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Table 1 DSM-5 symptom criteria for attention deficit hyperactivity disorder [5]

From: Emotion dysregulation in attention-deficit/hyperactivity disorder and borderline personality disorder

Inattentive symptoms

Hyperactivity symptoms

• Fails to give close attention to details or makes careless mistakes in schoolwork, work, or during other activities

• Has difficulty sustaining attention in tasks or play activities

• Does not seem to listen when spoken to directly

• Does not follow through on instructions and fails to finish schoolwork, chores, or duties in the workplace

• Fidgets with or taps hands or feet or squirms in seat

• Leaves seat in situations when remaining seated is expected

• Runs about or climbs, or is restless in situations where it is inappropriate

• Unable to play or engage in leisure activities quietly

• “On the go” acting as if “driven by a motor”

• Talks excessively

Impulsivity symptoms

• Blurts out answers before questions have been completed

• Has difficulty waiting turn

• Interrupts or intrudes on others

• Has difficulty organising tasks and activities

• Avoids, dislikes, or is reluctant to engage in tasks that require sustained mental effort

• Often loses things necessary for tasks or activities • Easily distracted by extraneous stimuli • Forgetful in daily activities

Associated features supporting the diagnosis

- Emotional dysregulation (low frustration tolerance, emotional over-reactivity, or mood lability, as featured in the Wender-Utah adult ADHD criteria)a

- Mild delays in language, motor, or social development

- Impaired academic or work performancea - Increased risk of suicide attempts by early adulthood, primarily when comorbid with mood, conduct or substance use disordersa

  1. aBehavioural symptoms that commonly overlap with BPD diagnosis