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ADD & ADHD Center

Combined Type ADHD Symptoms

author image Lara Alspaugh
Lara Alspaugh is a registered nurse with a Bachelor of Science in nursing from Michigan State University. She is a faculty member at Lansing Community College in the nursing department. Her work can be found on and as well as many print magazines and newspapers.
Combined Type ADHD Symptoms
Knowledge is Power

Attention deficit disorder (ADD) is a disease that is characterized by an inability to focus, hyperactivity and impulsive behavior. As a term, ADD is now being replaced by the medical community with ADHD (attention deficit/hyperactivity disorder), followed by the clarifying subset that explains more thoroughly a child's set of symptoms. A child may be diagnosed with ADHD, predominantly hyperactive-impulsive type; ADHD, predominantly inattentive type; or ADHD, combined type.

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Combined Type Symptoms

ADHD, combined type is a combination of symptoms that are active in both ADHD, predominantly hyperactive-impulsive type and ADHD, predominantly inattentive type. Kids diagnosed with ADHD, combined type have an equal number of symptoms from both types. They may have difficulty finishing tasks and following directions, are easily distracted and may fidget and talk a lot. It may be very difficult for them to take turns, and they may grab things from other people; they may speak at inappropriate times and may act impulsively.

Causes of Symptoms

There are many commonly held beliefs regarding the cause of ADHD (or ADD) symptoms. Parents, teachers and care givers may blame poor parenting, too much sugar, too much television viewing, or poverty and chaos within the child's family as the cause of the disease. There is no research to support these claims. While these factors may make a child's symptoms worse or increase in frequency, they are not the root cause. Researchers do not know the cause of ADHD; there are many possible causes that scientists are researching. There does seem to be a genetic link for ADHD, and possible links to brain injury, environmental exposures (like lead), alcohol and tobacco use during pregnancy, premature delivery and a low birth weight.

Treatment of Symtpoms

Medication and behavioral therapy are both options for treatment of the child with ADHD, combined type. Not every child will require medication, but every child should be treated with some form of behavioral therapy. If a child is placed on medication, then behavioral therapy should also be used. There is no one set treatment plan for ADHD of any type. Treatment takes constant monitoring and will change as your child grows and his symptoms change. Open communication with your child's physicians, teachers and care givers will help ensure the best outcome.

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