The American Psychiatric Association’s Diagnostic and Statistical Manual is the enduring authority for healthcare providers who diagnose and treat mental health conditions.

Its origins date back to the 1800s1 and, though it continues to serve an important role for patients and clinicians, the DSM is not without significant problems.

In the context of ADHD, “the DSM simply does not describe ADHD as the rest of us experience it,” said William Dodson, M.D., in an article outlining the diagnostic symptoms that are missing.Emotion dysregulation, which research has shown to be a fundamental component of ADHD,2, 3 is one such symptom.

Another is gender differences, particularly in females who tend to mask or internalize their symptoms.4 “There’s some research on whether there might be a completely different presentation [of ADHD], at least in females, with a different time of onset and a different level of severity,” said Dave Anderson, Ph.D., in a recent ADDitude webinar on understanding the evolution of ADHD.If you could add any symptom to the DSM diagnostic criteria for ADHD, what would it be?

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United States	Cases: 46 252 513 Deaths: 750 423 Recovered: 0
India	Cases: 34 321 025 Deaths: 459 652 Recovered: 0
Brazil	Cases: 21 835 785 Deaths: 608 235 Recovered: 0
United Kingdom	Cases: 9 215 683 Deaths: 141 607 Recovered: 0
Russia	Cases: 8 494 589 Deaths: 237 619 Recovered: 0

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