The role of intellectual processes in the DSM-V diagnosis of ADHD

Abstract

We are advocating for consideration of an evolutionary, perhaps some might say revolutionary, change in the DSM-V diagnosis of ADHD-C and ADHD-I that must include the historical, behavioral, academic, and relevant cognitive components of this disorder. A critical dimension of this approach is to differentiate those who have behaviors associated with ADHD-C and ADHD-I with cognitive weakness and those who have the behaviors without cognitive weakness. This will allow for continued research on differentiated treatment planning. There is much work to do for DSM-V, but we suggest that adding the theoretical perspective of cognitive processes into the diagnosis of ADHD may hold a critical key to better understand and treat individuals with attention deficits. For these reasons, we strongly urge those who will formulate and validate the DSM-V to consider cognitive processing characteristics as part of the diagnostic criteria for ADHD. © 2006 Sage Publications.