Yes, it is entirely possible to have ADHD without being hyperactive. While many people associate ADHD with high energy, restlessness, and impulsive behavior, these are not universal symptoms. ADHD presents in different ways, and one of the most commonly misunderstood forms is called ADHD, Predominantly Inattentive Presentation, sometimes still referred to by its old name, ADD. According to a 2016 study published in the Journal of Clinical Psychiatry, the inattentive type is one of the most common subtypes of ADHD in the general population.
Different Types of ADHD
ADHD is a neurodevelopmental condition that affects attention, self-regulation, and executive functioning. The Diagnostic and Statistical Manual of Mental Disorders (DSM-5) outlines three types of ADHD:
- Predominantly Inattentive Presentation: Characterized mostly by difficulties with attention, focus, and organization.
- Predominantly Hyperactive-Impulsive Presentation: Involves excessive movement, restlessness, and impulsivity.
- Combined Presentation: Involves symptoms of both inattention and hyperactivity-impulsivity.
People with the inattentive type may appear quiet, daydreamy, or easily distracted rather than outwardly disruptive. As a result, their symptoms are often overlooked or mistaken for something else.
What Inattentive ADHD Looks Like
Some common signs of inattentive ADHD include:
- Difficulty paying close attention to details
- Trouble staying focused on tasks or conversations
- Frequently losing items like keys, phones, or school supplies
- Forgetting appointments or assignments
- Appearing to not listen, even when spoken to directly
- Becoming easily distracted by unrelated stimuli
- Avoiding tasks that require sustained mental effort
These symptoms can affect performance at school, work, or in daily responsibilities. However, because they are not outwardly disruptive, they are often missed by teachers, parents, or even medical professionals.
Why It’s Often Missed
Inattentive ADHD is especially underdiagnosed in girls and women. Many girls with ADHD do not display the hyperactivity or impulsivity that often triggers evaluations in boys. Instead, they may be labeled as shy, unmotivated, or forgetful.
In adults, the inattentive ADHD becomes more common, as hyperactive symptoms often lessen with age. Adults with this type may go years without realizing that their chronic disorganization, procrastination, or difficulty following through is part of a diagnosable condition. Instead, they may blame themselves or assume these challenges are just part of their personality.
Getting an Accurate Diagnosis
If you or your child struggle with attention, memory, or focus but do not seem overly energetic or impulsive, it may still be worth exploring the possibility of ADHD. A psychologist can conduct a comprehensive evaluation, which typically includes clinical interviews, rating scales, and cognitive assessments. A diagnosis can help clarify what is going on and point toward effective strategies and support. At Strengths and Solutions, we offer comprehensive ADHD assessments for children and for adults.
Treatment Options
Treatment for inattentive ADHD often includes a combination of behavioral strategies, educational or workplace accommodations, and sometimes medication. Therapy can also help with building executive functioning skills and managing the emotional effects of ADHD, such as low self-esteem or anxiety.
In Summary
You do not need to be hyperactive to have ADHD. The inattentive type is very real and can significantly impact a person's life, even though it may be harder to spot. If you or someone you care about is consistently struggling with attention, forgetfulness, or mental organization, seeking a professional evaluation can be a valuable next step.
