the more common psychiatric conditions among children and is approximately three times more common in boys than girls.

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Understanding Attention-Deficit/Hyperactivity Disorder, Combined Presentation

ADHD symptoms can range from mild to severe. In severe cases, ADHD can greatly hinder a child’s academic achievement and social development. Left untreated, children and adolescents with ADHD experience poor outcomes in several domains of life, leading to substantial impairment, parent distress, and societal costs. Many children and adolescents with ADHD also have learning disorders and other psychiatric conditions, such as oppositional defiant disorder, conduct disorder, and anxiety disorders.

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

The symptoms of ADHD can be managed and associated impairment can be meaningfully reduced. Published treatment guidelines for ADHD in children and adolescents include those from the American Academy of Pediatrics, the American Academy of Child and Adolescent Psychiatry, the Society of Clinical Child and Adolescent Psychology, and the National Institute for Health and Care Excellence.

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