If your child struggles to focus, sit still, or finish tasks, you might wonder if attention issues are involved. Many parents have an awareness of attention disorders, and it’s common for them to wonder, “What’s the difference between ADD and ADHD?”
The term ADD (attention deficit disorder) was once used to describe children who struggled with attention but weren’t overly active. Today, ADD is no longer a separate diagnosis. Instead, it falls under the broader condition called ADHD (attention deficit hyperactivity disorder).
ADHD is now the official medical term. It includes different presentations, some with hyperactivity and some without. Understanding these differences can help you know what to watch for and when to seek support.
What’s the Difference Between ADD and ADHD?
The main difference between ADD and ADHD is in the name and how the condition is classified.
- ADD is an outdated term that used to refer to attention difficulties without hyperactivity.
- ADHD is the current medical diagnosis and includes all forms of attention deficit conditions, whether or not hyperactivity is present.
In short, what used to be called ADD is now known as ADHD, Predominantly Inattentive Presentation.
Types of ADHD in Children
ADHD is a common neurodevelopmental condition. It affects focus, behavior, and the ability to stay organized. There are three presentations of ADHD:
- Predominantly Inattentive Presentation
- Predominantly Hyperactive-Impulsive Presentation
- Combined Presentation
ADHD, Predominantly Inattentive Presentation (Formerly ADD)
Children with this type of ADHD have trouble paying attention but are not overly active. Symptoms must be present for at least six months and interfere with daily life.
Signs may include:
- Often seems distracted or unfocused
- Frequently makes careless mistakes
- Doesn’t seem to listen when spoken to directly
- Struggles to follow through on instructions
- Often forgets daily tasks or loses items
- Avoids tasks that require sustained mental effort
- Disorganized or easily sidetracked
These children may not be disruptive in class, so their symptoms can go unnoticed. Parents often describe them as daydreamers or easily overwhelmed.
ADHD, Predominantly Hyperactive-Impulsive Presentation
This type involves high levels of energy, restlessness, and impulsive behavior. Children may struggle to sit still or wait their turn.
Signs include:
- Constant movement or fidgeting
- Interrupting others or blurting out answers
- Talking excessively
- Difficulty playing quietly
- Getting up at inappropriate times
- Running or climbing in situations where it’s not expected
This presentation may apply if a child shows only these behaviors without significant inattention.
ADHD, Combined Presentation
This is the most common type of ADHD in children. It includes symptoms from both inattentive and hyperactive-impulsive categories. These children may have trouble sitting still and paying attention, and may act on impulse without thinking.
When to Talk to Your Pediatrician
Many children are energetic or distracted at times. However, ADHD symptoms are consistent, long-lasting, and interfere with daily life at school and home. If you see a pattern in your child’s behavior that seems unusual for their age, it may be time to talk to your pediatrician.
Getting an accurate diagnosis and support plan can make a difference. Behavioral therapy, school accommodations, and sometimes medication can help children with ADHD succeed.
Still Wondering About the Difference Between ADD and ADHD?
If you’re concerned about your child’s focus, activity level, or behavior, don’t wait to bring it up. Your pediatrician can help you understand what’s typical, what’s not, and what to do next.
Get expert support for your child – schedule an appointment today!