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Symptoms resolving with behavioral therapy alone is not a diagnostic requirement. ADHD often requires multimodal treatment including pharmacotherapy. Persistence and neurobiology define the disorder, not treatment response.

Symptoms accompanied by psychosis are not part of ADHD criteria. Psychosis indicates a separate psychiatric disorder. ADHD involves attention deficits and impulsivity, not hallucinations or delusions.

Symptoms beginning after school enrollment contradict DSM-5-TR. ADHD must present before age 12. Onset after school entry suggests other conditions. Early onset and developmental trajectory are required.

The Mini-Mental State Examination evaluates cognition in adults, focusing on orientation, memory, and language. It is used for dementia and delirium screening, not ADHD. Its structure lacks sensitivity for attentional deficits in pediatric populations, making it unsuitable for ADHD diagnosis.

The Beck Depression Inventory measures depressive symptoms including mood, guilt, and suicidal ideation. It is validated for major depressive disorder but does not assess hyperactivity or impulsivity. ADHD requires evaluation of attentional and behavioral domains, which this tool does not address.

The Glasgow Coma Scale assesses consciousness in acute neurological injury, measuring eye, verbal, and motor responses. It is used in trauma and critical care settings. ADHD is a chronic neurodevelopmental disorder, not an acute alteration of consciousness, so this scale is irrelevant.

Symptoms limited to the classroom indicate situational behavioral issues, not ADHD. ADHD requires impairment in ≥2 settings (home, school, social). Restriction to one environment excludes diagnosis of combined presentation.

Onset after age 12 contradicts DSM-5 criteria. ADHD must begin before age 12. Later onset suggests other psychiatric or cognitive disorders, not combined ADHD.

Hallucinations and delusions are features of psychosis, not ADHD. ADHD involves attentional and behavioral dysregulation, not perceptual disturbances. Psychotic symptoms indicate schizophrenia or mood disorders with psychotic features.

Excessive worry about future events is characteristic of generalized anxiety disorder. It reflects cognitive preoccupation with potential threats, not attentional deficits. ADHD involves distractibility and impulsivity, not chronic worry.

Fear of social situations indicates social anxiety disorder. It involves avoidance due to fear of embarrassment or scrutiny. ADHD does not primarily manifest as social fear but as inattentive and hyperactive behaviors.

Avoidance of school due to panic reflects panic disorder or school refusal linked to anxiety. ADHD does not cause panic attacks or avoidance behaviors; instead, it causes poor task completion and impulsivity across settings.