Potential implications of removing evidence of impairment from the DSM-5 age-of-onset criterion in adult ADHD assessment

Author: Valentino A. Pironti PhD

Affiliation: Cambridge Adult ADHD & ASD Clinic, Norman House, Cambridge Place, Cambridge, CB2 1NS

Corresponding author email: valentino.pironti@cambridgeadhdclinic.com

Abstract chosen:
N/A (Letter. No abstract available)

Short comment:
This short letter discusses a specific implication of the DSM-5 revision to the ADHD age-of-onset criterion. It focuses on the removal of explicit impairment wording from Criterion B and considers whether, in adult ADHD assessments, retrospective evidence of childhood symptoms alone, without evidence of impairment during the developmental period, may be interpreted as sufficient to issue a diagnosis in adulthood.

Complete abstract with link to PubMed and reference:
N/A (Letter. No abstract available)

PubMed:
https://pubmed.ncbi.nlm.nih.gov/42402991/

Reference:
Pironti VA. Potential implications of removing evidence of impairment from the DSM-5 age-of-onset criterion in adult ADHD assessment. Br J Psychiatry. 2026 Jul 6:1-2. doi: 10.1192/bjp.2026.10704. PMID: 42402991.

Short title:
DSM-5 Criterion B and evidence of impairment in adult ADHD assessment.

Reviewer’s name:
N/A


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