Inattentive vs Hyperactive ADHD: What’s the Difference?

Attention Deficit Hyperactivity Disorder (ADHD) is a neurodevelopmental disorder characterized by symptoms of inattention, hyperactivity and impulsivity. These symptoms can vary in severity and can significantly impact one’s ability to function in daily life.

Executive function refers to a set of mental skills that include working memory, flexible thinking and self-control. People with ADHD often experience challenges in these areas, which can affect their ability to plan, focus, remember instructions and manage multiple tasks.

Types of ADHD

Understanding the types of ADHD can help lead to proper diagnosis and treatment. The three main types are:

Inattentive Type

People with the inattentive type of ADHD often struggle with sustaining attention, following through on tasks and organizing activities. They are easily distracted and may frequently lose things necessary for tasks and activities.

Key Characteristics of Inattentive ADHD:

• Difficulty sustaining attention in tasks or play activities
• Frequent careless mistakes in schoolwork or other activities
• Often does not seem to listen when spoken to directly
• Trouble organizing tasks and activities
• Avoidance or dislike of tasks that require sustained mental effort
• Often loses things necessary for tasks and activities
• Easily distracted by extraneous stimuli
• Forgetfulness in daily activities

Hyperactive-Impulsive Type

The hyperactive-impulsive type of ADHD is marked by excessive energy, fidgeting and an inability to stay still. People with this type may act without thinking and have difficulty waiting for their turn.

Key Characteristics of Hyperactive-Impulsive ADHD:

• Fidgeting with or tapping hands or feet, or squirming in seat
• Leaving seat in situations when remaining seated is expected
• Running or climbing in inappropriate situations
• Inability to play or engage in leisure activities quietly
• Often “on the go” or acting as if “driven by a motor”
• Talking excessively
• Blurting out answers before a question has been completed
• Difficulty waiting for their turn
• Interrupting or intruding on others

Combined Type

The combined type of ADHD includes symptoms of both inattentive and hyperactive-impulsive types. People with this type exhibit a mix of symptoms from both categories, making it the most common form of ADHD.

ADHD Diagnosis and Treatment

Accurate diagnosis is important for effective treatment. A mental health professional, such as an ADHD therapist, can provide a thorough evaluation to determine the specific type of ADHD someone has.

Diagnostic Process

The diagnostic process typically involves gathering comprehensive information about the person’s behavior, including:

• Interviews with family members
• Behavioral assessments
• Questionnaires or rating scales
• Medical history review

Treatment Options

Treatment for ADHD may include a combination of medication, therapy and lifestyle changes. The approach depends on the person’s specific needs and the type of ADHD they have.

Medications

Stimulant medications, such as methylphenidate and amphetamines, are commonly prescribed for ADHD. They work by increasing levels of certain neurotransmitters in the brain, helping to improve attention and focus.

Behavioral Therapy

Behavioral therapy can help someone with ADHD develop coping strategies and improve their executive functioning skills. Therapy may involve:

• Cognitive-behavioral therapy (CBT)
• Parent training in behavior management
• Social skills training

Lifestyle Changes

Implementing lifestyle changes can also play a significant role in managing ADHD symptoms. These may include:

• Establishing a structured routine
• Regular physical activity
• Adequate sleep
• Healthy diet
• Mindfulness and relaxation techniques

ADHD Treatment at Lincoln Prairie

Lincoln Prairie Behavioral Health Center provides inpatient and outpatient behavioral health services for children and adolescents in Springfield, Illinois. These programs are designed to address the emotional, social and behavioral needs of people experiencing difficulties across home, social and community settings.

To learn more, contact us online or give us a call at 217-585-1180.