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December 28, 2024

Attention-Deficit/Hyperactivity Disorder (ADHD) in Kids: A Parent’s Guide to Support and Management

Attention-Deficit Hyperactivity Disorder (ADHD) is a neurodevelopmental condition that significantly impacts a child’s ability to focus, regulate impulses, and in some cases, manage hyperactivity. For parents understanding ADHD is important for navigating this journey efficiently to provide the necessary support for their child’s growth and success.

Let’s understand attention deficiency disorder properly through this guide.


Understanding ADD/ADHD

Attention-Deficit/Hyperactivity Disorder (ADHD) is a neurodevelopmental disorder that affects a person’s ability to focus, control impulses, and regulate hyperactive behaviour. It is one of the most common childhood disorders, though it often persists into adolescence and adulthood.

ADHD is characterised by patterns of inattention, hyperactivity, and impulsivity that interfere with daily functioning or development. Attention Deficit Disorder (ADD) is an older term that is now categorised under ADHD.

The official terminology now recognises ADHD as encompassing three subtypes:

1. Predominantly Inattentive Presentation (previously referred to as ADD)

This type is characterised by inattention without significant hyperactivity or impulsivity. It is more common in girls and often underdiagnosed due to its less disruptive nature. Individuals who are frequently labelled as “daydreamers” or “lazy” may struggle with missed details and unfinished tasks. This can result in low academic performance, poor time management, and feelings of inadequacy.

2. Predominantly Hyperactive-Impulsive Presentation

This type is marked by excessive energy, restlessness, and difficulty with impulse control. It is more commonly observed in younger children, especially boys. Frequently viewed as causing disruptions in classrooms or social settings, this behaviour can result in conflicts with peers, teachers, or authority figures.

3. Combined Presentation

This is the most common type of ADHD and includes significant symptoms of both inattention and hyperactivity/impulsivity. A broader range of challenges, affecting academic performance, social interactions, and emotional regulation.

While ADHD symptoms in children vary, the core challenges include difficulty focusing, impulsivity, and in some cases, hyperactivity.


ADHD Symptoms in Children

Recognising ADHD early is critical for effective intervention. Parents should note that these behaviours must occur in multiple settings (e.g., home and school) and significantly impair daily functioning to warrant an ADHD diagnosis.

Here is a checklist of common ADHD symptoms in children:

Inattentive Symptoms of ADHD

  • Often fails to pay attention to details; makes careless mistakes.
  • Struggles to sustain attention in tasks or play activities.
  • Frequently seems not to listen when spoken to directly.
  • Avoids or dislikes tasks requiring sustained mental effort, such as homework.
  • Often loses items necessary for tasks (e.g., school supplies, toys).
  • Easily distracted by extraneous stimuli.
  • Forgetful in daily activities.

Hyperactive-Impulsive Symptoms of ADHD

  • Fidgets with hands or feet; squirms in seat.
  • Frequently leaves seat in situations where sitting is expected.
  • Runs or climbs in inappropriate settings (more common in younger children).
  • Talks excessively and often blurts out answers.
  • Struggles to wait for their turn in conversations or activities.
  • Interrupts others or intrudes on conversations and games.

Emotional Symptoms of ADHD

  • Difficulty managing emotions, such as frustration or anger.
  • Low tolerance for boredom.
  • Frequent mood swings or sensitivity to criticism.

ADHD Symptoms in Kids: Differentiating Boys and Girls

ADHD can present differently in boys and girls, being recognised as predominantly inattentive in girls. Gender-specific differences are important for accurate diagnosis and support, as girls are often underdiagnosed or misdiagnosed due to subtler symptoms.

Understanding these differences is crucial for parents and educators to provide appropriate support tailored to the child’s unique needs.

ADHD Symptoms in Boys

  • Greater likelihood of showing physical restlessness (e.g., fidgeting, squirming).
  • Frequent interruptions during conversations or activities.
  • Blurting out answers or struggling to wait their turn.
  • Difficulty completing assignments due to a lack of sustained focus.
  • Acting without thinking, leading to disruptive or risky behaviour.
  • Struggling with frustration, resulting in emotional outbursts.

ADHD Symptoms in Girls

  • Daydreaming or appearing “spaced out.”
  • Struggling to follow multi-step instructions due to distractions.
  • Quietly struggling with focus without causing disruptions.
  • Difficulty maintaining focus during conversations, leading to misunderstandings.
  • Heightened sensitivity to criticism or rejection.
  • Chronic self-doubt or low self-esteem often stems from unrecognized struggles.
  • Procrastination and difficulty organising work, lead to incomplete tasks.

Causes of ADHD in Children

ADHD is not caused by poor parenting or excessive sugar consumption, as myths often suggest. Instead, it is a complex condition influenced by multiple factors:

Genetics

Attention Deficit Hyperactivity Disorder is known to have a significant genetic influence. Research has shown that individuals with a family history of ADHD, such as a parent or sibling, are at a higher risk of developing the disorder themselves.

Brain Structure and Function

Variations in brain activity and structure, specifically in regions that govern attention and impulse control, play a significant role in the manifestation of symptoms associated with ADHD.

Neurotransmitter Imbalances

Irregularities in dopamine and norepinephrine levels can impact attention, motivation, and behaviour regulation. These neurotransmitters play a crucial role in governing various cognitive functions and behaviours. When their levels are disrupted, individuals may experience difficulties in focusing, staying motivated, and regulating their actions.

Environmental Factors

Exposure to toxins such as lead during childhood, maternal substance use (alcohol, drugs, or tobacco) during pregnancy, and premature birth or low birth weight are all factors that can have a significant impact on a child’s development and overall health. These environmental and prenatal influences can have long-lasting effects on a child’s physical and cognitive development, making it crucial for parents and caregivers to be aware of these risks and take steps to mitigate them.

Parenting and Lifestyle

Although parenting styles do not directly cause ADHD, inconsistent discipline or high-stress environments can worsen symptoms of the disorder.


How is ADHD Diagnosed?

Diagnosis requires a thorough assessment by a healthcare professional, which includes observing behaviour in various settings such as home, school, and work. A detailed history of symptoms that have been present for a minimum of 6 months is also necessary. Additionally, meeting the diagnostic criteria outlined in the DSM-5 (Diagnostic and Statistical Manual of Mental Disorders) is essential.

1. Hyperactive Child Symptoms: How to Recognise

Hyperactivity in children is not just about having extra energy; it is a specific set of behaviours that may indicate an underlying condition such as Attention-Deficit/Hyperactivity Disorder (ADHD). Understanding these symptoms can help parents, teachers, and caregivers identify when a child might need additional support.

Here are the key signs to look for:

  • The person has difficulty staying still and often fidgets or squirms and may engage in running or climbing when it is not appropriate.
  • Struggles with focusing, gets easily distracted, and has trouble finishing tasks or following directions.
  • The person has trouble controlling their urge to speak or act before others are finished and finds it difficult to wait their turn in group settings or games.
  • Feeling restless and hyperactive, often described as constantly being on the move.
  • Difficulty with planning and forgetting important items needed for tasks.

When to Consult a Doctor

While many children are naturally energetic and playful, hyperactivity becomes a concern when it interferes with their learning, social interactions, or daily activities. If these symptoms are persistent, occur in multiple settings (e.g., home, school, play), and are inappropriate for their developmental level, it may be time to consult a paediatrician or child psychologist.

2. Diagnosis Process of ADHD

The diagnosis process includes the following steps:

  • Behavioural Assessments: Parents, teachers, and caregivers complete questionnaires about the child’s behaviour.
  • Clinical Observation: A specialist may observe the child’s behaviour in a structured setting.
  • Exclusion of Other Conditions: Testing ensures symptoms are not due to other medical, psychological, or learning disorders.

How to Help a Child with ADHD

As a parent, we know your primary concern is to help your child. Helping a child with ADHD requires a combination of patience, understanding, and structured strategies. Here are practical ways to support their development:

Create a Structured Environment

Create a structured daily routine for meals, homework, and bedtime to provide stability and predictability for the child. Utilise visual schedules and checklists as tools to assist the child in staying organized and on track.

Encourage Positive Behaviours

Utilise positive reinforcement, such as praise or rewards, to encourage desired behaviours. Establish clear and attainable goals and acknowledge and celebrate advancements made towards them.

Teach Time Management Skills

To prevent overwhelming the child, it is beneficial to break tasks into smaller steps. Utilising timers or visual aids can assist in managing transitions between activities.

Promote Emotional Regulation

Promote mindfulness practices, such as deep breathing exercises and yoga, to cultivate a sense of inner peace and awareness. Foster an environment of open communication where individuals feel comfortable expressing their emotions and thoughts.

Collaborate with Educators

Collaborate closely with teachers to effectively implement classroom accommodations. Share successful strategies utilised at home to ensure consistency and support student learning.

Incorporate Physical Activity

Engaging in regular exercise has been shown to decrease hyperactivity and enhance concentration. Participating in activities such as swimming, martial arts, or team sports can be especially advantageous in achieving these benefits.


ADHD Treatment for Kids

Attention-Deficit/Hyperactivity Disorder (ADHD) in children can significantly impact their daily lives, including academic performance, social interactions, and self-esteem. However, with appropriate treatment, children with ADHD can thrive and reach their full potential. Treatment typically involves a combination of behavioural strategies, therapy, medication, and environmental adjustments tailored to the child’s needs.

Behavioural Therapy

Behavioural therapy for children involves teaching them and involving parents and teachers in managing symptoms effectively. This includes parent training on strategies like using positive reinforcement, setting clear rules, and establishing routines. Behaviour management techniques such as token economy systems and timeouts are used to address impulsive behaviours. Social skills training helps children interact with peers and manage their emotions.

Medication

Medications can help improve focus, reduce impulsivity, and manage hyperactivity in ADHD. Stimulants like Methylphenidate and Amphetamines are the most common types of medications, increasing dopamine and norepinephrine levels in the brain. Non-stimulants like atomoxetine may be used when stimulants are ineffective or cause side effects. Regular follow-ups with a doctor are important to adjust dosages, monitor side effects, and evaluate effectiveness.

Educational Support

Children with ADHD can benefit from tailored support in school such as Individualised Education Programs (IEPs) and classroom accommodations such as extra time on tests, preferential seating, and breaking tasks into smaller chunks to help minimize distractions.

Counselling and Emotional Support

Cognitive Behavioural Therapy helps children change negative thoughts, family therapy improves communication within families, and support groups provide a safe space to connect with others facing similar challenges.

Lifestyle and Home Strategies

Establishing a consistent sleep schedule is crucial for enhancing focus and reducing irritability. It is also important to maintain a balanced diet by avoiding excessive sugar and processed foods. Regular exercise not only helps in burning off excess energy but also improves mood. Encouraging interactive and creative play is more beneficial than passive activities. Additionally, incorporating practices such as yoga and meditation can assist children in enhancing self-regulation and promoting a sense of calmness.

Regular Monitoring

ADHD treatment is not one-size-fits-all, and what works best may change as the child grows. Regular consultations with healthcare providers, teachers, and therapists ensure that treatment stays effective and evolves with the child’s needs.


A Final Word

Navigating the challenges of raising a child with ADHD may feel overwhelming at times, but it is also an opportunity to nurture their unique strengths and potential. Understanding the condition, implementing effective strategies, and seeking professional guidance can make a world of difference.

As you embark on this journey, remember that your love, support, and advocacy are the most powerful tools in helping your child thrive. With the right approach, your child can overcome challenges, build resilience, and achieve remarkable success in life.


Frequently Asked Questions

What are the symptoms of attention deficit disorder in children?

Symptoms of attention deficit disorder in children include difficulty focusing, forgetfulness, impulsivity, hyperactivity, and trouble following instructions across multiple settings.

Is ADHD a type of autism?

No, ADHD is not a type of autism, but both are neurodevelopmental disorders that can share overlapping symptoms like difficulty with focus and social interactions.

How do you treat ADHD in children?

ADHD in children is treated with a combination of behavioural therapy, medication, educational support, and structured routines tailored to their needs.



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