“The exact cause of attention deficit hyperactivity disorder (ADHD) isn’t known. But it may run in families. Ongoing research is focused on finding the genes that cause a person to be likely to get ADHD. A mother’s use of cigarettes, alcohol, or other drugs during pregnancy may increase the risk for ADHD.” Nov 14, 2014 WebMD

The intent of this writing is not to completely answer all the questions of what causes ADHD and treatment but to begin a conversation of a “biblical approach” to causation and understanding temperament to resolve it.

“Temperament, in simple terms, is the inborn (not genetic, i.e., brown hair, blue eyes, etc.) part of man that determines how he reacts to people, places and things. In short, it is how people interact with their environments and the world around them. Temperament pinpoints our perception of ourselves and the people who love us. It is also the determining factor in how well we handle the stresses and pressures of life. Temperament can best be defined as Spiritual genetics or God’s imprint upon each one of us. Three are involved in the conception of a child, the mother, the father, and the Creator.” Taken from Creation Therapy, A Biblically Based Model for Christian Counseling by Dr. Richard G. Arno

My proposition is that the ADHD child or adult is the result of a Sanguine individual operating out of the weaknesses of the Sanguine in the Inclusion area of the temperament. I intend to present to you information to make a comparison of possible causation.

The weaknesses of a Sanguine in Inclusion are those that can become very destructive to the Sanguine, both emotionally and spiritually. These include: always the center of the conversation, apt to take on the behavior and morals of the people around them, impulsive, undisciplined, rude, prone to exaggerate, need to appear successful (even to the point of exaggeration), will ignore responsibilities in order to be with people.

A Compiled List of the Weaknesses of a Sanguine

  1. Hot-tempered but quick to forgive and forget.
  2. Impulsive. Acts without thinking and makes decisions based on their emotions.
  3. Exaggerates without intending to lie. It is how they actually perceive the situation.
  4. Short attention span.
  5. Fear of rejection.
  6. Anxiety, if they are forced to be away from people.
  7. Adopts the behavior and morality of others in order to remain the center of attention. If they get attention with bad behavior, they will not give up the bad behavior.
  8. Needs to be the center of attention.
  9. Requires great amounts of recognition.
  10. Extremely low self-esteem.
  11. Irresponsible in regard to tasks, especially when the opportunity to socialize arises.
  12. Stress caused by inactivity. They live their lives at a fast and furious pace.
  13. Spends money without worrying about where it comes from or what it might be needed for. They love sales and are attracted to colorfully packaged items.
  14. Will adopt the morality of the crowd. When they leave the disciplined environment, the Sanguine will also leave the discipline.
  15. Indulges in gambling and alcoholic binges, drugs, sexual sins, etc. The self-indulgence is not the weakness; it is the way it is met that is the weakness.
  16. They will turn their back on deep relationships because they have no trouble replacing them.


The following is taken from the DSM-V Diagnostic Manual for ADHD

Either (1) or (2):

(1) six (or more) of the following symptoms of inattention have persisted for at least 6 months to a degree that is maladaptive and inconsistent with developmental level:


  • Often fails to give close attention to details or makes careless mistakes in schoolwork, or other activities
  • Often has difficulty sustaining attention in tasks or play activities
  • Often does not seem to listen when spoken to directly
  • Often does not follow through with instructions, and fails to finish school work, chores, or duties in the workplace
  • Often has difficulty organizing tasks and activities
  • Often loses things necessary for tasks or activities (e.g. toys, assignments, pencils, books, or tools).
  • Is often easily distracted by extraneous stimuli
  • Is often forgetful in daily activities

My comment on Inattention is as follows: The Sanguine in Inclusion excels in communication-oriented things, but becomes impatient with task-oriented jobs. The Sanguine do not relate well to tasks but loves to relate to people. If they do take a task, it is done as quickly as possible so they can be with people again. They are the least disciplined and organized of all the temperaments.

  1. Either (1) or (2):

(2) six (or more) of the following symptoms have persisted for at least 6 months to a degree that is maladaptive and inconsistent with developmental level:


  • Often fidgets with hands or feet or squirms in seat.
  • Often leaves seat in classroom or in other situations in which remaining seated is expected.
  • Often runs about or climbs excessively in situations in which it is inappropriate
  • Often has difficulty playing or engaging in leisure activities quietly
  • Is often “on the go” or often acts as if “driven by a motor”
  • Often talks excessively

My comment on the Hyperactivity is as follows: Inactivity causes the Sanguine stress because the pace at which they like to live their lives is fast and furious.


  • Often blurts out answers before questions have been completed
  • Often has difficulty awaiting turn
  • Often interrupts or intrudes on others (e.g. butts into conversations or games activity

My comment on the Impulsivity is as follows: The Sanguine in Inclusion is the most impulsive of all the temperaments. They act and talk before they think through what will happen because of their actions.

In conclusion, the Sanguine has some very definite strengths the area of Inclusion. The temperament strengths of the Sanguine include: being friendly, outgoing, inspiring to others, relationship oriented, enthusiastic, warm, optimistic, ability to see the bright side of life, and the good in other people. Sanguines genuinely like people, are rarely found alone, and freely interact with people. When looking at these strengths, you can see the potential for doing good works for God when Sanguines are brought under God’s ordinances.

It appears that many of the characteristics noted for the diagnosis of ADHD came be found in the weaknesses of the Sanguine in the temperament area of Inclusion. Early childhood teaching of self-control, understanding of the need for socialization, teaching self-discipline, setting boundaries, learning respect for authority can highly lessen the impact on the Sanguine child and ultimately the Sanguine adult.




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