Key takeaways

  • ADHD is categorized into three main types. Inattentive ADHD refers to difficulty staying concentrated and organized. Hyperactive-impulsive ADHD refers to difficulty slowing down, staying still, or not talking. Combined ADHD is when you experience symptoms of both kinds.
  • While symptoms can overlap, the dominant traits determine the specific ADHD type, influencing how individuals function in their daily lives.
  • Treatment options, including therapy, lifestyle changes, and medication, can help manage symptoms and improve the quality of life for individuals with ADHD, although the approach may need adjustments over time.

Attention deficit hyperactivity disorder (ADHD) is a chronic condition that impacts an individual’s emotions, behaviors, and the ability to learn new things. It mainly affects children, but can also occur in adults.

The effects of ADHD can vary from person to person. To be diagnosed with ADHD, symptoms must have an impact on your day-to-day life. Here’s what to know about the different types of ADHD plus how they’re diagnosed and treated.

ADHD is divided into three main types:

Each type of ADHD is tied to one or more characteristics. ADHD is characterized by inattention and hyperactive-impulsive behavior.

These behaviors often present in the following ways:

  • Inattention: getting distracted, having poor concentration and organizational skills
  • Hyperactivity: never seeming to slow down, talking and fidgeting, difficulties staying on task
  • Impulsivity: interrupting, taking risks

Everyone is different, so it’s common for two people to experience the same symptoms in different ways. For example, these behaviors are often different in boys and girls. Boys may be seen as more hyperactive, and girls may be quietly inattentive.

The symptoms you experience will determine which type of ADHD you have.

Inattentive type

If you have this type of ADHD, you may experience more symptoms of inattention than those of impulsivity and hyperactivity. You may experience impulse control or hyperactivity at times. But these aren’t the main characteristics of inattentive ADHD.

People who experience inattentive behavior often:

  • miss details and are distracted easily
  • get bored quickly
  • have trouble focusing on a single task
  • have difficulty organizing thoughts and learning new information
  • lose pencils, papers, or other items needed to complete a task
  • don’t seem to listen
  • move slowly and appear as if they’re daydreaming
  • process information more slowly and less accurately than others
  • have trouble following directions

More girls are diagnosed with inattentive type ADHD than boys.

Hyperactive-impulsive type

This type of ADHD is characterized by symptoms of impulsivity and hyperactivity. People with this type can display signs of inattention, but it’s not as marked as the other symptoms.

People who are impulsive or hyperactive often:

  • squirm, fidget, or feel restless
  • have difficulty sitting still
  • talk constantly
  • touch and play with objects, even when inappropriate to the task at hand
  • have trouble engaging in quiet activities
  • are constantly “on the go”
  • are impatient
  • act out of turn and don’t think about consequences of actions
  • blurt out answers and inappropriate comments

Children with hyperactive-impulsive type ADHD can be a disruption in the classroom. They can make learning more difficult for themselves and other students.

More boys are diagnosed with the hyperactive-impulsive type than girls.

Combined type

If you have the combination type, it means that your symptoms don’t exclusively fall within the inattention or hyperactive-impulsive behavior. Instead, a combination of symptoms from both of the categories are exhibited.

Most people, with or without ADHD, experience some degree of inattentive or impulsive behavior. But it’s more severe in people with ADHD. The behavior occurs more often and interferes with how you function at home, school, work, and in social situations.

Most children have combination type ADHD, according to the National Institute of Mental Health. This type is more common in boys compared to girls. The most common symptom in preschool aged children is hyperactivity.

Symptoms can change over time, so the type of ADHD you have may change, too. ADHD can be a lifelong challenge. But medication and other treatments can help improve your quality of life.

After you’ve been diagnosed, there are a number of treatment options available. The primary goal of treatment is to manage ADHD symptoms and to promote positive behaviors.

Therapy

Your doctor may recommend behavioral therapy before starting any medications. Therapy can help people with ADHD replace inappropriate behaviors with new behaviors. Or help them find ways to express feelings.

Parents can also receive behavior management training. This can help them manage their child’s behavior. It can also help them learn new skills for coping with the disorder.

Children under age 6 usually start with behavior therapy and no medications. Children ages 6 and up may benefit most from a combination of behavior therapy and medications.

Other therapeutic options, like cognitive behavioral therapy, family or marital therapy, meeting with and ADHD coach, or trying classroom management interventions may also be helpful for adults or children with ADHD.

Support groups can also provide emotional healing both to those with ADHD and their loved ones.

Online therapy options

Read our review of the best online therapy options to find the right fit for you.

Medication

Medications are available to help reduce hyperactivity and impulsivity and improve the ability to focus, work, and learn, as well as physical coordination.

There are two types of ADHD medications: stimulants and nonstimulants.

Stimulants are the most commonly prescribed ADHD medications. They work fast by increasing the production of chemicals in the brain that help with thinking and attention. Between 70 to 80 percent of children have fewer symptoms while taking these medications.

Though stimulants do come with side effects, such as:

  • anxiety or irritability
  • decreased appetite
  • headaches
  • increased blood pressure
  • sleep issues
  • stomachaches
  • tics

Some nonstimulant medications are also available for treating ADHD. These can also be used to help improve focus, attention, and impulsivity. But they don’t work as quickly as stimulants.

Nonstimulants are a good option for those who aren’t seeing improvements or are experiencing negative side effects with stimulants.

Adults with ADHD often benefit from the same treatments as older children.

It’s important to work closely with your doctor to determine the best treatment or combination of treatments and the right dosage to help your ADHD.

Most children diagnosed with the disorder no longer have significant symptoms by the time they are in their mid-20s. But ADHD is a lifelong condition for many people.

You may be able to manage ADHD with therapeutic options, medication, or both. But treatment isn’t a one-size-fits-all approach. It’s important to work with your doctor if you think your treatment plan isn’t helping you.