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includes other measures psychological educational social for patients ages 6 years to 16 years with this syndrome a diagnosis of attention deficit hyperactivity disorder adhd dsm iv implies the presence of the hyperactive impulsive or inattentive symptoms that caused impairment and were present before age 7 years the symptoms must cause clinically significant impairment e g in social academic or occupational functioning and be present in 2 or more settings e g school or work and at home the symptoms must not be better accounted for by another mental disorder for the inattentive type at least 6 of the following symptoms must have persisted for at least 6 months lack of attention to details careless mistakes lack of sustained attention poor listener failure to follow through on tasks poor organization avoids tasks requiring sustained mental effort loses things easily distracted forgetful for the hyperactive impulsive type at least 6 of the following symptoms must have persisted for at 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