Download Progress Tracker

At week 1, choose the symptoms below that impact your life
the most and rate their severity from 1 (less severe) to 5.
Each week, watch for progress by rating the same symptoms again.
Progress Tracker
Failure to pay attention to details or making careless mistakes
Date started on medication:
Starting dose:
Unable to keep attention on tasks
Directions given by healthcare provider:
People who will help watch for progress:
inattention
Difficulty listening when spoken to directly
Inability to finish tasks or follow instructions
Trouble organizing tasks or activities
Avoidance of things that require long periods of mental effort
Losing things you need
Personal goals:
Being easily distracted
Forgetting things in daily activities
Fidgeting with hands and feet
hyperactivity
Unable to remain seated when it is expected
Feeling restless (adults)/Running, climbing excessively (children)
Difficulty with quiet leisure activities
Feeling “on the go,” as if “driven by a motor”
impulsivity
Talking excessively
Blurting out answers before the question is finished
Unable to wait your turn
Interrupting or intruding on others
week
1
2
3
4
5
6
7
8
ADHD Diagnostic Criteria
ADHD SYMPTOMS:
inattention
hyperactivity
impulsivity
DSM-IV-TR1*
The following 5 criteria must be present:
1) 6 or more symptoms of inattention and/or 6 or more symptoms of hyperactivity/impulsivity
have persisted for at least 6 months to a degree that is inconsistent with developmental level.
2) Some inattentive or hyperactive/impulsive symptoms were present before age 7.
3) Impairment from symptoms is present in 2 or more settings (ie, at school, at work, at home).
4) There is clear evidence of clinically significant impairment in social, academic, or occupational
functioning.
5) Symptoms do not occur exclusively during the course of another mental disorder.
DSM-52†
Revisions to specific criteria and symptomatology:
1) 6 or more symptoms of inattention and/or 6 or more symptoms of hyperactivity/impulsivity
have persisted for at least 6 months to a degree that is inconsistent with developmental level
and that negatively impacts directly on social and academic/occupational activities.
2) For older adolescents and adults (age 17 and older), at least 5 symptoms are required.
3) Several inattentive or hyperactive/impulsive symptoms were present prior to age 12.
(Note that examples were added to criterion to facilitate application across life span [child,
adolescent, adult]).
4) Several inattentive or hyperactive/impulsive symptoms are present in two or more settings
(eg, at home, school, or work; with friends or relatives; in other activities).
5) There is clear evidence that the symptoms interfere with, or reduce the quality
of, social, academic, or occupational functioning.
6) A comorbid diagnosis with autism spectrum disorder is now allowed.3
*Diagnostic and Statistical Manual of Mental Disorders – Text Revision. 4th edition.
†Diagnostic and Statistical Manual of Mental Disorders. 5th edition.
References: 1. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 4th ed, text revision. Washington, DC:
American Psychiatric Association; 2000. 2. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed.
Washington, DC: American Psychiatric Association; 2013. 3. American Psychiatric Association. Highlights of Changes from DSM-IV-TR to DSM-5.
Available at: http://www.dsm5.org/Documents/changes from dsm-iv-tr to dsm-5.pdf. Accessed July 27, 2016.
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