From Externalized to Internalized
| Domain | Child | Adult |
|---|---|---|
| Hyperactivity | Running, climbing | Inner restlessness |
| Inattention | Losing homework | Procrastination |
| Impulsivity | Blurting out | Job hopping, spending |
Children: 6+ symptoms
Adults: 5+ symptoms
Onset before age 12 • Impairment in 2+ settings
| Tool | Cutoff |
|---|---|
| ASRS Part A | ≥4 suggests ADHD |
| WURS-25 | Retrospective childhood |
| Combined | AUC 0.964 |
| Class | Child | Adult |
|---|---|---|
| Methylphenidate | High | Reduced >30y |
| Amphetamines | High | High (superior) |
| Atomoxetine | Moderate | Moderate |
Stimulants increase:
HR ~5.7 bpm • BP ~1.2 mmHg
⚠️ Amphetamines > Methylphenidate risk
75-80% have comorbidities
Anxiety 47-50% • Depression 30-40% • SUD 15-25%
1. Adults need only 5 symptoms
2. Amphetamines may be superior for adults >30
3. Screen cardiovascular history
4. Treat comorbidities—75-80% prevalence