Is it ADHD?

All children can be inherently impulsive, can easily become distracted by a thought or toy and need lots of movement throughout their day.

Is your child's distraction and impulsive behaviour normal or ADHD.

As parents, we can worry something more serious is occurring when oftentimes it is merely a phase of development. Lack of deep sleep, improper nutrition and lack of exercise can all play a role in your child’s behaviour. So how do you know if there is something more to your child’s impulsiveness or energetic play?


ADD - Attention Deficit Disorder (with or without hyperactivity) was the name used in the old version of the American Diagnostic and Statistical Manual of Mental Disorders (DSM III-R) The current version of the manual (DSM IV-TR) now classifies the diagnosis as ADHD - Attention Deficit/Hyperactivity Disorder. According to the current diagnostic criteria the disorder is now classified in three ways:


ADHD Predominantly Inattentive Type:

  • Often fails to give close attention to details or makes careless mistakes in schoolwork, work or other activities or is easily distracted by extraneous stimuli
  • Often has difficulty sustaining attention in tasks or play activity
  • Does not seem to listen when spoken to directly or fails to follow through on directions
  • Often has difficulty organizing tasks and activities, is forgetful in daily activities

ADHD Predominately Hyperactive/Impulsive Type:

  • Often fidgets with hands or feet or squirms in seat
  • Often leaves seat during times 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
  • Often blurts out answers before questions have been completed
  • Often has difficulty awaiting turn and/or interrupts or intrudes on others

ADHD Combined Type:

As the name suggests a combination of the above symptoms.

 

What are the symptoms of ADHD

Many children can, at times, exhibit some of the symptoms of ADD/ADHD, and there may be many environmental and neurological reasons behind such behaviours. If you are worried that your child may be showing some of these signs, you should first be sure that your child is getting enough sleep, is active for at least 60 minutes each day and is eating a healthy diet.

True ADHD is defined by the following:

  • Several of the symptoms above occurring across settings (home, community and school)
  • Being present in some capacity prior to age 7
  • Persists for “at least six months to a degree that is maladaptive and inconsistent with developmental level.”1


According to the NHS, it is estimated that the ADHD affects 3–9% of school-aged children and youth in the UK. It is important to work closely with your child’s doctors and educators in order to determine the extent to which these symptoms are affecting your child’s daily activities. For more information, you can also see the NHS page on ADHD found at www.nhs.uk/conditions/attention-deficit-hyperactivity-disorder


Lisa Peterson, MS, OTR

Lisa has been a pediatric Occupational Therapist for 11 years, working both in the public school system and in private practice, and is the mother of two boys.

 

 1 American Psychiatric Association. (2000). Attention-deficit and disruptive behaviour disorders. Diagnostic and statistical manual of mental disorders: DSM-IV-TR (4th ed., pp 85-93). Arlington: Author.
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