APA DSM III-R DIAGNOSTIC STANDARDS FOR ATTENTION DEFICIT DISORDER There's been some debate about ADD's existence, definitions, diagnosis, etc. Here's the *only* criteria for diagnosis recognized by the APA. The American Psychiatric Association's DSM III-R diagnostic standards manual defines an adult or child as having the ADHD disorder if they meet eight or more of the criteria paraphrased here. 1. When required to remain seated, a person has difficulty doing so. 2. Stimuli extraneous to the task at hand are easily distracting. 3. Holding attention to a single task or play activity is difficult. 4. Frequently will hop from one activity to another, without completing the first. 5. Fidgets or squirms (or feels restless mentally). 6. Doesn't want to, or can't, wait for his or her turn when involved in group activities. 7. Before a question is completely asked, will often interrupt the questioner with an answer. 8. Has problems with job or chore follow-through, and this difficulty doesn't stem from some other learning disability or defiant behavior. 9. Can't play quietly without difficulty. 10. Impulsively jumps into physically dangerous activities without weighing the consequences. (This is different from garden-variety thrill-seeking, and more accurately characterized by a child running into the street without looking first.) 11. Easily loses things such as pencils, tools, papers, etc., which may be necessary to complete school or other work. 12. Interrupts others inappropriately, butting in when not invited. 13. Talks impulsively or excessively. 14. Others report that the ADHD person doesn't seem to be listening when being spoken to. The behaviors must have started before age seven, must not represent some other form of classifiable mental illness, and must occur more frequently than the average person of the same age. The term ADHD-RS (Residual State) is used to describe ADHD in adults. The above criteria were developed for children, since it used to be thought that ADD ended at puberty. Two additional questionnaires that are useful for adults are in the appendix of Attention Deficit Disorder in Adults, by Dr. Lynn Weiss, Taylor Publishing, 1992; ISBN 0-87833-782-2. $12.95 paperback. DSM-IV is due to be released in 1993. No formal details have been released, but in general we hear that it will break ADD into three separate categories: mostly hyperactive, mostly attention problems, and both.