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I have posted this before but its been a while. Hopefully those of you who dont already know about the different ADD subtypes can use this information to better determine your personal ADD subtype.

#1- Hyperactivity/Impulsive/Inattentive ADHD

#2 - Inattentive ADD

#3- Hyperactive/Impulsive type

#4 - Overfocus ADD

#5 - Temporal Lobe ADD

#6 - Limbic ADD

#7 - Ring of Fire ADD



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#1- Hyperactivity/Impulsive/Inattentive ADHD

(otherwise known as ADD combined type)

People with this type of ADD show symptoms of both hyperactivity and inattentiveness along with being very impulsive. While the brain is at rest it activity appears to be fairly normal. While attempting to concentrate activity in the pre frontal cortex area decreases instead of increasing as it should. This causes ADDers to have a hard time on tasks that require a great amount of concentration. The harder they try the harder the task in front of them becomes. Many times this causes frustration which can in turn lead to anger. The same is true of sitting still. Being quiet is never an easy task for any child and it is especially difficult for those with ADD with hyperactivity (ADHD) Forcing a child who is hyperactive to stay still and be quiet will make the hyperactivity worse. If an ADHD child believes they will only have to sit and listen for 30minutes before they get a break they will do much better for that 30minutes than they would in the first 30minutes of sitting if they thought they were going to have to wait 2 hours for a break.




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#2 - Inattentive ADD

People with this type of ADD are inattentive but not hyperactive, in fact some may appear hypoactive. They may run low on energy, seem unmotivated or even lazy. These are the “space cadets” and “daydreamers” They are often times very well behaved, quiet, and pleasant to be around. They get bored extremely quickly and their mind vivid imaginations take over. The world inside their minds of their own thoughts, ideas, and worries is many times extremely distracting. These are the children that can’t finish a timed test because they keep having to read the same question over and over each time forgetting what they read. They are the adults who try their very hardest to listen to their loved ones tell them about a bad day they had at work but their minds just “zone out” This ADD subtype is also caused by decreased activity in the prefrontal cortex.




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#3- Hyperactive/Impulsive type

People with this type of ADD show symptoms of hyperactivity and impulsiveness yet are not inattentive. This is also caused by decreased activity in the prefrontal cortex. In a learning environment they may still seem inattentive simply due to the fact that they are to hyperactive to sit still long enough to learn the material. This subtype is often seen in males with co-occurring conduct disorder or explosive aggression. Often this is seen in children who have a history of head trauma, FAS, brain damage during birth etc.



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#4 - Overfocus ADD

People with this type of ADD have trouble shifting their attention. They get stuck on one task or behavior and just cant seem to move on to something else. Common symptoms are trouble shifting attention, cognitive inflexibility, difficulty with smooth transitions, excessive worrying, oppositional or argumentative behavior, along with the basic core ADD symptoms of inattention, hyperactivity and impulsive behaviors. This type of ADD is caused by increased blood flow or activity in the top middle parts of the frontal lobes. This is known as the cingulate area of the brain.




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#5 - Temporal Lobe ADD

This is one of the least understood ADD subtypes. Common symptoms include inattention, mood instability, aggression, paranoia, anxiety, headaches or stomach pains with no physical cause, visual or auditory illusions (in severe cases) hallucinations, panic attacks, dark violent thoughts of suicide and or homicide, social withdraw and learning difficulties especially in the area of reading. The person may or may not be hyperactive.

This can also be called temporal lobe dysfunction. It can be inherited or caused by head trauma. The cause is for one or both (left and right) temporal lobes to be either over or underactive. Untreated this type of ADD can be life threatening.





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#6 - Limbic ADD

People who have this type of ADD have the main symptom of inattention, they may or may not be hyperactive. Other common symptoms include negativity, depression, sleep problems, low energy, low self esteem, social withdraw or isolation from others, low motivation, and irritability. The cause of this is an overactive limbic system. This type of ADD often looks about identical to depression. The difference is Limbic ADD is life long, it does not suddenly appear in adulthood or in the late teen years. It never goes away only to later return as do depressions, it is constant.




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#7 - Ring of Fire ADD

This is the term referring to those of us who have 3 or more of the ADD subtypes. Common symptoms include severe oppositional behavior, distractibility, irritability, extreme mood swings, and temper problems. They can become verbally or physically aggressive with little provocation, may be hyperactive or hyper verbal (talk non-stop, many times too fast for others to understand what is being said) Their minds never seem to rest, they have a continuous flow of thoughts, worries, and ideas flying through their minds too quickly for any sense to be made of them. Moods tend to cycle from extreme lows to extreme highs. Many with this condition are extremely sensitive to environmental stimulation including light, bright colors, sounds, smells, tastes, and touch. Behavior is often equivalent to that of bipolar disorder.
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Ring of Fire ADD is a term for when a person has 3 or more ADD subtypes AND a set of specific symptoms are present. (also posted in adhd & mild bipolar)

Ring of Fire symptoms -
is angry or aggressive

is sensitive to noise, light, clothes or touch

undergoes frequent or cyclic mood changes (highs and lows)

demands to have his or her way, even when told no multiple times

has periods of mean, nasty, or insensitive behavior

has periods of increased talkativeness

has periods of increased impulsivity

displays unpredictable behavior

way of thinking is grandoise or larger than life

talks fast

feels that thoughts go fast

appears anxious or fearful

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Some doctors believe this is part of an early onset bipolar disorder that will later develope into full blown bipolar disorder. Others think that this subtype is actually bipolar disorder. For it to be ADHD you must also have the core ADHD symptoms (#1 or #2)

While many subtypes of ADHD are cuased by underactivity in certain parts of the brain Ring of Fire patients tend to have areas which are overactive. (They still have the underactive prefrontal cortex)
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SUBTYPE TEST -

ADD Subtype Questionnaire:

Write an X for everything behavior that you see either frequently or very frequently.



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Section A

Inattentiveness

___ ___1. is easily distracted

___ ___2. has difficulty sustaining attention span for

most tasks in play, school, or work

___ ___3. has trouble listening when others are talking

___ ___4. has difficulty following through (procrastination)

on tasks or instructions

___ ___5. has difficulty keeping an organized area (room,

desk, book bag, filing cabinet, locker, etc.)

___ ___6. has trouble with time, for example, is frequently

late or hurried, tasks take longer than expected,

projects or homework are last minute or turned

in late.

___ ___7. has a tendency to lose things

___ ___8. is forgetful

___ ___10. daydreams excessively

___ ___11. complains of being bored

___ ___12. appears apathetic or unmotivated

___ ___13. is tired, sluggish, or slow-moving

___ ___14. is spacey or seems preoccupied

Number of X's for questions 1-14 ____

Section A1

Hyperactivity/Impulsivity

___ ___15. is restless or hyperactive

___ ___16. has trouble sitting still

___ ___17. is fidgety, in constant motion (hands, feet, body)

___ ___18. is noisy, has a hard time being quiet

___ ___19. acts as if driven by a motor

___ ___20. talks excessively

___ ___21. is impulsive (doesn't think through comments

or actions before they are said or done)

___ ___22. has difficulty waiting his or her turn

___ ___23. interrupts or intrudes on others (e.g., butts into

conversations or games)

Number of X's for questions 15-23 _____

If you scored six or more in group A and six or more in group A1 you score positive for ADHD combined type ( Type #1) If you scored six or more in group A but less than six in group A1 then you score positive for Inattentive ADD (Type #2) If you scored six or more in group A1 but less than six in group A you score positive for Hyperactive/Impulsive disorders (Type #3)

In the groups below you must score six or higher to be positive for any given ADD subtype along with having previously scored six or more in groups A and/or A1.



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Section B

Overfocused


___ ___24. worries excessively or senselessly

___ ___25. is super-organized

___ ___26. is oppositional, argumentative

___ ___27. has a strong tendency to get locked into negative

thoughts; has the same thought over and over

___ ___28. has a tendency toward compulsive behavior

___ ___29. has an intense dislike of change

___ ___30. has a tendency to hold grudges

___ ___31. has trouble shifting attention from subject to

subject

___ ___32. has difficulties seeing options in situations

___ ___33. has a tendency to hold on to own opinion and

not listen to others

___ ___34. has a tendency to get locked into a course of

actions, whether or not it is good for the person

___ ___35. needs to have things done a certain way or

becomes very upset

___ ___36. others complain that he or she worries too much

Number of X's for 24-36_____ A score of six or more indicates a positive score for Overfocused ADD

(Type #4)



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Section C

Temporal Lobe

___ ___37. has periods of quick temper of rages with little

provocation

___ ___38. misinterprets comments as negative when they

are not

___ ___39. irritability tends to build, then explodes, then

recedes; is often tired after rage

___ ___40. has periods of spaciness of confusion

___ ___41. has periods of panic and or fear for no specific

reason

___ ___42. perceives visual changes, such as seeing shadows

or objects changing shape

___ ___43. has frequent periods of deja vu (feeling of being

somewhere before even though he or she has never

been there)

___ ___44. is sensitive or mildly paranoid

___ ___45. has headaches or abdominal pain of uncertain

origin

___ ___46. has a history of a head injury or a family history

of violence or explosiveness

___ ___47. has dark thoughts, may involve suicidal or

homicidal thoughts

___ ___48. has periods of forgetfulness or memory problems

___ ___49. has a short fuse or periods of extreme irritability

Number of X's for 37-49_____ Six or higher indicates a positive score for Temporal Lobe ADD subtype

(Type #5)



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Section D

Limbic


___ ___50. is moody

___ ___51. is negative

___ ___52. has low energy

___ ___53. is frequently irritable

___ ___54. has a tendency to be socially isolated

___ ___55. has frequent feelings of hopelessness,

helplessness, or excessive guilt

___ ___56. has lowered interest in things that are usually

considered fun

___ ___57. undergoes sleep changes (too much or too little)

___ ___58. has chronic low self-esteem

Number of X's for 50-58 ______ Six or more indicates a positive score for Limbic ADD subtype

(Type #6)



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Section E

Ring of Fire

___ ___59. is angry or aggressive

___ ___60. is sensitive to noise, light, clothes or touch

___ ___61. undergoes frequent or cyclic mood changes

(highs and lows)

___ ___62. is inflexible, rigid in thinking

___ ___63. demands to have his or her way, even when told

no multiple times

___ ___64. has periods of mean, nasty, or insensitive behavior

___ ___65. has periods of increased talkativeness

___ ___66. has periods of increased impulsivity

___ ___67. displays unpredictable behavior

___ ___68. way of thinking is grandoise or larger than life

___ ___69. talks fast

___ ___70. feels that thoughts go fast

___ ___71. appears anxious or fearful

Number of X's for 59-71_____ Six or more indicates a positive score for Ring of Fire ADD subtype

(Type #7)
Borderline Personality Disorder vs Attention Deficit Hyperactivity Disorder-

Symptoms of Borderline Personality Disorder:
Official Criteria for Borderline Personality Disorder

A pervasive pattern of instability of interpersonal relationships, self-image, and affects, and marked impulsivity beginning by early adulthood and present in a variety of contexts, as indicated by five (or more) of the following:

1) frantic efforts to avoid real or imagined abandonment

2) a pattern of unstable & intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation

3) identity disturbance: markedly and persistent unstable self-image or sense of self

4) impulsivity in at least two areas that are potentially self-damaging (e.g. spending, sex, substance abuse, reckless driving, binge eating)

5) recurrent suicidal behavior, gestures or threats, or self-mutilating behavior

6) affective instability due to a marked reactivity of mood (e.g., intense episodic dysphoria, irritability, or anxiety usually lasting a few hours and only rarely more than a few days)

7) chronic feelings of emptiness

8) inappropriate, intense anger or difficulty controlling anger (e.g., frequent displays of temper, constant anger, recurrent physical fights)

9) transient, stress related paranoia or severe dissociative symptoms

Symptoms of ADHD:
INATTENTION (need 6 of 9)

a) often fails to give close attention to details or makes careless mistakes in schoolwork, work or other activities

b) often has difficulty sustaining attention in tasks or play activities

c) often does not seem to listen when spoken to directly

d) often does not follow through on instructions and fails to finish schoolwork, chores, or duties in the workplace (no if oppositional behavior or doesn’t understand instructions)

e) often has difficulty organizing tasks and activities

f) often avoids, dislikes, or is reluctant to engage in tasks or activities that require sustained mental effort (such as schoolwork or homework)

g) often loses things necessary for tasks or activities (e.g., toys, school assignments, pencils, books, or tools)

h) is often easily distracted by extraneous stimuli

i) is often forgetful in daily activities

HYPERACTIVITY-IMPULSIVITY (need 6 of 9)

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 it is inappropriate (in adolescents or adults, may be limited to subjective feelings of restlessness)

d) often has difficulty playing or engaging in leisure activities quietly

e) is often "on the go" or often acts as if "driven by a motor"

f) often talks excessively

g) often blurts out answers before questions have been completed

h) often has difficulty awaiting turn

i) often interrupts or intrudes on others (e.g., butts into conversations or games)

REQUIREMENTS:

1) Present at least 6 months, maladaptive and inconsistent with development level

2) Some symptoms that caused impairment were present before age 7

3) Some impairment from the symptoms is present in two or more settings (e.g., at school {or work} and at home)

4) There must be clear evidence of clinically significant impairment in social, academic or occupational functioning
[QUOTE=* Free ~ Spirit *]Ring of Fire symptoms -
is angry or aggressive

is sensitive to noise, light, clothes or touch

undergoes frequent or cyclic mood changes (highs and lows)

demands to have his or her way, even when told no multiple times

has periods of mean, nasty, or insensitive behavior

has periods of increased talkativeness

has periods of increased impulsivity

displays unpredictable behavior

way of thinking is grandoise or larger than life

talks fast

feels that thoughts go fast

appears anxious or fearful

-[/QUOTE]


wow, are u like this? this is the 1 that you have?
Ring of Fire is not just one subtype its a combination of a few. Yes, according to evaluations I have this subtype. It doesnt mean thats how I am. I have a treatment plan. With proper treatment the symptoms lessen. If you are wondering what symptoms I would have without being involved in treatment -

is sensitive to noise, light, clothes or touch - I can be very sensitive to light, which made it hard for me in school because they always had very bright lights in class.

undergoes frequent or cyclic mood changes - Usually brought on by external events that normal people would respond to by getting sad, happy, or nervous.. but with me it would be VERY sad or VERY happy or VERY nervous.

demands to have his or her way, even when told no multiple times - This is why I was diagnosed with ODD

has periods of increased talkativeness & has periods of increased impulsivity - When I get very hyper this can happen

displays unpredictable behavior - Yes, my behavior could be described as unpredictable

way of thinking is grandoise or larger than life - Usually when I am bored or hyper or being forced to do something that is boring or uninteresting

feels that thoughts go fast - Yes, almost always

*The other symptoms dont apply to me, a person doesnt have to have ALL of the symptoms to have a specific subtype

*These symptoms were when I was younger (I was being treated with medications but they didnt help) Once I was older I stopped medication and started an alternative treatment plan and it works absolutely wonderfuly for me.

I posted this for you, becuase you requested some information and said it sounds like you. Another purpose was to compare borderline with ADHD, they do have some of the same symptoms but are actually quite different so its important that your doctors diagnose you correctly.
Thank you so much for that post. I now have an explaination for my quick outbursts of anger, and paranoia I feel most times when I am not on my adderal. "Temperal Lobe" "Limbic" and "Innattentiveness" where the ones I marked almost every line.. Very informative post Free..
Glad you got some needed info. Check out the book "Healing ADD" by Dr. Amen - It talks about 6 subtypes rather than 7 (the hyperactive/impulsive type and combined type are clumped into one) Talk to your doctor about it... stimulants can make temporal lobe issues worse.
well that explains a little about why im so reclusive when im on the Adderal. I tend to be more non-social on it, and i clam up easier. We (doc and I) thought the adderal would actualy help with my social withdrawl that i experience sometimes. I also experience aggression sometimes on it and iritability. But the benefits outwieght the bad IMO. I am a LOT more focused and I am elieveated of my 'childish' outbursts. I dont comment on everything like I would normaly, and Im just more 'mature' to put a word on it.
Im tring to take Omega 3 1200mg pills with some omega 6 in them also, take about 2-3 twice a day.. Has been almost a week and I really see no difference, but we will see.. Im really unsure that anything but a chemical will bealbe to balance me out..
The diagnoses of ADD/ADHD are of common mental associations with a number of factors from diet, food additives, allergies, to common illnesses as to cause. We have all experiences these problemss from time to time. I beleive that ADD/ADHD is a hoax on the world population and is the reason why many countries will not except the diagnoses. It has been explained a million times by the mental health profession to the world population as if propoganda will sell ADD/ADHD eventually for them.. What they are doing is providing for their monitary rewards now and in the future at the cost of our children. That is the reason why they have contaminated the school system with their thoughts and constant intrusion into the health field. To make children accept and beleive later in life that the diagnoses are exceptable is a fraud. It is sad that ADD/ADHD will never be recognized as any scienctific developement of the mind illness because it will never have real defination as to cause.
It's kind of funny actually - the idea that supposedly everybody experiences these things now and then. When I ask people if they have ever experienced 'such and such' a symptom, the answer is almost invariably "no".

The people in my life and in my daughter's life do not identify with our symptoms.
free spirit~

I just took that test and I scored higher than 6 x's in each box....... do you have anymore information on the ring of fire type of ADHD?! Also could this relat4e to why i feel like im having panic attacks lately?! Thank you for your help!
[QUOTE=volleyball98]free spirit~

I just took that test and I scored higher than 6 x's in each box....... do you have anymore information on the ring of fire type of ADHD?! Also could this relat4e to why i feel like im having panic attacks lately?! Thank you for your help![/QUOTE]

The test is NOT always accurate just so you know. Self perception is not usually the best way to measure things. I can't post the link to the info because its a site link thats not allowed but I can try to answer your questions.

As for the panic attacks, those can cause ADD symptoms but it is rare that ADD can cause panic attacks. Panic attacks arent usually part of ring of fire but they are part of other problems that can go with ADD.
[QUOTE=* Free ~ Spirit *]The test is NOT always accurate just so you know. Self perception is not usually the best way to measure things. I can't post the link to the info because its a site link thats not allowed but I can try to answer your questions.

As for the panic attacks, those can cause ADD symptoms but it is rare that ADD can cause panic attacks. Panic attacks arent usually part of ring of fire but they are part of other problems that can go with ADD.[/QUOTE]


you have a good point, thats why dont trust myself cuz i really dont know, Im horrible as observing myself and my behavior! To be honest all this stuff just frustrates me. I tryed to get into see a specialist before i left for college and I wasnt able too. So my doc put me on Adderall. Last semester (my freshman year, im a sophmore now) it worked wonders, thsi semester i only took it for a month. Second semester just went down hill cuz i was put on strattera! Sorry to ramble, but thank you for you help!
[QUOTE=volleyball98]you have a good point, thats why dont trust myself cuz i really dont know, Im horrible as observing myself and my behavior! To be honest all this stuff just frustrates me. I tryed to get into see a specialist before i left for college and I wasnt able too. So my doc put me on Adderall. Last semester (my freshman year, im a sophmore now) it worked wonders, thsi semester i only took it for a month. Second semester just went down hill cuz i was put on strattera! Sorry to ramble, but thank you for you help![/QUOTE]

Why not print out the test and give it to a family member and a couple of friends so they can fill it out for you and see how closely all the scores match up.





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