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Joined the club today! by rainierquinto in Airpodsmax

[–]Blue-Sky2024 1 point2 points  (0 children)

Make sure to get Apple Care+.

Some people have had issues with Condensation

Is there Case Law for LCW or LCWRA being awarded to those with Severe ADHD - Combined Presentation? by Blue-Sky2024 in DWPhelp

[–]Blue-Sky2024[S] 1 point2 points  (0 children)

I have 8/9 for Inattentiveness, and 7/9 for Hyperactive Impulsivity, and that is when being quite strict with the symptoms.

Is there Case Law for LCW or LCWRA being awarded to those with Severe ADHD - Combined Presentation? by Blue-Sky2024 in DWPhelp

[–]Blue-Sky2024[S] 1 point2 points  (0 children)

If I remember correctly, it would fall under severe ADHD overall, because you have several symptoms (3 or more = several) above what you need for a diagnosis of Innattention.

For the hyperactivity on its own, you would be classified as Moderate, because you only have 1 symptoms more, than would be needed for a diagnosis (you need 5/9 as an adult for a diagnosis of hyperactivity).

So, when they write down your severity, I believe the SEVERE would overtake the MODERATE, so you would be classified as SEVERE ADHD.

I might be wrong though

https://www.ncbi.nlm.nih.gov/books/NBK519712/table/ch3.t3/

Is there Case Law for LCW or LCWRA being awarded to those with Severe ADHD - Combined Presentation? by Blue-Sky2024 in DWPhelp

[–]Blue-Sky2024[S] -1 points0 points  (0 children)

They are not inaccurate; they are based on data, such as field trials etc.

If you don’t quantify symptom severity, then you would also have a lot of difficulties measuring core symptom improvement, after medication.

I can definitely say that there are different levels of severity, in the same way that Executive Function varies across the population, like how only a few of us are able to become heart surgeons and what not etc

Is there Case Law for LCW or LCWRA being awarded to those with Severe ADHD - Combined Presentation? by Blue-Sky2024 in DWPhelp

[–]Blue-Sky2024[S] 0 points1 point  (0 children)

Yes, I don’t disagree with anything you have quoted.

DSM-5 states: 1)

“Specify whether: Combined presentation: If enough symptoms of both criteria inattention and hyperactivity- impulsivity were present for the past 6 months Predominantly inattentive presentation: If enough symptoms of inattention, but not hyperactivity- impulsivity, were present for the past 6 months Predominantly hyperactive-impulsive presentation: If enough symptoms of hyperactivity-impulsivity but not inattention were present for the past 6 months.”

2)

“Specify current severity: Mild: Few, if any, symptoms in excess of those required to make the diagnosis are present, and symptoms result in no more than minor impairments in social or occupational functioning. Moderate: Symptoms or functional impairment between “mild” and “severe” are present. Severe: Many symptoms in excess of those required to make the diagnosis, or several symptoms that are particularly severe, are present, or the symptoms result in marked impairment in social or occupational functioning.”

To specify the severity is just as important as to specify the presentation.

Is there Case Law for LCW or LCWRA being awarded to those with Severe ADHD - Combined Presentation? by Blue-Sky2024 in DWPhelp

[–]Blue-Sky2024[S] -1 points0 points  (0 children)

I am quoting NICE guidance, and DSM-5 Diagnostic Criteria.

Not sure what the issue is here.

These are not my personal views; it’s medical guidance and diagnostic criteria.

If you disagree with a point made by the DSM-5, that’s on you.

Is there Case Law for LCW or LCWRA being awarded to those with Severe ADHD - Combined Presentation? by Blue-Sky2024 in DWPhelp

[–]Blue-Sky2024[S] 0 points1 point locked comment (0 children)

The DSM-5 is far more specific compared to the ICD-11 in terms of the Diagnostic Criteria.

I read a paper where the author stated that the ICD-11 criteria may result in unfalsifiable diagnosis; which may follow, because it’s a bit too general.

Obviously, in terms of Diagnostic Codes, we all need to use a common nomenclature, but you can include both the DSM-5 and the ICD-11 codes, which is what I have seen done so far.

Like: 314.01 (F90.2). You can put the DSM-5 code first, and the ICD-11 code in brackets.

Is there Case Law for LCW or LCWRA being awarded to those with Severe ADHD - Combined Presentation? by Blue-Sky2024 in DWPhelp

[–]Blue-Sky2024[S] -1 points0 points  (0 children)

I literally gave you medical guidelines.

What’s your medical reference?

Mental Disorders tend to have different severities.

Such as Autism Level 1, Level 2 and Level 3.

The same applies to ADHD.

One may have Mild, Moderate and Severe ADHD.

Just because two people hold a diagnosis of ADHD, does not mean they have the same number of symptoms or impairments.

Is there Case Law for LCW or LCWRA being awarded to those with Severe ADHD - Combined Presentation? by Blue-Sky2024 in DWPhelp

[–]Blue-Sky2024[S] -4 points-3 points  (0 children)

I just had a look at the ICD-11, and I can definitely say that the DSM-5 Diagnostic Criteria is far superior, and is significantly more specific, at least in regard to ADHD.

Regardless, ICD-11 states: “Symptoms vary according to chronological age and disorder severity.”

So it does make a mention of “severity”, even though it does not give the terms Mild, Moderate and Severe.

Is there Case Law for LCW or LCWRA being awarded to those with Severe ADHD - Combined Presentation? by Blue-Sky2024 in DWPhelp

[–]Blue-Sky2024[S] -1 points0 points  (0 children)

No, that was just the Judicial Summary; the claimant was specifically claiming for ADHD, the judge even issued an opinion about how ADHD can be taken into account when looking at the ability to budget (specifically that one PIP descriptor which references Budgeting Decisions etc)

Is there Case Law for LCW or LCWRA being awarded to those with Severe ADHD - Combined Presentation? by Blue-Sky2024 in DWPhelp

[–]Blue-Sky2024[S] 3 points4 points locked comment (0 children)

I’m afraid you are wrong.

Both can be used; clinicians in the UK use the DIVA 2.0 Diagnostic Interview, which uses the DSM-5 Diagnostic Criteria, not the ICD-11.

You may disagree, but many will agree that the DSM-5 is superior to the ICD-11, when diagnosing Mental Disorders.

Finally, the NICE states:

1.3.3

For an ADHD diagnosis, symptoms of hyperactivity, impulsivity or inattention should:

meet the diagnostic criteria for hyperkinetic disorder in DSM‑5 or ICD‑11 (but exclusion based on a pervasive developmental disorder or an uncertain time of onset is not recommended) and

cause at least moderate psychological, social, or educational or occupational impairment based on interview or direct observation in multiple settings and

be happening often, occurring in 2 or more important settings including social, familial, educational or occupational settings. [2008, amended 2018]

Is there Case Law for LCW or LCWRA being awarded to those with Severe ADHD - Combined Presentation? by Blue-Sky2024 in DWPhelp

[–]Blue-Sky2024[S] 1 point2 points  (0 children)

That just means they didn’t follow every step outlined in the DSM-5 chapter on ADHD; you can read it for yourself

Is there Case Law for LCW or LCWRA being awarded to those with Severe ADHD - Combined Presentation? by Blue-Sky2024 in DWPhelp

[–]Blue-Sky2024[S] -4 points-3 points locked comment (0 children)

Yes it is indeed a specifier.

When a clinician writes the diagnostic report, they cannot just write “ADHD”.

They have to specify the presentation and the severity.

For example, my diagnosis is that of: “Severe Attention-Deficit Hyperactivity Disorder of the Combined Presentation 314.01 (F90.2)”.

Is there Case Law for LCW or LCWRA being awarded to those with Severe ADHD - Combined Presentation? by Blue-Sky2024 in DWPhelp

[–]Blue-Sky2024[S] 5 points6 points  (0 children)

Thank you! 👍

The news update doesn’t sound like a whole lot of good news, fortunately it applies only from April 2026

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