The DSM-IV-TR diagnostic criteria for ADHD included nine symptoms, divided into three groups: inattention, hyperactivity, and impulsivity. Children had to exhibit six or more symptoms from at least two of the groups to be diagnosed with ADHD. The symptoms had to be present before age 7 years and cause significant impairment in social, academic, or occupational functioning.

DSM-5

The DSM-5 diagnostic criteria for ADHD are similar to the DSM-IV-TR criteria, but there are some key changes. First, the DSM-5 criteria no longer require that symptoms be present before age 7 years. This change was made because research has shown that ADHD can often be diagnosed in children as young as 4 years old.

Second, the DSM-5 criteria combine the inattention and hyperactivity/impulsivity symptoms into two groups: inattention and hyperactivity/impulsivity. Children must exhibit five or more symptoms from at least one of the groups to be diagnosed with ADHD.

Third, the DSM-5 criteria allow for a combined presentation of ADHD, meaning that children can exhibit symptoms of both inattention and hyperactivity/impulsivity. This change was made to reflect the fact that many children with ADHD exhibit both types of symptoms.

Changes in Discrepancy Regarding Proper Diagnosis

The changes to the diagnostic criteria for ADHD in the DSM-5 have led to some reduction in discrepancy regarding proper diagnosis. This is because the DSM-5 criteria are more inclusive and allow for a wider range of symptoms. As a result, more children who are truly struggling with ADHD are likely to be diagnosed and treated.

However, there is still some controversy surrounding the diagnosis and treatment of ADHD. Some experts believe that the DSM-5 criteria are too lenient and that too many children are being diagnosed with ADHD. Others believe that the DSM-5 criteria are still too narrow and that some children who are struggling with ADHD are not being diagnosed.

Ultimately, the best way to ensure that children with ADHD are properly diagnosed is to see a qualified healthcare professional who can assess the child’s symptoms and rule out other possible causes of their difficulties.