Mental and Behavioural Health Clinical Reference Group

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Monica Harry

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Hello Piper,

Can you advise please re. the use of the acronyms "ADD" and "ADHD"
Snomed has "ADD" synonymous to 35253001 |Attention deficit hyperactivity disorder, predominantly inattentive type (disorder)|
ADHD is synonymous in Snomed to 406506008 |Attention deficit hyperactivity disorder (disorder)|

Contributors (3)

5 Comments

  1. Elaine Wooler

    Hi Piper Allyn Ranallo

    Can we add this to the agenda for the next meeting please.

    BW

    Elaine

    1. Piper Allyn Ranallo

      You bet!

    2. Laura Fochtmann

      What's the actual question for discussion?  This seems correct to me based on how those abbreviations are used clinically.

  2. Piper Allyn Ranallo

    Laura Fochtmann , Monica Harry , Elaine Wooler , Michael First

    Copying in text from email exchange here:

    From: Piper Ranallo <PRanallo@aan.com>
    Sent: Thursday, November 12, 2020 7:52 PM
    To: Monica Harry <mha@snomed.org>; Michael First <mbf2@columbia.edu>
    Subject: [EXTERNAL] RE: Question about ADD

    Hi Monica,

    Looping Michael in here for his input.

    The DSM-5 includes 3 “subtypes” of  Attention Deficit Hyperactivity Disorder:

    • Predominantly inattentive type
    • Predominantly hyperactive/impulsive type
    • Combined presentation

    My understanding is that ADD was the acronym used for Attention Deficit Disorder – and earlier version of the diagnosis used in DSM-III.  My understanding is that ADD is often used as a synonym for Attention Deficit Hyperactivity Disorder, predominantly inattentive type. However, I’m not sure whether ADHD is used as a synonym for Attention Deficit Hyperactivity Disorder, predominantly hyperactive/impulsive type or not.

    Michael, can you weigh in on this?

    Piper

    From: First, Michael B. <mbf2@cumc.columbia.edu>
    Sent: Thursday, November 12, 2020 11:15 PM
    To: Piper Ranallo <PRanallo@aan.com>
    Subject: RE: Question about ADD


    ADHD includes all three types.  There is no “ADD” in DSM-5.  Cases that are purely inattention are still called ADHD, predominantly inattentive type.  There is no requirement for symptoms of hyperactivity in ADHD.



  3. Piper Allyn Ranallo

    One more note:

    I do know of organizations (and many of us lay-folk) that use the term "ADD" to refer to Attention Deficit Hyperactivity Disorder, predominantly inattentive type. 

    Based on Michael First comment, it sounds like the use of the term this way may not meet SNOMEDs URU criteria, i.e., not all clinicians use ADD to mean Attention Deficit Hyperactivity Disorder, predominantly inattentive type. 

    Piper