The ADHD Iceberg, Explained
Briefly

The ADHD iceberg model uses the iceberg metaphor to separate visible external symptoms from larger hidden internal challenges. The visible tip represents external behaviors often linked to hyperactive/impulsive presentations and observable in classrooms, workplaces, and homes. The submerged majority represents internalized symptoms associated with inattentive or combined presentations that remain unseen and often require self-reporting. Recognizing both external and internal aspects enables development of targeted tools and strategies to manage executive functioning difficulties, reduce unforeseen negative impacts, and improve functioning across life, work, and relationships.
"ICEBERG! Right ahead!!!" Perhaps you remember this famous line from the iconic 1997 movie, "Titanic." Panicked, the ship's captain alerted the passengers and crew that they would soon strike a nearby, mostly invisible iceberg with 90% of it obscured underwater. Within 30 seconds of sighting the iceberg, the ship made impact, sending everybody scrambling for safety amid the frigid waters. Had they been able to see more than only 10% of the iceberg and adjust their course, disaster might have been averted.
The lessons learned from the ship's collision with the iceberg also offer a glimpse into the seen and unseen challenges of ADHD. The tip of the iceberg - the 10% we can see - represents behaviors and symptoms that are characterized as being "external". Often these are seen in the hyperactive/impulsive type of ADHD. Meanwhile, the largest portion of the iceberg (what we can't see) - represents those hidden symptoms and challenges that go unseen, characterized as being "internal". These tend to be associated with inattentive ADHD or are evident in the combined type of ADHD.
As we enter a busy fall season, let's explore the visible and hidden ways ADHD may impact your life, work and relationships. By understanding the ADHD iceberg model (first coined and depicted by Chris A. Ziegler Dendy), you'll be better prepared to create tools to manage its challenges, avoid unforeseen dangers and have smoother sailing. The Iceberg We Can See - The External Externalizing behaviors are frequently seen in the classroom, at the workplace and at home. They are easily observable and measurable, typically manifesting in i
Read at Psychology Today
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