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ADHD vs. ADD: What’s the Difference?

Person holds hands with loved one as they discuss adhd vs add

When it comes to understanding conditions like attention-deficit/hyperactivity disorder (ADHD) and attention deficit disorder (ADD), it’s easy to feel confused. You may hear these terms used interchangeably or wonder if they’re separate conditions altogether. At ALANA Recovery, we’re here to clarify these differences and help you understand how they relate to neurodivergence—and most importantly, how support and treatment can make a positive difference. We also have an ADHD treatment program to help people with ADHD live to their full potential. 

The History of ADHD and ADD 

To fully grasp the ADHD vs ADD distinction, it helps to look at how these terms have evolved. Historically, ADD was used in the 1980s to describe individuals who had difficulty with focus and attention but didn’t exhibit hyperactive or impulsive behaviors. 

However, as medical understanding advanced, the terminology shifted in 1994 when the American Psychiatric Association updated its diagnostic criteria in the DSM (Diagnostic and Statistical Manual of Mental Disorders). Now, ADHD is the official term used for the condition, and it includes three distinct presentations or types: 

  • Predominantly inattentive presentation – This is often what people think of as “ADD,” where hyperactivity is not a predominant symptom. 
  • Predominantly hyperactive-impulsive presentation – Here, hyperactive behaviors are more prominent than attention difficulties. 
  • Combined presentation – This involves a mix of inattentive and hyperactive-impulsive symptoms. 

While ADD is no longer a clinical term, many people still use it to describe the inattentive presentation of ADHD. 

Symptoms of ADHD and ADD 

Now that we’ve defined the terms, understanding the primary symptoms of ADHD in its various forms is key. These symptoms appear differently depending on the presentation. 

For the inattentive type (what was once called ADD), symptoms may include: 

  • Difficulty staying focused and paying attention 
  • Frequently making careless mistakes or missing details 
  • Losing track of objects like keys, phones, or paperwork 
  • Struggling to follow instructions or finish tasks 
  • Being easily distracted by external stimuli 

For the hyperactive-impulsive type, symptoms often involve: 

  • Fidgeting, tapping, or the need to constantly move 
  • Interrupting others during conversations 
  • Impulsively blurting out answers or thoughts 
  • Difficulty sitting still, even in relaxing situations 
  • Acting without thinking, which could lead to risky behaviors 

If someone has the combined presentation, they may experience symptoms from both categories, making daily life even more challenging. 

ADHD, ADD, and Neurodivergence 

Both conditions fall under the broader concept of neurodivergence, which refers to differences in brain function and mental processing that deviate from what’s considered “typical.” Neurodivergence includes a variety of conditions beyond ADHD, such as autism and dyslexia, but ADHD (including the inattentive and hyperactive types) is one of the most widely recognized. 

Living with ADHD naturally impacts how you think, organize thoughts, and approach challenges. You might excel in some areas, like creativity or problem-solving, but struggle with staying focused or managing time. These traits, though different, are not inherently flaws—they’re part of what makes neurodivergence unique. However, without adequate support, the symptoms of ADHD can cause frustration, stress, and difficulty in school, work, or relationships. 

Why Treatment Matters 

Navigating life with ADHD can feel isolating, but help is available. An ADHD treatment program tailored to your specific symptoms and needs can make managing the condition far more attainable. 

The right treatment approach often includes a mix of tools, such as: 

  • Therapeutic support – Working with a counselor or therapist can help you develop coping skills, create systems for organization, and manage any emotional challenges related to ADHD symptoms. 
  • Medication management – While not for everyone, certain medications can regulate brain function and help with focus. Always work with a medical professional to explore these options. 
  • Lifestyle changes – Mindfulness activities, a regular sleep schedule, and healthy eating habits can make a big difference in managing ADHD. 

Our ADHD treatment program takes a holistic approach, focusing not just on symptom management but also on helping you understand and appreciate your unique way of processing the world. 

Call ALANA Recovery Today 

Contact us online or call 770.759.7474 today to learn more about how our ADHD treatment program can support you—and take the first step toward understanding and empowerment. Together, we’ll work to build a life that embraces your unique strengths while overcoming challenges.