ADHD Combined Type represents the most prevalent form of Attention-Deficit/Hyperactivity Disorder, affecting approximately 70% of individuals diagnosed with ADHD. This presentation combines symptoms of both inattention and hyperactivity-impulsivity, creating unique challenges that impact daily functioning, relationships, and overall quality of life.
Understanding ADHD Combined Type
ADHD Combined Type is characterized by the presence of both inattentive and hyperactive-impulsive symptoms. Unlike ADHD predominantly inattentive type or hyperactive-impulsive type alone, individuals with combined type experience a full spectrum of ADHD symptoms that affect multiple areas of life.
Core Symptoms of Inattention
- Difficulty sustaining attention on tasks or activities
- Frequent careless mistakes in work or schoolwork
- Appearing not to listen when spoken to directly
- Difficulty organizing tasks and managing time
- Avoiding tasks requiring sustained mental effort
- Frequently losing items necessary for tasks
- Easily distracted by external stimuli
- Forgetfulness in daily activities
Core Symptoms of Hyperactivity-Impulsivity
- Fidgeting, squirming, or inability to stay seated
- Excessive talking or interrupting others
- Difficulty waiting their turn
- Acting without thinking about consequences
- Restlessness and constant need for movement
- Difficulty engaging in quiet leisure activities
Diagnosis Process at Empathy Health Clinic
Accurate diagnosis of ADHD Combined Type requires comprehensive evaluation by qualified mental health professionals. At Empathy Health Clinic in Winter Park, our psychiatrists use evidence-based assessment tools including clinical interviews, DSM-5-TR criteria assessment, and collateral information when appropriate.
Did you know? Evidence-based therapy can significantly improve symptoms of anxiety, depression, and stress.
Learn more about CBT therapy →Diagnostic Criteria
Evaluation based on DSM-5-TR criteria requires:
- Six or more symptoms of inattention (five for adults 17+)
- Six or more symptoms of hyperactivity-impulsivity (five for adults 17+)
- Symptoms present before age 12
- Symptoms occurring in multiple settings
- Clear evidence of interference with functioning
- Symptoms not better explained by another mental health condition
Evidence-Based Treatment Options
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Medication Management
Medication management is often the first-line treatment for ADHD Combined Type in adults and is highly effective for symptom reduction.
Stimulant Medications:
- Methylphenidate-based medications (Ritalin, Concerta, Focalin)
- Amphetamine-based medications (Adderall, Vyvanse, Dexedrine)
- Typically show effects within 30-60 minutes
- 70-80% response rate in clinical studies
Non-Stimulant Medications:
- Atomoxetine (Strattera)
- Guanfacine (Intuniv)
- Clonidine (Kapvay)
- Bupropion (Wellbutrin)
- Preferred for individuals with substance use concerns or tic disorders
Behavioral Therapy and Counseling
Cognitive Behavioral Therapy (CBT) helps individuals develop practical strategies for managing ADHD symptoms including time management, organizational systems, mindfulness techniques, and addressing negative thought patterns.
Lifestyle Modifications
- Exercise: Regular physical activity improves focus and reduces hyperactivity
- Sleep Hygiene: Consistent sleep schedule and adequate rest (7-9 hours for adults)
- Nutrition: Balanced diet with regular meals to maintain stable energy
- Stress Management: Techniques to reduce overwhelm and improve coping
ADHD Combined Type in Adults vs. Children
Children with ADHD Combined Type
Children often display more obvious hyperactivity, with frequent movement, difficulty sitting still in class, and impulsive behaviors. Early intervention through child psychiatry services can significantly improve academic performance and social development.
Adults with ADHD Combined Type
In adults, hyperactivity often manifests as inner restlessness, difficulty relaxing, and constant mental activity. Many adults weren't diagnosed as children and struggle with career challenges, relationship difficulties, financial management problems, and low self-esteem from years of perceived failures.
Impact on Daily Life
ADHD Combined Type affects multiple areas of functioning including work performance, relationships, and self-regulation. Common challenges include difficulty meeting deadlines, forgetting important commitments, emotional dysregulation, and trouble managing stress.
Co-Occurring Conditions
Individuals with ADHD Combined Type frequently experience co-occurring mental health conditions:
- Anxiety Disorders: Up to 50% of adults with ADHD have an anxiety disorder
- Depression: Approximately 30% experience major depressive disorder
- Learning Disabilities: Common in children with ADHD
- Substance Use Disorders: Higher risk in untreated ADHD
Addressing these co-occurring conditions is essential for comprehensive treatment success.
Why Choose Empathy Health Clinic for ADHD Treatment
At Empathy Health Clinic, our experienced psychiatrists specialize in ADHD assessment and treatment for both children and adults throughout the Orlando area, including Winter Park, Maitland, and surrounding communities.
Our Approach Includes:
- Comprehensive evaluation using validated screening tools
- Personalized treatment plans tailored to your specific symptoms and goals
- Expert medication management with regular follow-up
- Integrated care coordination with therapy services when beneficial
- Flexible scheduling with both in-person and telehealth appointments
- Most major insurance providers accepted
Getting Started with ADHD Treatment
If you suspect you or a loved one has ADHD Combined Type, seeking professional evaluation is the first step toward effective management. Early diagnosis and treatment can dramatically improve functioning, relationships, and overall life satisfaction.
Our team at Empathy Health Clinic provides compassionate, evidence-based care in a supportive environment. We understand the challenges of living with ADHD and are committed to helping you develop strategies for success.
Schedule Your ADHD Evaluation
Call us today at (386) 848-8751 or request an appointment online. We offer same-week appointments and accept most major insurance plans.
Serving: Winter Park, Orlando, Maitland, Altamonte Springs, and surrounding Central Florida communities.
Frequently Asked Questions
Can ADHD Combined Type be cured? ADHD is a chronic neurobiological condition that cannot be "cured," but it can be highly effectively managed with appropriate treatment. Many individuals with ADHD lead successful, fulfilling lives with proper support.
Do I need to take medication forever? Treatment duration varies by individual. Some people benefit from long-term medication management, while others may eventually manage symptoms through behavioral strategies alone. This decision should be made collaboratively with your psychiatrist.
Will ADHD medication change my personality? When properly prescribed and monitored, ADHD medications should help you feel more like your best self—focused, capable, and in control—rather than changing your fundamental personality.
Can adults develop ADHD? ADHD begins in childhood (symptoms must be present before age 12 for diagnosis), but many adults aren't diagnosed until later in life. If you're experiencing ADHD symptoms as an adult, they were likely present in some form during childhood, even if not recognized at the time.
Professional Mental Health Support
Our experienced mental health team provides compassionate, evidence-based care for a wide range of conditions. Whether you're seeking therapy services, psychiatric medication management, or specialized counseling, we're here to help.
Schedule your consultation today to take the first step toward improved mental wellness.
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