Diagnosing ADHD in Your Child, an Introduction

Everyone in a private practice setting who works withAbout half of those diagnosed with ADHD are
children or adults is going to have their own opinion onhyperactive. Since the word "hyperactive" is in the
how Attention Deficit Hyperactivity Disorder - ADD orname itself you might think that everyone with the
ADHD - should be diagnosed. Some clinics take thedisorder must be hyperactive, but such is not the case.
perspective that "more is good," and will recommend aThere are probably five or six types of ADHD, each
large battery of tests, often costing many thousandsone different from the other in terms of brain function.
of dollars. Other clinics, typically with hurried physicians,You can learn more about the different types of
will simply give a brief rating scales to the parents andADHD at the ADHD Information Library.
then make a quick diagnosis and prescribe treatment,
usually a medication.How do you know if your child or teen is hyperactive?
Unfortunately neither of these extremes is in theHe has happy hands and feet which fidget and squirm
patient's best interest.a lot. He just can't stay in his seat for very long when
he's supposed to at school or the dinner table. He may
If you are the parent of a child or teenager who isrun around too much, or climb on things he's not
struggling in school, and perhaps at life in general, yousupposed to. He is often just too loud. He is "On the
should be familiar with what makes this disorder wego" as if he is "driven by a motor." He talks too much.
call Attention Deficit Hyperactivity Disorder.He leaves footprints across the ceiling.
First, the symptom of inattention. The person hasIt is important to note that at least some of these
trouble with focusing on the right thing, long enough tosymptoms must have been seen before the age of
get it done. A lot of people, including his parents,seven. Also, that at least some of the symptoms are
complain that he just doesn't seem to listen whenseen both at home and at school. Also, that these
spoken to. Because of not sustaining attention, orbehaviors are really a problem. Not just a little bit, but a
because of acting like a "space cadet," he doesn'tlot.
finish his chores or homework. He can't keep his mind
on what he's doing for very long unless it is veryPlease be aware that there are several reasons why
exciting, or very entertaining, and he doesn't pay closea child could have these symptoms besides Attention
attention to what he's doing, so he makes a lot ofDeficit Hyperactivity Disorder. For example, thyroid
careless mistakes. Video games are an exceptionproblems, depression, anxiety disorders, hearing
because they give immediate feedback, they areproblems, and so on. Please do not attempt to
exciting, and they are fun. Chores and homework are"diagnose" your child. See your doctor, or go to a
not.The inattention is seen most with homework,qualified mental health professional. This web site is no
chores, and other boring things that you want him tosubstitute for talking with an expert.
do.
Keep in mind that over-diagnosis of Attention Deficit
He's really disorganized. Most commonly this is seen inHyperactivity Disorder is a big problem. There are
spending three hours to finally finish his homework, thensome children who are diagnosed as having ADHD
losing it at school (it's in his backpack), or forgetting tothat do not have it. It is not uncommon for someone
turn it in. He really tries to avoid doing homework orwith depression, or anxiety, specific learning disabilities,
chores. He gets distracted easily, or pays attention toearly onset bi-polar disorder, or Tourette's Syndrome,
the wrong thing at the wrong time. He is often forgetfulto be diagnosed as Attention Deficit Hyperactivity
and has to be reminded to do things often.Disorder. This is often the result of a diagnostic
"work-up" which is too brief and does not take into
The great majority of people diagnosed with ADHDaccount the many reasons why a child might be
have problems with inattention.inattentive, impulsive, or over-active.
The next classic symptom is poor impulse control, or aBut over-diagnosis of Attention Deficit Hyperactivity
lack of self-control. Not all people with ADHD have thisDisorder is not the only problem.
problem, but many do. He often blurts out answers in
class. He can't wait his turn when he is playing gamesUnder-diagnosis of Attention Deficit Hyperactivity
or at school, and pushes ahead in lines. He interruptsDisorder is also a problem. This happens most often in
others a lot, he just doesn't wait well. He tends to dothe school setting where the school psychologist
things without thinking about them first, and says thingswrites his report perfectly describing an individual with
he doesn't think about first. He does not consider theADHD, then refuses to use the label "Attention Deficit
consequences of his actions.Hyperactivity Disorder" in his report anywhere.