(c) Often does not seem to listen when spoken to directly.
(d) Often does not follow through on instruction and facts to finish schoolwork, chores or duties in the workplace.
(e) Often has difficulty organising tasks and activities.
(f) Often avoids, dislikes or is reluctant to engage in tasks that require sustained mental effort (such as schoolwork or homework).
(g) Often loses things necessary for tasks or activities, for example, toys, school assignments, pencils, books or tools).
(h) Is often easily distracted by extraneous stimuli.
(i) Is often forgetful in daily activities.
The child must also display at least six of the following symptoms of hyperactivity and impulsivity to a degree which is "maladaptive and inconsistent with developmental level" (Mash and Wolfe, 1998):.
(a) Often fidgets with hands or feet or squirms in seat.
(b) Often leaves seat in classroom or in other situations in which remaining seated is expected.
(c) Often runs about or climbs excessively in situations in which remaining seated is expected.
(d) Often has difficulty playing or engaging in leisure activities quietly.
(e) Is often "on the go" of often acts as if "driven by a motor".
(f) Often talks excessively.
(g) Often blurts out answers.
(h) Often has difficulty .
(i) Often interrupts or intrudes on others.
In order to ensure that diagnosis is accurate, it is also a condition of DSM-IV that symptoms must have been present for at least six months, that "some hyperactive - impulsive or inattentive symptoms that caused impairment need to have been present before the child was seven years old" (Rabiner, 1997) though not necessarily to the same extent, and also that symptoms must have caused impairment in at least two separate settings for example home and school. In addition to this, ADHD can only be diagnosed if there is "clear evidence of clinically significant impairment in social, academic or occupational functioning" (Rabiner, 1997).