ADHD Subtypes
Evidence Based Answers
Which is the worst ADHD subtype to have?
Reviewed by Charles Li, MD
January 2, 2024
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Combined ADHD is Most Persistent
The combined subtype of ADHD, with both hyperactivity and impulsivity, is most likely to persist, with 81.7% still having it after 8 years.
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Higher Risk of Psychological Disorders in Combined ADHD
Children with combined ADHD are more likely to face additional psychological challenges like anxiety and depression.
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Combined ADHD Affects Life Broadly
The combined subtype of ADHD impacts various life aspects, causing emotional, behavioral, and social challenges.
Understanding the Combined Subtype of ADHD
The combined subtype of ADHD, which includes symptoms of both hyperactivity and impulsivity, stands out as particularly challenging. This subtype is not only the most likely to persist over time but also carries a higher risk of accompanying psychological disorders. A study analyzing ADHD persistence showed a striking 81.7% of those with the combined subtype still had ADHD after eight years, significantly higher than the 53.8% for both the hyperactive/impulsive and inattentive subtypes.
Behavioral and Emotional Challenges in Combined ADHD
Children with combined ADHD face more obstacles both at home and in school. They often exhibit a higher rate of behavioral problems, and studies confirm these difficulties. For instance, an analysis of boys with behavioral problems found the combined ADHD subtype linked with more generalized anxiety and major depressive disorders. This subtype also demonstrates more social problems than the other subtypes.
Widespread Impact of Combined ADHD in Youths
The impact of combined ADHD extends beyond individual struggles, affecting various aspects of life. An Australian study revealed that this subtype is prevalent among young males and closely tied to social adversity. It highlighted that the combined subtype rates worst in terms of emotional and behavioral problems when compared to other ADHD subtypes and non-ADHD controls. This highlights the broad and significant impact of the combined subtype on the quality of life.
The Stability of the Combined ADHD Subtype
Interestingly, the combined subtype of ADHD is also the most stable. A five-year observational study found that ADHD subtype stability is generally low, yet the combined subtype remains relatively unchanged over time. This consistency in diagnosis indicates the deep-rooted nature of the combined subtype.
Treatment Response in ADHD Subtypes
On a positive note, the combined subtype of ADHD responds well to treatment. Clinical trials comparing responses to treatment between ADHD subtypes show that the combined/hyperactive subtype has a higher good response rate compared to the inattentive subtype. This finding offers a glimmer of hope for those struggling with this challenging form of ADHD.
Key Takeaways
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Importance of Proper Screening and Diagnosis
Getting properly screened and diagnosed is crucial, as ADHD, especially the combined subtype, is a complex and changing condition.
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Consider Treatment for Combined ADHD
Considering treatment is vital, as the combined subtype of ADHD is more likely to respond positively to it.
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Screen for Other Conditions with Combined ADHD
If you have combined ADHD, it's important to get screened for other psychological conditions, as they are more common in this subtype.