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According to the Diagnostic and Statistical Manual IV, the presence of six or more of a list of symptoms, including inattention and/or hyperactivity/impulsivity for at least six months (with onset prior to seven years of age), and with symptoms being more severe than that of peers at a similar developmental age, defines ADHD.  The Diagnostic and Statistical Manual V broadened this diagnosis, by indicating that symptoms only had to be present prior to 12 years of age, thus “opening the diagnosis to adolescents and adults, and requiring only five or more symptoms of inattention or hyperactivity/impulsivity to be present for diagnosis.”