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What To Do When You Think Your Child Might Have AD/HD

October 29, 2009
52 Comments

AD/HD (attention deficit disorder) is one of the most common mental health disorders seen in childhood. Studies estimate that between 3-7% of all children have AD/HD: approximately 2 million children in the USA alone, or one child in every classroom.

The main symptoms seen in this condition are inattention, hyperactivity, and impulsivity, however, it’s important to note that not all children with AD/HD have hyperactivity. Many have the inattentive sub-type; these are the children who are often over-looked because they rarely present with behavioral problems. Rather, they are the dreamers who find it difficult to pay attention and who may instead, seem withdrawn or even depressed. It is far more likely that the hyperactive, impulsive children are identified in school for their acting out behaviors. Often times, teachers will report to the families that an evaluation for AD/HD may be indicated.

What should you do if you think your child might have AD/HD?

Have your pediatrician give your child a complete physical to rule out any possible medical condition that can mimic AD/HD symptoms. Some children with chronic allergies, for example, simply cannot focus.

If your child is given a clean bill of health, discuss your concerns with your child’s teacher. Find out how your child is behaving in school. Some questions to ask would be:

  • Is he completing homework assignments?
  • Is he paying attention in class
  • Is she able to make friends easily?
  • Does she have materials (books, paper, pencils) handy, or do they often get lost?
  • Is he getting to class on time?

Keep in mind that many children with AD/HD can do well in school and often excel in structured environments. It often isn’t until the later school years- often middle school- that these children “hit the wall” and can no longer keep up. It is imperative that interventions be carried out to avoid failures.

Note your child’s behaviors at home. Does he seem more immature than other children his age? Does he have a hard time following directions? Sitting at the dinner table?

If you feel that your child exhibits many of the traits of AD/HD, then it’s time to get evaluated. Schools should have psychologists on staff who can offer testing. However, many parents prefer to go for an outside evaluation. Some pediatricians feel capable of evaluating AD/HD, but many child psychologists, psychiatrists and neurologists have special training to help decipher which behaviors could indeed be AD/HD and which might be something else, such as depression, anxiety or a learning disability.

My Child Has AD/HD: Now What?

If you find that your child does, indeed have AD/HD, it’s important to educate yourself as much as possible. There are numerous books on the subject. Consulting with a mental health professional to help you with the many challenges AD/HD can present, is invaluable. Finding support by attending local groups such as CHADD (Children and Adults with Attention Deficit Disorder) also are immensely helpful in not only learning more about AD/HD, but also to connect with other families who are struggling.

Since the treatment of AD/HD often includes parenting strategies, it is imperative that you work with a professional to help you learn new techniques to not only help manage your child’s behavior, but to also help him learn organizing strategies, homework management, social skills and more.

Treatment also often includes medication to help quiet the hyperactivity and impulsivity and/or improve attention. Many parents are reluctant to give their child medications, but stimulants (the most common and beneficial medication for AD/HD) are safe when given as directed. Still, all parents have concerns.

Here are some questions to ask your doctor to help you in making the decision as to whether medication is right for your child:

  1. What are the risks vs benefits?
  2. What side effects might I observe?
  3. Which medications will work best for my child?
  4. What options do I have if I don’t want to use medications for my child?
  5. How will I know if the medications are working?

School Issues

Since AD/HD usually impedes a child’s performance in school, it is essential to work closely with teachers and staff so that your child can perform her best. Many with AD/HD qualify for special help. If the AD/HD is getting in the way of academic or social success, you can request accommodations or even special education services. In order to receive such services, you will need to have a letter from the professional who diagnosed your child. If the school psychologist administered the evaluation and found your child eligible for special help, discuss your concerns with her to see what sort of support your child needs and is entitled to in school.

Some AD/HD accommodations often include:

  1. Having your child sit closer to the teacher
  2. Keeping your child away from distractions, such as the door leading to the hallway, windows, noisy classmates
  3. Having a note taker, especially if your child has poor handwriting skills
  4. Having assignments written on the blackboard
  5. Asking the teacher to check for homework when your child arrives at school to eliminate the possibility of his losing it
  6. Have teacher maintain frequent eye contact
  7. Break down assignments and instructions into smaller chunks
  8. Give your child extra time to take tests and complete assignments
  9. Allow for your child to work in a quieter area of the room, as needed
  10. Get help with organizing books, papers, backpack, desk, locker, etc

All in all, AD/HD is a highly treatable condition and with the right support, most children will thrive and enjoy success personally, socially and academically.

Terry Matlen is a nationally recognized expert in the field of ADHD as a psychotherapist and consultant in Birmingham, Michigan specializing in adults with AD/HD with a special interest in parenting when mom has ADHD. She is the author of Survival Tips for Women with AD/HD". Terry is the director of "Moms with ADD and ADD Consults. Terry served for many years on the board of directors of the Attention Deficit Disorder Association (ADDA) and as a CHADD coordinator in Michigan. A popular presenter at local and national conferences, Terry has a passion for raising awareness of the special challenges for women with AD/HD and the unique issues parents face when both they and their children have AD/HD. She is married with two young adult daughters, one of whom has AD/HD. She also has AD/HD herself.

52 Comments

I think this is a great reasource, especially for those with older kids and/or those who are dealing with the inattentive subtype. However, as the mom of a child with ADHD, I KNEW when he was about 3. He has the hyperactivity (and inattentiveness but that's only visible in the highly detailed attention tests). My son is super bright and could easily have been labeled as a behavior problem if I didn't follow my gut and keep after it...

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I have a child that is 2 years old that may possibly have ADHD. We are having a hard time getting him diagnoised because he is so young. We have a behavioral therapist that comes to our home. She has given us wonderful tips on how to deal with his outbursts. He isn't able to focus on one activity for very long, so I'm constiantly having to keep him busy...

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As the mothe rof 5, that I truely believe invented the term ADD. I also have raised foster children and am a Grandmother, and an active child advocate for Special Education, I have to add my 2 cents worth of information.
I know that I have had to be creative over the years to keep my children organized and our lives as clutter free as possible. I learned a long time ago, from a doctor, that the best indicator of how a childs brain is thinking and working is looking at thier bedroom...

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I love Glenda's post. I am the mother of an adult ADHD daughter (now a Pharmacist!) and a Marriage, Family Therapist and Educational Psychologist. I wish I had read Thom Hartmann's book "Attention Deficit Disorder: A Different Perception" back then, and I wish I had learned about the "new kids" (Indigos, Highly Sensitive Persons, etc.) back then...

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My son was diagnosed in high school because he got through with his smarts. However, when the hand holding of elementary and middle school ended, he spiraled. Freshman year he was D's and F's, medicated during summer and Sophmore year, 3.0. I was totally against medication because everyone else was against medication. When we finally tried it, wow what a difference. My son says he can't beleive he made it without the meds. Just my two cents. Good luck everyone.

Natural Remedies for ADHD (Alternatives to Ritalin and Aderol)

Great article!
And please, don't drug those special kids!!! Read "Care and feading of indigo children" by DR. Doreen Vortue,
http://renegadehealth.com/blog/natural-remedies-for-adhd-...
Best,
Dorothy

My "ADD" son has responded amazingly with the addition of iodine, selenium, vitamin c, and magnesium to his diet along with excluding gluten and minimizing fluoride/chlorine intake in his water with a good aquasana filter. Many "ADD" kids have iodine deficiency, sometimes even hypothyroid. Many of these protocols are also having great results for kids on the autism spectrum.

The comments by Glenda and Kathryn are great. As the parent of an extremely creative, so-called 'AD/HD' child, I do take issue with the use of the term 'mental health disorder' when referring to this group of brain types. In our family we use the term CBT (creative brain type) instead. He had a sensory-challenged time from ages 3-6 and had occupational therapy for this, but this was a physical rather than mental health issue...

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My 6 year old has been on ADHD medicine for about 3 months now and he has made a biiiiiiig change. He is a great child anyway and now he is a lot more relaxed and sleeps better and went from not finishing his work in school to being nominated for Gifted and Talented.

You know your child better than anyone. If you think your child has a problem, keep persisting until someone listens. I had two different Dr's tell me there was nothing was wrong with him...

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This is a somewhat superficial understanding of ADHD and ways to "treat" it. It's a set of symptoms that can have a variety of factors contributing to it - there are many natural, holistic approaches that can get to the root of things and resolve the ADHD/ADD symptoms instead of merely treating/suppressing symptoms or compensating for them...

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It's important to also research the child's diet and eliminate all chemicals from bathing products, toothpastes, laundry soap, etc. Do some research on the Feingold Diet which lists foods that mimic aspirin and cause allergic reactions in kids. See the article on my webpage...ADHD/ADD: A Wholistic Approach at http://www.wheelsoflight.org/custom/index.cfm?ID=106475

While this is great information and a wonderful resource, I can't help but wonder why there is never any mention of natural solutions that can positively impact those who are struggling with ADD/ADHD! I know a lot about this and it saddens me.

Just my two cents.

It great that there is more information about adhd out there now. I have two sons with adhd and add. Both are different as night and day with how it affects them. One I don't medicate, one I do. If your child is having difficulty in school even preschool you can ask for an evaluation through your school district. Preschool would be early intervention. There are services for them if it affects their schooling. Just one thing to the mother of a two year old...

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Loved the post. So many people don't understand that children don't have to be hyper or have poor grades to have AD/HD. I have two children with this disorder (the innatentive sub-type). My son has been in honors classes his whole life but my daughter whose AD/HD is more severe does struggle with her grades (mostly because she is not finishing or turning in assignments). I also have a daughter that does not have this disorder so I do know what it's like to have a "normal" child as well...

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My son's teacher suspected that my son had ADD, so we put him through extensive testing. Finally found the answer after taking him to a Lyme Literate M.D. Lyme disease can cause symptoms of ADD.

Find out more at http://flash.lymenet.org/ubb/Forum1/HTML/000533.html and http://www.lymediseaseassociation.org/ABCsLYME.pdf

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