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ADD Explained: Understanding the Inattentive Presentation of ADHD in NJ, NY & FL

Why Can’t I Focus?" Understanding Inattentive ADHD in Adults

add adhd treatment new jersey florida

You’ve probably heard the term “ADD” used to describe someone who struggles with focus and attention. While many people still use this term, it’s important to understand that “ADD” is no longer an official diagnosis in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). Today, what was once known as ADD is now classified as ADHD, Primarily Inattentive Presentation (ADHD-PI). In this article, we’ll explore the relationship between ADD and ADHD-PI, discuss the symptoms, and explain how Revitalizing Psychiatry can help individuals in New Jersey, New York, and Florida manage their ADHD symptoms. In this article, we will reference resources at ADDitude Magazine.

The History of ADD and ADHD

The understanding of attention disorders has evolved significantly over the years. In the past, “ADD” was used to describe individuals who primarily struggled with inattention, distractibility, and forgetfulness, without exhibiting significant hyperactivity or impulsivity. However, as research advanced, it became clear that these individuals still shared a common underlying neurodevelopmental condition with those who experienced hyperactivity and impulsivity. As a result, the DSM-5 shifted away from the separate “ADD” diagnosis and instead adopted the umbrella term “ADHD,” with different specifiers to describe the various presentations. The Primarily Inattentive Presentation (ADHD-PI) is now used to describe what was once known as ADD. Learn more about the different presentations in this Research Study on ADHD Presentations.

Understanding ADHD – Primarily Inattentive Presentation (ADHD-PI)

ADHD, Primarily Inattentive Presentation (ADHD-PI), is characterized by significant difficulties with attention, focus, and concentration, without the prominent hyperactivity and impulsivity seen in other types of ADHD. Individuals with ADHD-PI may:

  • Struggle to pay attention to detail and make careless mistakes.
  • Have difficulty sustaining attention in tasks or play activities.
  • Appear not to listen when spoken to directly.
  • Fail to follow through on instructions and tasks.
  • Have difficulty organizing tasks and activities.
  • Avoid or dislike tasks that require sustained mental effort.
  • Lose things necessary for tasks or activities.
  • Be easily distracted by extraneous stimuli.
  • Be forgetful in daily activities.

In adults, ADHD-PI can manifest as chronic disorganization, procrastination, difficulty meeting deadlines, and a general sense of feeling overwhelmed. You can learn more about ADHD [here, in our other article]. In that article we mention other trusted sources such as Understood.org

Symptoms of ADD / ADHD-PI in Adults

The symptoms of ADHD-PI can significantly impact the lives of adults. Some common signs include:

  • Difficulty Focusing: Struggling to concentrate on tasks, even those they find interesting.
  • Forgetfulness: Regularly forgetting appointments, deadlines, and important tasks.
  • Disorganization: Having a messy workspace, struggling to keep track of belongings, and difficulty managing time.
  • Procrastination: Putting off tasks until the last minute, or avoiding them altogether.
  • Difficulty Following Instructions: Missing steps in multi-step processes or tasks.
  • Mental Fatigue: Experiencing brain fog, sluggishness, and difficulty thinking clearly, even after adequate rest.
  • Emotional Dysregulation: Becoming easily overwhelmed, frustrated, or discouraged by challenges.
  • Executive Function Deficits: Challenges with planning, initiating tasks, prioritizing, and working memory.

For example, an adult with ADHD-PI might struggle to complete work projects on time due to difficulty focusing and organizing tasks, or they might frequently miss social events due to forgetfulness.

The Importance of Seeking Assessment and Support

While the term “ADD” is no longer used, the underlying challenges of inattention and disorganization are very real. If you suspect you may have ADHD, Primarily Inattentive Presentation, it’s important to seek a professional assessment. With the right diagnosis and treatment, you can learn to manage your symptoms, improve your focus and organization, boost your self-esteem, and enhance your overall quality of life.

Treatment Options at Revitalizing Psychiatry

At Revitalizing Psychiatry, we understand the challenges of ADHD-PI and offer comprehensive treatment services for adults in New Jersey, New York, and Florida. Whether you know it as ADD or ADHD-PI, our approach remains the same: personalized and evidence-based. Our treatment options include:

  • Medication Management: Our psychiatrists can evaluate your symptoms and prescribe appropriate medications to help improve focus and attention. [Internal link to Medication Management page]
  • Individual Therapy: Our therapists offer evidence-based therapies, such as Cognitive Behavioral Therapy (CBT), to help you develop coping strategies and manage your symptoms. [Internal link to Individual Therapy page]
  • ADHD Coaching: Our therapists provide practical strategies and support to help you improve time management, organization, and executive functioning skills.
  • Telemedicine: We offer convenient telemedicine appointments for those who prefer virtual care. [Internal link to Telemedicine page, if applicable]

Our goal is to help you manage your symptoms and live a more fulfilling life.

Conclusion

While the term “ADD” has evolved to ADHD-PI, the challenges remain. If you’re struggling with symptoms of inattention and disorganization, don’t hesitate to seek help. Contact Revitalizing Psychiatry today to schedule a consultation and learn more about our ADHD treatment services. [Internal link to Contact Us page]

What is the difference between ADD and ADHD?

Answer: The term "ADD" is no longer officially used in the medical community. It's an outdated term. What was once known as ADD is now understood as ADHD, or Attention-Deficit/Hyperactivity Disorder. ADHD encompasses different presentations, including the Primarily Inattentive Presentation (ADHD-PI), which is characterized by difficulties with focus, attention, and organization, without significant hyperactivity or impulsivity. So, in essence, ADD is now considered a subtype of ADHD.

Answer: "If you were diagnosed with ADD before the publication of the DSM-5, it's very likely that your symptoms would now align with the criteria for ADHD, Primarily Inattentive Presentation (ADHD-PI). However, diagnostic criteria and understanding of ADHD have evolved over time. A re-evaluation by a qualified mental health professional can ensure an accurate diagnosis based on current standards."

Answer: "Diagnosing ADHD-PI in adults involves a comprehensive evaluation that typically includes a clinical interview, a review of your history and symptoms, and the completion of standardized questionnaires. The clinician will assess your symptoms of inattention, rule out other potential causes, and determine the impact of your symptoms on your daily life. In some cases, neuropsychological testing may be recommended."

Answer: "Yes, ADHD-PI can be effectively treated with medication. While hyperactivity is less prominent in this presentation, medication can still be very helpful in improving focus, attention, and concentration. Non-stimulant medications are often a good option for individuals with ADHD-PI, as they tend to have fewer side effects related to hyperactivity and impulsivity. Your medication provider can work with you to determine the best medication for your individual needs."

Answer: "In addition to medication, several other treatments can be very helpful for managing ADHD-PI symptoms. Cognitive Behavioral Therapy (CBT) can help you develop coping strategies and improve organizational skills. ADHD-focused therapy provide practical support for time management, planning, and goal setting. Lifestyle changes, such as regular exercise, a healthy diet, and sufficient sleep, can also have a positive impact on your symptoms."

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