What is Combined type ADHD?

What is Combined type ADHD? Symptoms, Causes, Treatment

Combined type ADHD is a distinct subtype of Attention-Deficit/Hyperactivity Disorder (ADHD) characterized by the presence of both inattentive and hyperactive-impulsive symptoms. This neurodevelopmental disorder commonly emerges in childhood and often continues into adulthood.

It’s crucial to understand that ADHD is a complex condition, and symptoms can vary in intensity and presentation from person to person.

In this article, we will explore what is Combined ADHD, its symptoms, causes, and available treatment options.

Introduction to Combined ADHD

ADHD is a complex disorder that affects the brain’s executive functions, which are responsible for regulating attention, behavior, and emotions. Combined ADHD is one of the subtypes of ADHD and is characterized by both inattentive and hyperactive-impulsive symptoms.

People with ADHD often struggle with maintaining focus, managing time, organizing tasks, and controlling impulses.

Note: ADHD is not a result of laziness or a lack of intelligence but rather a neurobiological condition.

Subtypes of ADHD

There are three main subtypes of ADHD recognized by the Diagnostic and Statistical Manual of Mental Disorders (DSM-5): Predominantly Inattentive Presentation, Hyperactive/Impulsive Presentation, and Combined Presentation.

Let’s dive into Combined type ADHD –

What is Combined ADHD?

What is Combined type ADHD?

Combined ADHD is the most common subtype of ADHD, accounting for approximately 60-80% of cases. Individuals with Combined ADHD exhibit symptoms of both inattention and hyperactivity/impulsivity. They may struggle with maintaining focus, sitting still, organizing tasks, and controlling impulsive behaviors.

The symptoms can vary in severity and may persist into adulthood if left untreated.

Symptoms of Combined ADHD

The symptoms of Combined ADHD can manifest differently in each individual but generally include:


  • Difficulty sustaining attention on tasks or activities
  • Making careless mistakes or overlooking details
  • Forgetfulness and frequently losing items
  • Difficulty following instructions or organizing tasks


  • Restlessness and fidgeting
  • Excessive talking and difficulty staying quiet
  • Impulsive decision-making and interrupting others
  • Difficulty waiting for their turn in activities or conversations

Also read, What is Info-Dumping ADHD and its symptoms.

Signs of Combined Type ADHD in Different Groups

Signs of Combined Type ADHD can vary depending on whether it is observed in children, adults, or women.

Here are some common signs associated with combined-type ADHD in each group:

Combined type ADHD in Child:

  1. Difficulty paying attention or staying focused on tasks or activities.
  2. Frequent careless mistakes in schoolwork or other activities.
  3. Trouble following instructions and completing assignments.
  4. Being easily distracted by external stimuli.
  5. Restlessness and difficulty staying seated.
  6. Excessive talking and impulsivity.
  7. Trouble waiting for their turn in games or conversations.
  8. Poor organizational skills and frequently losing or misplacing things.

Combined type ADHD in adults:

  1. Persistent difficulties with organization and time management.
  2. Chronic forgetfulness and trouble keeping track of important tasks or deadlines.
  3. Inability to maintain focus on tasks, leading to incomplete projects.
  4. Difficulty staying organized and managing daily responsibilities.
  5. Impulsivity in decision-making and actions.
  6. Restlessness, difficulty relaxing, and feeling constantly “on the go.”
  7. Challenges with self-regulation, resulting in difficulties in relationships and work settings.
  8. Problems with multitasking and prioritizing tasks.

Combined type ADHD in Women:

  1. Internalized symptoms lead to difficulties in recognizing and diagnosing ADHD.
  2. Daydreaming and zoning out frequently.
  3. Chronic disorganization and trouble managing multiple roles or tasks.
  4. Heightened emotional sensitivity and mood swings.
  5. Impulsivity in relationships leads to impulsive decisions or actions.
  6. Feelings of overwhelm, anxiety, or chronic stress.
  7. Frequent self-doubt and low self-esteem.
  8. Difficulties with time management and punctuality.

Note: ADHD symptoms can vary in severity and presentation among individuals. A professional evaluation by a healthcare provider is essential for an accurate diagnosis and appropriate management of Combined Type ADHD.

Causes of Combined ADHD

The exact causes of Combined ADHD are not yet fully understood.

However, research suggests that a combination of genetic, environmental, and neurological factors contribute to its development.

Now you should also know the causes of combined ADHD. It is just to give you a fair knowledge about this matter. 

  • It might happen that earlier someone in your family had ADHD.
  • If a pregnant woman is smoking cigarettes and consuming alcohol at the time of pregnancy. It can lead to combined ADHD in children. 
  • Even if you get a serious injury in your brain. In this case, the combined ADHD will occur so easily. 
  • Delivery of the baby is premature. Even if this thing happens then the child would have this ADHD type.

Learn more about the Causes of ADHD.

Diagnosing Combined ADHD

Diagnosing Combined ADHD involves a comprehensive evaluation by a qualified healthcare professional.

The process may include interviews, observations, rating scales, and assessments to gather information about the individual’s symptoms, behaviors, and functioning across different settings.

It is crucial to rule out other possible causes of the symptoms before making a diagnosis.

Treatment Options for Combined ADHD

While there is no cure for Combined ADHD, but several treatment options can effectively manage the symptoms and improve overall functioning.

Treatment plans are often tailored to the individual’s specific needs and may include a combination of medication, behavioral interventions, psychoeducation, and support.

Here are some key treatment options for the combined type:

  • Medicines like Adderall and Ritalin cure ADHD. They are known to be the perfect choice for you. 
  • Even a few therapies are there that come as a boon. You can go for it and then see how useful it can be. 
  • Counseling sessions are important as well. A counselor can guide you on how you can get rid of ADHD. 
  • Parents can guide their children as it is a better help. A parental guide is far better than that of any doctor.

Medication for Combined ADHD

Medication can be an essential component of treating Combined ADHD.

  • Stimulant medications such as methylphenidate and amphetamines are commonly prescribed to help improve attention, reduce impulsivity, and control hyperactivity.
  • Non-stimulant medications may also be considered based on individual circumstances and preferences.

Strategies for Managing Combined ADHD

There are several strategies that individuals with Combined ADHD can employ to manage their symptoms effectively. These include:

  • Establishing routines and schedules.
  • Breaking tasks into manageable chunks.
  • Using visual aids and reminders.
  • Practicing mindfulness and relaxation techniques.
  • Engaging in regular physical exercise.
  • Seeking support from family, friends, and professionals.

Impact of Combined ADHD on Daily Life

Combined ADHD can have a significant impact on various aspects of daily life. It can affect academic performance, social interactions, work productivity, and self-esteem.

However, with appropriate management and support, individuals with Combined ADHD can lead fulfilling lives and achieve their goals.

Tips for Parents and Teachers

Parents and teachers play a crucial role in supporting individuals with Combined ADHD.

Here are some tips:

  • Maintain open communication with the individual and collaborate with professionals involved in their care.
  • Establish consistent routines and clear expectations.
  • Provide positive reinforcement and rewards for desired behaviors.
  • Break tasks into manageable steps and offer assistance when needed.
  • Foster a supportive and understanding environment.

Learn Coping Skills for ADHD

If you are struggling with ADHD, here is our complete guide on how you can cope with the top 11 skills to manage ADHD.

FAQs (Frequently Asked Questions)

Here are some common FAQs about Combined type ADHD:

Is Combined ADHD a lifelong condition?

Yes, Combined ADHD is a lifelong condition, but with appropriate management, individuals can lead fulfilling lives.

Can adults have Combined ADHD?

Yes, Combined ADHD can persist into adulthood. It is important to seek a professional evaluation for an accurate diagnosis.

Are there any alternative treatments for Combined ADHD?

While medication and behavioral interventions are commonly used, some individuals may explore alternative treatments such as dietary changes, exercise, or complementary therapies. It is essential to discuss these options with a healthcare professional.

Can Combined ADHD be outgrown?

While some individuals may experience a reduction in symptoms as they grow older, Combined ADHD typically requires ongoing management throughout life.

Can Combined ADHD be mistaken for other conditions?

Yes, the symptoms of Combined ADHD can overlap with other conditions, such as anxiety disorders or learning disabilities. A thorough evaluation by a healthcare professional is necessary for an accurate diagnosis.


Combined ADHD is one of the subtypes of ADHD and is characterized by both inattentive and hyperactive-impulsive symptoms. It can significantly impact an individual’s daily life, but with proper diagnosis, treatment, and support, individuals with Combined ADHD can effectively manage their symptoms and thrive.

Remember, seeking professional help and understanding is crucial in addressing the challenges associated with Combined ADHD.

Leave a Comment

Your email address will not be published. Required fields are marked *

Shopping Cart