What is the combined type ADHD?

Attention deficit hyperactivity (ADHD), a condition of neurodevelopment, can influence a person’s behavior. Combined type ADHD occurs when an individual has both inattentive and hyperactive-impulsive symptoms.

ADHD can present with a wide range of symptoms. Inattention, hyperactivity, and impulsivity are the three most common symptoms of ADHD. A doctor will classify ADHD based on the symptoms that a patient has.

  • Attention deficit disorder (ADD), formerly known as a form of ADHD that primarily affects inattentive people.
  • predominantly hyperactive-impulsive ADHD
  • Combination ADHD

This article will describe what combined type of ADHD, its related conditions, and treatment options.

What is the combined type of ADHD?

As the name implies, combined-type ADHD is when a person persistently presents with symptoms of both inattention and hyperactivity-impulsivity. A person’s behavior may indicate Trusted Source in this subtype if they meet sufficient criteria for both the inattentive and hyperactive-impulsive subtypes.

In the United States, around 8,4% of children and 2,5% of adults have ADHD. It is not unusual for ADHD symptoms in children as young as 3. The most prevalent form of ADHD is combined type ADHD. According to a small study conducted in 2019, 70 adults with ADHD are combined.

Children with combined type ADHD can have trouble paying attention at school. They may also struggle to remain seated in class or during social events. Adults with combined ADHD may struggle to maintain relationships and manage tasks.

ADHD Symptoms

ADHD is divided into three subtypes. The symptoms and diagnostic criteria of each subtype are the following:

ADHD primarily inattentive presentations

  • Inattention to detail can lead to careless mistakes
  • Attention deficit disorder
  • Listening needs to be done.
  • Having difficulty with instructions
  • Trouble with Organization
  • Avoidance of mental tasks that require sustained effort
  • Loss of items
  • Easy distraction
  • Forgetfulness in everyday activities

ADHD predominantly hyperactive-impulsive

  • Fidgeting or squirming often with the hands or feet
  • It isn’t easy to stay seated
  • Children who are excessively restless or prone to running or climbing or even extremely restlessness
  • problems engaging in activities quietly
  • Behaving as though driven by a car
  • excessive talking
  • Answering before the person who asked the question has finished
  • Impatience or difficulty in taking turns
  • Interrupting others or constantly intruding upon them


Combined type ADHD involves symptoms of both the inattentive and hyperactive-impulsive types.

Relationship between ADHD and oppositional disorder

People with ADHD are often diagnosed with other conditions, such as depression and anxiety. Oppositional disorder (ODD). It is one of the more common types.

ODD is usually diagnosed before the age of 8. ODD symptoms include:

  • Getting angry more often than others
  • Getting annoyed easily
  • Other people are intentionally irritated
  • Adults have rules that they cannot break.

Research has shown that children with ADHD parents are at a greater risk for ODD. ODD is more common in children who have experienced negative life experiences.

Risk factors for ADHD

The exact cause of ADHD is not known, but certain factors may increase your risk. Genetics (Trusted Source) is one of the most important risk factors. People with ADHD in their family are more likely than others to develop the condition.

Recent research has also shown that an individual’s risk of ADHD may be higher if the birth parent had a health condition, such as Trusted Source.

  • Obesity or overweight before pregnancy
  • high blood pressure during pregnancy
  • preeclampsia

Smoking during pregnancy increases the risk of having children with ADHD.

Also, babies born with low birth weight or certain neonatal illnesses are at higher risk.

Do boys have a higher risk of ADHD?

Boys are generally more likely than girls to be diagnosed with ADHD. Researchers used to think that being male is a risk for ADHD.

Recent studies have suggested that the difference is more due to subjective social perceptions. ADHD symptoms are categorized according to how they appear in boys. The symptoms of ADHD in girls are likely to differ from those of boys.

Girls are also more likely to be under social pressure to conform. They often have better-coping skills to hide their ADHD symptoms. It may be due to social bias that girls are diagnosed more often than boys.

Researchers hope that through ongoing research on ADHD, they can develop better methods for identifying and diagnosing the condition in both men and women.

Click here to find out more about ADHD gender differences.


There is no one test to diagnose ADHD. A thorough evaluation is required. Medical professionals who may take part in this evaluation include

  • nurse practitioners
  • psychiatrists
  • neurologists
  • pediatricians
  • Clinical psychologists and social workers

If you suspect your child has combined type ADHD, visit your family doctor. He will be able to refer you to the appropriate specialist.

To meet the criteria for combined type ADHD, individuals must show a certain number of symptoms of inattention and hyperactivity-impulsivity for at least six months. These symptoms include:

  • A tendency to misplace or lose important items
  • Forgetfulness of daily tasks
  • limited attention span
  • Hearing difficulties
  • Inability to sit still
  • Waiting for a long time can be a problem
  • excessive talking

It is possible to be diagnosed with ADHD later in life, even if you were first diagnosed as a child. The evaluation process remains the same regardless of age. However, the criteria for diagnosis can differ between adults and children.


The treatment options for ADHD can include medication, therapy, and other behavioral treatments.

Parents or caregivers may be taught about the treatment of children with ADHD. Caregivers can help manage ADHD symptoms by receiving training. Individuals with ADHD can also receive behavior therapy to understand better what behaviors are appropriate for which situations. The first treatment for ADHD in children is usually behavioral therapy.

A doctor can prescribe medication to help manage ADHD symptoms. ADHD medications can include stimulants that act long-term, such as Adderall, or intermediate-acting, such as Ritalin. They may also be non-stimulants, such as Strattera.

People with ADHD can also have problems with depression and self-esteem. The person might benefit from other treatments, like psychotherapy.


People with ADHD can have difficulties making life transitions. This is especially true during adolescence. ADHD symptoms can hinder academic success and affect relationships with family members, friends, and romantic partners.

With the right treatment and support, an individual can manage ADHD symptoms. Tools like behavioral therapy, caregiver training, and medication are all useful in making school, work, and relationships easier to manage.


Combination-type ADHD is one possible presentation of ADHD. This is the most common form. As the name suggests, it features a combination of inattentive and hyperactive-impulsive symptoms. ADHD patients may also suffer from comorbid conditions, such as ODD.

Although the cause of ADHD is not known, those with a history of the disorder are at a greater risk.

After receiving a diagnosis of ADHD, behavioral therapy or medications can be used to manage symptoms. People with combined type ADHD who receive the right diagnosis and have a supportive team can manage their symptoms and lead a healthy and full life.

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