What is hyperactive about ADHD-PI?

[mildadhd]

What is hyperactive about ADHD-PI?







M

[namazu]

Sometimes, nothing.

Sometimes, people with ADHD who present as predominantly inattentive have some hyperactive symptoms, but not enough to meet the criteria for the combined presentation.

Although it's not mentioned in the name of the disorder (for historical reasons, primarily) impulsivity seems to be a more common feature of ADHD than hyperactivity, including in many people who present as predominantly inattentive. Impulsivity is lumped together with hyperactivity in the diagnostic criteria.

[Fluppets]

I think, if there is any hyperactivity at all in an ADHD-PI person, it is directed inwards.

My personal thought is it has mainly to do with anxiety/fear of punishment. You feel like fidgeting, but afraid of punishment (irrational) you don't move. On the contrary, you try not to get noticed.

[mildadhd]

Originally Posted by Fluppets

I think, if there is any hyperactivity at all in an ADHD-PI person, it is directed inwards.

My personal thought is it has mainly to do with anxiety/fear of punishment. You feel like fidgeting, but afraid of punishment (irrational) you don't move. On the contrary, you try not to get noticed.

Thanks

Freeze or Flight?

Two forms of FEAR response?

I wonder if basic freeze and flight responses are different ends of a spectrum of the same system, or, two different systems?

I am guessing they both originate from the same unconditioned primary FEAR response system, but I am not sure?







M

[aeon]

For me, my mind.

Dexedrine brings the chill, and things are as clear as an unmuddied lake.


Cheers,
Ian

[Greyhound1]

Like aeon, my racing thoughts and mind are what is hyperactive to me.

As a child, I was hyperactive physically. As I became an adult that physical energy turned inward and became racing thoughts and worries.

[DeClutter]

My mind can work some serious overtime, both in creative and problemsolving ways.

There are times that it seems to work at lightspeed and that everything connects, heightened awareness. And there are shadow moments where it is all chaos and nothing makes sense :-)

It is mainly hyperactive inside, but in some cases the hyperactivity shows on the outside too. Eg. maintenance jobs on the house sometimes can be postponed for months, and then i do them all at once over just a weekend.

[ToneTone]

My brain.

[stef]

The mind, definitely;
and when I need to hurry, I will actually slow down physically so I contain my thoughts; if I don't I will be incredibly clumsy.
With meds I can do things "seamlessly". The visible sign that they have worn off for the day: fumbling through my purse.

[Greyhound1]

Originally Posted by DeClutter

It is mainly hyperactive inside, but in some cases the hyperactivity shows on the outside too. Eg. maintenance jobs on the house sometimes can be postponed for months, and then i do them all at once over just a weekend.

I’m the same way. After enough stress builds up from procrastination, I can become physically hyperactive towards the task(s) at hand. It takes that stress to become motivated enough to start and finish.

Usually, when the mental anguish outweighs the physical is when my motivation kicks in. I get to a point where I can’t stand worrying about it any longer and I become hyper focused and that’s when things get done.

[aeon]

Originally Posted by Greyhound1

I’m the same way. After enough stress builds up from procrastination, I can become physically hyperactive towards the task(s) at hand. It takes that stress to become motivated enough to start and finish.

Usually, when the mental anguish outweighs the physical is when my motivation kicks in. I get to a point where I can’t stand worrying about it any longer and I become hyper focused and that’s when things get done.

My brother of another mother.


Cheers,
Ian

[Little Missy]

hmmmmm, I've been known to claw around in the consoles of the car, run back and forth around the house, oh it just goes on and on.

[Little Missy]

Originally Posted by mildadhd

What is hyperactive about ADHD-PI?







M

what do you do?

[mildadhd]

Originally Posted by Little Missy

what do you do?

I have a hyperactive involuntary FEAR/freeze anxiety response system and a hyperactive involuntary GRIEF/separation anxiety response system, resulting in a hypoactive involuntary SEEKING/motivation response system and a involuntary hypoactive PLAY/joy response system ( neurochemical imbalance in areas of involuntary and voluntary processing from the VTA to the OFC)

Although, I luckily have also experienced a tremendous amount of supervised free play, during my early life to help me compensate.

The situation of my environment has a decisive affect.






M

[CharlesH]

Originally Posted by mildadhd

What is hyperactive about ADHD-PI?

M

A diagnosis of ADHD-PI means they did not meet the diagnostic criteria for hyperactivity. However, many are sub-clinically hyperactive, meaning that they just barely missed the cutoff. These people are probably going to respond similarly to meds as people with ADHD-C.

However, some ADHD-PI patients have virtually no symptoms of hyperactivity. These people are more controversial. Researchers such as Russell Barkley believe that these people actually don't have ADHD, and that they actually have "sluggish cognitive tempo." However, sluggish cognitive tempo is not currently recognized in the DSM.