Does Inattentive ADHD Exist?

For decades we’ve been splitting ADHD into three types: Inattentive, Hyperactive/Impulsive, and Combined Type. One widely cited meta-analysis indicated that 72% of adolescents, and 47% of adults with ADHD had the Inattentive type.
Complex factor analyses support the validity of a distinct inattentive/executive dysfunction subtype. Some researchers suggest that Inattentive ADHD differs enough from combined and hyperactive/impulsive types of ADHD that it should be considered a separate disorder.
Although there are many claims that Inattentive ADHD is overrepresented in women, the data for this is inconsistent and weak.
Both in my direct patient experience, and online observations suggest that many of those who identify as having Inattentive ADHD display a robust number of hyperactive and inattentive ADHD trait. Many of these individuals will say things like “I only have ADD, not ADHD.” Why do people with hyperactive/impulsive traits (e.g. blurting out comments, interrupting others, loud and excessive talking, excessive restlessness, and impulsive decision making) deny the existence of combined type ADHD?
While there is little research on the topic, I think that the two big factors are stigma, not just towards ADHD, but particularly towards those that resemble “rudeness” or “unacceptable behavior” along with an ADHD-driven impairment in self-monitoring. Women in particular may feel greater social pressure to hide or suppress certain signs of ADHD. This is particularly true since Inattentive ADHD often leads to “crimes of omission” whereas Impulsive/Hyperactive ADHD contributes to “crimes of commission”
So yes, Inattentive ADHD exists, but often we use the label incorrectly.
We need to continue work on decreasing stigma about ADHD and all neurotypical behaviors. We also should continue to improve therapeutic approaches for increasing self-awareness.

Пікірлер: 29

  • @jdxx59
    @jdxx598 ай бұрын

    My 37 year old son has ADHD. At school he was never disruptive and never got out of his chair and ran around inappropriately. He sat quietly daydreaming and was ‘forgotten’ about. He was still very active though but his main issues were not listening (always daydreaming in his own world) losing things, disorganised, unable to follow instructions. A close friend also has a son with ADHD and he was very different to my son in that he was loud and boisterous and hyper and had a motor mouth. I suspect my son is also on the autism spectrum as he has traits that align - he is extremely literal and socially very awkward and avoids it.

  • @therabbithat

    @therabbithat

    8 ай бұрын

    Hey, unsolicited advice, do disregard if annoying , IMHO every mom with an ADHD or AuDHD kiddo needs to check out the Autistic women questionnaire. Authors include Claire brown and Tony Attwood. It's just a screener, can't diagnose, but it might make something click for you about yourself or a family member, because Autism often looks different in girls (the profile doesn't only fit girls, but most often does) and we often don't recognise it.

  • @dr.johnkruse6708
    @dr.johnkruse67087 ай бұрын

    I've posted a comment from Cynthia Hammer : I am the woman he mentions in the video. My name is Cynthia Hammer and I wrote the book, "Living with Inattentive ADHD" which is both a memoir and self-help book. All royalties from the sale of the book go to the non-profit organization I founded over two years ago, the Inattentive ADHD Coalition (www.iadhd.org) Dr. Kruse believes I have the combined type of ADHD because I am impulsive and a risk-taker, which are characteristics of someone diagnosed with combined type. I believe I have inattentive type because I don't have the high energy or the massive volume of thoughts of a person with the combined type. I recently interviewed 25 women who were diagnosed or self-identified themselves as combined type. For most of them, I could have asked one question and they could have talked, non-stop for the whole hour--one thought leading to another. When the interview was over, they merrily went onto the next activity of their day, while I would be exhausted from trying to listen to them. While I have many thoughts, my thoughts come at 33 rpm while theirs come at 78 rpm. There is just a difference in how we appear to the world. Dr. Hallowell describes ADHD as having a Ferrari Engine with bicycle brakes. I describe myself, and I think most people with Inattentive ADHD would describe themselves this way as having a Ferrari engine with faulty spark plugs. The DSM-V describes it as "Primarily" Inattentive type--not "Exclusively" Inattentive type so I believe I can accurately say I have inattentive type, even with a few hyperactive-impulsive symptoms. Cynthia Hammer, MSW Author of Living with Inattentive ADHD Executive Director, Inattentive ADHD Coalition www.iadhd.org The mission of the Inattentive ADHD Coalition is that children with inattentive ADHD are diagnosed by age 8 and adults with inattentive ADHD are readily and correctly diagnosed when they seek help.

  • @jrr2045
    @jrr20458 ай бұрын

    I was told I am not hyperactive. By the person who diagnosed me with inattentive ADHD. I clearly have the combination though and would have liked to have that stated in my record because I need accommodations for my constant need to move. But I'm a woman, and because I have used lots of different coping strategies to not be told off for my hyperactivity, I was not believed by the evaluator about my hyperactivity and impulsivity. I bring knitting projects everywhere if I have to sit. I flex my toes and my thighs under the table to not go insane from sitting still. I'm awful at road trips. My husband stops every hour and tells me to go for a walk so I won't drive him nuts with the fidgeting 😂 I will literally crouch with my feet on the chair instead of sitting with my butt in the chair when I work, because muscles working=brain works. I need a standing desk and treadmill so bad. But don't have the paperwork to prove it 😢

  • @dr.johnkruse6708

    @dr.johnkruse6708

    7 ай бұрын

    Thank you for sharing your experience, it sounds exactly what I was describing in the video.

  • @kiemas12
    @kiemas128 ай бұрын

    Love this channel. Been super helpful for me as I am currently trying to get treatment for my adhd which has gone untreated for over 10 years (previously diagnosed) I’m 32 now and my life is quite literally ruined. I know adhd symptoms have played a big part as I learn more about it. Totally sucks big time. Worst part is the shame I feel for not being more productive when I know it’s somewhere inside me, and my Son has Duchenne Muscular Dystrophy, and Autism/Non Verbal. He deserves more out of me than simply just being around to take care of him.

  • @dr.johnkruse6708

    @dr.johnkruse6708

    7 ай бұрын

    I hope that you find help for yourself and that it helps you be closer to the mother and woman you aspire to be.

  • @onlyusernameleft2
    @onlyusernameleft26 ай бұрын

    It seems like I and every other person with ADHD that I know has symptoms of hyperactivity and inattentiveness but is skewed to one side or the other.

  • @cmymotion
    @cmymotion2 ай бұрын

    When people said 'able to sit still', what if i just move my toes without anyone notice and occasionally change my sitting posture?

  • @dr.johnkruse6708

    @dr.johnkruse6708

    2 ай бұрын

    Everyone makes some body movements. For it to become a symptom that might indicate ADHD It has to be excessive or disruptive in its frequency or intensity, and in comparison to individuals from a similar background and age.

  • @goosebumps000
    @goosebumps0008 ай бұрын

    Love your videos

  • @dr.johnkruse6708

    @dr.johnkruse6708

    7 ай бұрын

    Thank you!

  • @laurad1487
    @laurad14874 ай бұрын

    Since a little kid, my dad yelling at me to "stop wool-gathering" when my mind was in a different world. I have been lost,( separated from family) and so lost I've had Search and Rescue looking for mean no idea when I saw them last) many many times and no clue how it happened. Ticking all the boxes...

  • @dr.johnkruse6708

    @dr.johnkruse6708

    4 ай бұрын

    I hope that you can find people who help you sort out what has been going on, and can lead you to useful treatment.

  • @dr.johnkruse6708

    @dr.johnkruse6708

    4 ай бұрын

    I hope that you can find people who help you sort out what has been going on, and can lead you to useful treatment.

  • @jonathanberry9502
    @jonathanberry95028 ай бұрын

    hmmm, just a thought, but if someone has depression, or chronic fatigue their hyperactive component might appear in an atypical manner?! And what if a form of hyperactivity is hyperactive thoughts? What if hyperactive movement is just a kinetic form of hyperactivity, but what if non-kinetic forms of hyperactivity exist?

  • @Truerealism747

    @Truerealism747

    8 ай бұрын

    It makes me talk alot or is that the Asperger's

  • @dr.johnkruse6708

    @dr.johnkruse6708

    8 ай бұрын

    @@Truerealism747 talking is one of the defining symptoms of ADHD, but lots of people with ADHD are also on the autistic spectrum.

  • @dr.johnkruse6708

    @dr.johnkruse6708

    8 ай бұрын

    There's some research that suggests that one of the functions of some forms of fidgeting and hyperactivity is to actually help with focus. Someone may well have already done the factor analysis suggested by your question, to see if hyperactive thoughts are strongly associated with hyperactive behavior.

  • @jonathanberry9502
    @jonathanberry95028 ай бұрын

    YES it does!

  • @sashawhispers3480
    @sashawhispers3480Ай бұрын

    Yes, we exist. I have innattentive ADHD and Autism. For those of you who are sceptical, I had a thorough assessment. Just because people with ADD don't upset teachers doesn't mean we don't suffer.

  • @eleanornelson5810
    @eleanornelson5810Ай бұрын

    Huh? Did you say something?

  • @stephanmarcus448
    @stephanmarcus44828 күн бұрын

    It's a trap!!!

  • @TheHeraldOfChange
    @TheHeraldOfChange2 ай бұрын

    Does Inattentive ADHD Exist? You mean as opposed to just being "naturally" or "pathologically" lazy?

  • @dr.johnkruse6708

    @dr.johnkruse6708

    2 ай бұрын

    Nope.

  • @TheHeraldOfChange

    @TheHeraldOfChange

    2 ай бұрын

    @@dr.johnkruse6708 Funny. Despite my diagnosis, that's what everyone throughout my life has accused me of. My third step-father even created a phrase to browbeat me with: "What you haven't got in the head, you've got in the legs." I lost count of how many times I had to walk 5+ km each way just to fetch something I'd forgotten. He's now passed on, bless him, but his words still ring in my ears daily.

  • @dr.johnkruse6708

    @dr.johnkruse6708

    2 ай бұрын

    @@TheHeraldOfChange one of the earliest popular books about ADHD was "You're Not Lazy, Stupid, or Crazy", trying to refute in its title many of the reasons for behavior that people with ADHD are accused of.