What's the Difference Between ADD and ADHD?

Attention-deficit/hyperactivity disorder (ADHD) and attention-deficit disorder (ADD) are often used interchangeably. However, the difference between ADD and ADHD is that ADD was a previous way of referring to ADHD.

Also, while ADHD tends to be a childhood disorder, it can be diagnosed in adults. Here's more about ADHD, including symptoms, diagnosis, and treatment.

Young male child looking up sitting at table with notebook and fidget spinner in front of him

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Are ADD and ADHD the Same?

ADD and ADHD are technically the same. In 1980, the American Psychiatric Association referred to ADHD as only ADD with or without hyperactivity. By 1987, the term had changed from ADD to ADHD.

ADHD has three different types:

  • Hyperactive/impulsive type
  • Inattentive type
  • Combined type

ADHD is a catch-all diagnosis for all different types of the disorder—and ADD, in particular, is a type of ADHD, Lenard Adler, MD, director of NYU Langone's adult ADHD program, told Health. Based on the full name for ADD, it would be considered inattentive ADHD.

ADHD vs. ADD Symptoms

When ADD was in the Diagnostic and Statistical of Mental Disorders, Third Edition (DSM-III), the criteria were based on ADD with or without hyperactivity. ADHD in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR) is more specific.

For any of the types, an ADHD diagnosis requires six or more symptoms in children up to 16 years of age or five or more symptoms in individuals 17 years of age and older. The symptoms may be as follows:

  • Inattention: Describes an inability to do things such as pay attention, focus, listen, or finish tasks. A person who is inattentive may also lose things, become distracted, or be forgetful.
  • Hyperactivity: Describes problems like being unable to sit still, play or work quietly, and not talk all the time.
  • Impulsivity: Describes behaviors such as problems with waiting, interrupting others, or blurting out answers.
  • Combined: Describes a collection of inattentive, hyperactive, and/or impulsive behaviors.

Additionally, the symptoms have to be:

  • Developmentally inappropriate and disruptive of life functioning (e.g., socially, academically, or professionally
  • Present before the age of 12
  • Present for six months or longer for any age
  • Present in two or more settings

How Is ADHD Diagnosed?

ADHD can only be diagnosed and treated by trained healthcare providers or mental health professionals. However, there are no diagnostic tests for ADHD. Instead, the diagnosis comes from a provider asking about behavioral symptoms at home, school, and other places.

For adults, diagnosis is based on the following:

  • Having at least five ongoing inattention symptoms currently
  • Having at least five ongoing hyperactivity-impulsivity symptoms currently
  • A combination of these

It's also important to know that symptoms of ADHD in adults may not look like typical symptoms of ADHD. For example, adults may attempt several activities at the same time without much success or have a preference for quick fixes.

How Is ADHD Treated?

Those with ADHD have a number of treatment options. For children, treatment can entail behavioral therapy and medications.

Behavioral therapy entails parental behavioral management training, child behavioral therapy, and classroom behavioral interventions. Of note, behavioral therapy is utilized before medication for children under six years of age.

Additionally, medications might consist of stimulants or non-stimulants. The difference between the types is that stimulants work faster and are most commonly used. Still, the purpose of either medication is to assist in the management of ADHD symptoms in different areas of an individual's life.

Other methods that may be helpful for parents of children with ADHD include:

  • Creating routines
  • Managing distractions
  • Limiting choices
  • Using goals and praise or other rewards

If ADHD extends into adulthood, there are other treatment options. Possible options include:

  • Psychotherapy
  • Education and training
  • A combination of treatments

When to Contact a Healthcare Provider

See a healthcare provider in cases of suspected ADHD; it's helpful if the healthcare provider knows about problems at home, school, or work, and with others. A provider will also need information about ADHD medication side effects if you've been diagnosed with ADHD or signs of depression.

A Quick Review

ADD and ADHD are related; however, ADHD has become the preferred name as ADD is no longer used by name as a diagnosis. Based on the presentation of ADHD symptoms, there are three types of the disorder—namely inattentive type, hyperactive/impulsive type, and combined type.

However, symptoms of ADHD can appear differently depending on a person's age. Still, treatment for individuals of all ages with ADHD generally entails the use of medication or behavioral therapy. Furthermore, only healthcare professionals can confirm the diagnosis for and treat someone who has ADHD.

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6 Sources
Health.com uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
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  2. JSTOR Library. ADHD: the history of a diagnosis.

  3. MedlinePlus. Attention deficit hyperactivity disorder - also called: ADHD.

  4. National Library of Medicine. Table 7, DSM-IV to DSM-5 attention-deficit/hyperactivity disorder comparison.

  5. National Institute of Mental Health. Attention-deficit/hyperactivity disorder in adults: what you need to know.

  6. Centers for Disease Control and Prevention. Attention-deficit/hyperactivity disorder (ADHD) - treatment of ADHD.

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