ADHD Symptoms in Children: How to Identify and Manage Them

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Dr. Roseann Capanna-Hodge

Observing your child through the years, his boundless energy has morphed from physical to mental and emotional as your child grows. Running around the playground evolved into having a million interests in a minute. Climbing all over the couch now comes with nonstop chatter and rowdiness. The spinning in circles suddenly seemed to have become emotional breakdowns and tantrums. And you got yourself thinking, is his hyperactivity, trouble staying focused and impulsive behavior signs of ADHD symptoms, or is it just typical child's behavior?

Understanding Attention Deficit Hyperactivity Disorder

ADHD, or attention-deficit/hyperactivity disorder, also known as attention deficit disorder, is a chronic condition affecting millions of children and often persists into adulthood. The ADHD child may have problems, such as difficulty sustaining attention, hyperactivity, and impulsive behavior.

They also have poor executive functioning, impacting them academically, socially, and at home. Many people assume that the ADHD child cannot focus, but they may have hyperfocus when they are interested. So, parents think, “This kid can focus, so he doesn’t have ADHD!” When most children are excited or curious, their brain is stimulated to keep them engaged.

This is why they can play with LEGO or do Minecraft for hours and cannot transition from the activity. Their brain are in a happy place. This also makes them more easily understimulated, making focusing more difficult when the task is dull, repetitive, or mundane. Sitting for hours at school, brushing teeth, or remembering to flush the toilet is challenging, causing parental frustration.

Common Symptoms of ADHD in Children

ADHD (Attention-Deficit/Hyperactivity Disorder) presents with a range of child's symptoms that affect various aspects of daily life. These symptoms are typically categorized into two main domains: inattention and hyperactivity-impulsivity.

Inattention Symptoms

  1. Difficulty Sustaining Attention: Individuals with ADHD often struggle to focus on tasks or activities for extended periods, experiencing trouble focusing which can manifest as frequent distractions and a tendency to miss details.
  2. Careless Mistakes: They may make errors in schoolwork or other activities due to a lack of attention to detail.
  3. Difficulty Organizing Tasks: Challenges in organizing tasks and activities can lead to problems with time management and completing projects.
  4. Avoiding or Reluctance to Engage in Tasks Requiring Sustained Mental Effort: People with ADHD might avoid tasks that require prolonged concentration, such as homework or complex work projects.
  5. Losing Items: They often misplace items necessary for tasks and activities, like keys, books, or homework.

     

  6. Easily Distracted: External stimuli or unrelated thoughts can easily divert their attention from tasks at hand.
  7. Forgetfulness: Individuals with ADHD may frequently forget to complete daily tasks or follow through on commitments.

ADHD-QUIZ

Hyperactivity-Impulsivity Symptoms

  1. Fidgeting or Tapping: They may constantly move their hands or feet or fidget in their seat, making it hard to sit still.
  2. Inability to Remain Seated: In situations where staying seated is expected (e.g., in school or meetings), they may find it difficult to remain in one place.
  3. Running or Climbing: Especially in inappropriate settings, they might engage in excessive physical activity or climb on things.
  4. Inability to Play Quietly: Activities that require quietness or calmness might be challenging for them.
  5. Talking Excessively: They may talk more than usual, interrupting others or dominating conversations.
  6. Interrupting or Intruding: They often interrupt others, intrude on conversations or games, and struggle to wait their turn.
  7. Impulsive Decision-Making: This can lead to hasty actions or decisions without considering the consequences, resulting in risky behaviors that may differ from those of other children.

These symptoms can vary in intensity and impact from person to person but generally interfere with social, academic, or occupational functioning. Proper diagnosis and management strategies are crucial to helping individuals diagnosed with ADHD navigate these challenges and improve their quality of life.

Additional Symptoms and Challenges

  1. Emotional Dysregulation: Individuals with ADHD may experience intense emotions and have difficulty managing their feelings, which can lead to frequent mood swings or outbursts, and may also have co-occurring mental disorders such as anxiety or depression.
  2. Difficulty with Self-Monitoring: They might struggle to evaluate their own performance or behavior, leading to problems with self-awareness and self-correction.
  3. Low Frustration Tolerance: They may become easily frustrated or overwhelmed by tasks or situations that require patience and persistence.
  4. Difficulty Following Instructions: Completing multi-step instructions can be challenging, particularly if they involve organizing or sequencing tasks.
  5. Chronic Procrastination: Procrastination and delays in starting or finishing tasks are common, often linked to difficulties with time management and motivation.
  6. Social Challenges: ADHD can impact social interactions, making it harder to maintain friendships or understand social cues, potentially leading to misunderstandings or conflicts.

Co-Occurring Issues

ADHD often coexists with other mental health conditions, such as:

  • Anxiety Disorders: Increased anxiety and stress can exacerbate ADHD symptoms.
  • Depression: Feelings of frustration or inadequacy related to ADHD can contribute to depressive symptoms.
  • Learning Disabilities: Individuals with ADHD might have specific learning difficulties that affect their academic performance.

ADHD symptoms can vary widely between individuals, and the intensity and combination of symptoms can change over time. While some individuals may experience more pronounced hyperactivity, others may have predominantly inattentive symptoms.

Effective management of ADHD often involves a combination of behavioral strategies, educational support, and, in some cases, medication. Tailoring interventions to the specific needs and challenges of the individual is crucial for improving outcomes and enhancing quality of life.

Types of ADHD

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ADHD is classified into three subtypes: Predominantly Inattentive Presentation, Predominantly Hyperactive/Impulsive Presentation, and Combined Presentation, each presenting differently in kids ADHD.

A predominantly inattentive presentation is often less disruptive than the other presentations. Symptoms of an inattentive ADHD child might include missing details, being easily distracted, having difficulty focusing, becoming easily bored, becoming confused, seemingly not paying attention or listening when spoken to directly, having difficulty following directions, or processing information slowly.

These are the kids that typically “zone out” or daydream. They are generally compliant; however, they need a lot of reminders or support to get started or finish work or tasks.

Predominantly hyperactive/impulsive presentation includes the need to move constantly. The hyperactive/impulsive ADHD child may fidget, talk nonstop, be continually in motion, and be impatient.

These children may have difficulty transitioning, have high error rates, or avoid academics, especially reading. They tend to interrupt conversations, are highly emotional, have problems with group sports, are often socially inappropriate, and may have friendship issues.

Research shows that these children are often identified earlier in life because their behaviors disrupt classroom activities. Teachers tend to express concern as early as preschool due to behavioral and social issues. The earlier the age of onset, the greater the severity of the disorder. The greater the severity, the more significant the disorder’s impact throughout one’s life.

Even though these children have more significant behavioral issues, adults are often drawn to the high-level verbal skills and quick thinking these kids have. These verbal and cognitive skills may lead them to be noticed later in elementary when work requires them to organize their thoughts and put pen to paper.

The Combined presentation ADHD child is the one who comes with a full buffet of all the symptoms listed above.

Dysregulation and ADHD Symptoms

A dysregulated brain and nervous system are central to ADHD, impacting how individuals process and respond to stimuli. ADHD kids have brain differences. In ADHD, the brain’s executive functions, such as attention, impulse control, and emotional regulation, are often impaired due to dysregulation. This means that the brain’s ability to manage and prioritize information is compromised, leading to difficulties in focusing, organizing tasks, and regulating emotions. The nervous system may also be over- or under-responsive to stimuli, which can exacerbate symptoms like hyperactivity, lack of self control, being in constant motion and impulsivity.

Essentially, ADHD involves a dysregulated neural and nervous system that disrupts typical cognitive and emotional processes, making it challenging for individuals to maintain attention, control impulses, and manage their emotional responses effectively, often requiring the support of a mental health professional.

How to Manage a Child with ADHD at Home

If you suspect your child to have ADHD, consulting with a serious healthcare provider or professional is the first crucial step in understanding how ADHD is treated. However, managing ADHD doesn’t stop at the doctor’s office. There are many effective strategies for how to treat ADHD child at home that can make a significant difference in your child’s daily life

1. Establish a Routine

One of the most effective strategies for how to help a child with ADHD is to establish a consistent daily routine. The structure provides a sense of security and allows ADHD children to understand what to expect and what is expected of them. Start with a simple schedule and gradually introduce new activities. Consistency is vital in helping a child with ADHD thrive, and establishing a routine can be an essential part of behavioral therapy.

2. Create a Calm Environment

A calm and organized environment can significantly benefit a child with ADHD. Minimize distractions by keeping the home tidy and designating specific areas for homework, play, and relaxation. This approach can reduce overstimulation and help the child focus better on tasks.

3. Break Tasks into Smaller Steps

ADHD children often struggle with completing tasks because they seem overwhelming. Breaking tasks into smaller, manageable steps can make them less daunting. This strategy can be beneficial for homework, chores, and other responsibilities. Provide clear, concise instructions and praise your child for completing each step.

4. Encourage Physical Activity

Physical activity is a natural outlet for excess energy and can improve focus and mood in ADHD children. Encourage your child to participate in activities they enjoy, such as sports, dancing, or simply playing outside. Regular exercise can be an essential component of hyperactivity treatment.

5. Use Positive Reinforcement

Positive reinforcement can motivate ADHD children to follow rules and complete tasks. Praise and rewards can be powerful incentives. Be specific about what behavior you are rewarding and provide immediate feedback. This approach helps reinforce good behavior and boosts self-esteem.

6. Implement Natural Remedies

Many parents seek natural remedies for hyperactivity and attention deficit hyperactivity disorder natural treatment options. Some natural supplements for ADHD children include omega-3 fatty acids, zinc, iron, and magnesium. Always consult a healthcare professional before introducing new supplements to ensure they are safe and appropriate for your child's doctor, and consider seeking advice from a mental health professional.

  • Omega-3 Fatty Acids: Found in fish oil, these are believed to support brain function and reduce ADHD symptoms.
  • Magnesium: Helps with neurological function and may improve symptoms related to ADHD.
  • Zinc: Important for brain health and may help reduce hyperactivity and impulsivity.
  • Iron: Low levels of iron have been associated with ADHD; supplementation might be beneficial if there’s a deficiency.
  • Vitamin B6: Supports neurotransmitter function and may help with mood and behavior.
  • Vitamin D: Important for overall brain health and function; deficiency may exacerbate ADHD symptoms.
  • L-Theanine: An amino acid that may promote relaxation and improve focus.
  • Ginkgo Biloba: Believed to enhance cognitive function and memory.
  • Rhodiola Rosea: An adaptogen that may help manage stress and improve cognitive function.

7. Diet and Nutrition

A balanced diet can have a positive impact on ADHD symptoms. Some parents find that reducing sugar and artificial additives can help improve behavior. Ensure your child eats a diet rich in fruits, vegetables, lean proteins, and whole grains. This approach is part of the diet for hyperactivity disorder. (Rytter, M. J. H., et al 2014).

8. Mindfulness and Relaxation Techniques

Teaching your child mindfulness and relaxation techniques can help them manage stress and improve focus. Techniques such as deep breathing, meditation, and yoga can be beneficial. These practices can be helpful for how to calm down ADHD children.

9. Limit Screen Time

Excessive screen time can exacerbate ADHD symptoms. Set limits on your child's time on electronic devices and encourage other activities, such as reading, playing outside, or engaging in creative hobbies.

10. Create a Reward System

A reward system can be an effective way to motivate your child and reinforce positive behavior. Use a chart to track completed tasks and good behavior, and offer rewards such as extra playtime, a special treat, or a fun outing. This method can be a helpful tool for how to deal with ADHD children without meds.

Raising a child with ADHD can be challenging, but with the right strategies, you can create a supportive environment that helps your child thrive. By establishing routines, creating a calm atmosphere, encouraging physical activity, and using positive reinforcement, you can effectively manage ADHD symptoms at home. Incorporating natural remedies and mindfulness techniques can also significantly affect your child's well-being. Remember, seeking professional help is essential for a comprehensive approach to ADHD treatment for kids.

Want more strategies to treat your ADHD child at home without mediation, get my Natural ADHD Focus Formula Kit. 

Raising a child with ADHD can be challenging, but with the right strategies, you can create a supportive environment that helps your child thrive. By establishing routines, creating a calm atmosphere, encouraging physical activity, and using positive reinforcement, you can effectively manage ADHD symptoms at home. Incorporating natural remedies and mindfulness techniques can also significantly affect your child's well-being. Remember, seeking professional help is essential for a comprehensive approach to ADHD treatment for kids.

Want more strategies to treat your ADHD child at home without mediation, get my Natural ADHD Focus Formula Kit. 

Is lying a symptom of ADHD in children?

Lying is not a primary symptom of ADHD, but many children with with ADHD may lie due to impulsivity, a desire to avoid negative consequences, or difficulties with memory and organization. They might fib to cover up forgetfulness or struggles with tasks rather than intentionally deceive.

Can media use cause ADHD symptoms in children?

While media use itself does not cause ADHD, excessive screen time can worsen or mimic ADHD symptoms. High media exposure may contribute to attention difficulties and impulsivity due to overstimulation and reduced face-to-face interactions, but it’s not a direct cause of ADHD.

Can sleep apnea cause ADHD symptoms in kids?

Yes, sleep apnea can lead to sleep disorders and to symptoms similar to ADHD, such as inattention, hyperactivity, and behavioral problems. Disrupted sleep from sleep apnea affects cognitive functions and behavior, leading to difficulties in concentration and impulse control that can resemble ADHD.

Does ADHD in adults require fewer symptoms than children?

ADHD in adults may present differently from childhood. While the core symptoms (inattention, hyperactivity, and impulsivity) remain, adults might experience them in less visible ways, such as chronic disorganization or impulsivity in decision-making. The expression of symptoms can change as individuals adapt to adult responsibilities and roles.

Is Oppositional Defiant Disorder a part of ADHD?

ODD is characterized by a consistent pattern of defiant, hostile, and disobedient behavior towards authority figures. Symptoms include frequent temper tantrums, arguing with adults, and actively refusing to comply with rules. It often co-occurs with ADHD and can complicate management strategies.

Is ADHD a brain developmental disorder?

Yes, ADHD is a neurodevelopmental disorder that involves differences in brain development and function, particularly in areas related to attention, impulse control, and executive functions. These differences can impact behavior, attention span, and organizational skills.

What is the main cause of ADHD?

There is no exact cause of ADHD, but it is believed to result from a combination of genetic, environmental, and neurological factors. Genetics play a significant role, as ADHD often runs in families. Additionally, brain structure and function differences, prenatal exposures, and environmental toxins may contribute to the development of the disorder. However, no single factor can be pinpointed as the definitive cause of ADHD.

What are complementary health approaches?

Complementary health approaches are practices used alongside traditional medicine to manage symptoms and enhance overall well-being. These may include acupuncture, herbal remedies, mindfulness, yoga, and dietary changes. They are used to support and improve health outcomes but are not substitutes for conventional medical treatments.

How can I assist my ADHD kid in completing schoolwork?

To support a child with ADHD in completing schoolwork, it is essential first to diagnose ADHD accurately and then establish a consistent routine and clear structure to provide predictability. Break tasks into smaller, manageable steps to reduce overwhelm. Use positive reinforcement to motivate and encourage progress. Create a distraction-free workspace and consider using tools like timers and reminders to help maintain focus.

Citations:
Rytter, M. J. H., Andersen, L. B. B., Houmann, T., Bilenberg, N., Hvolby, A., & Mølgaard, C. (2014). Diet in the treatment of ADHD in children—A systematic review of the literature. Nordic Journal of Psychiatry, 68(5), 324-336. https://doi.org/10.3109/08039488.2014.921933 

Dr. Roseann is a mental health expert in ADHD who frequently is in the media:

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Always remember… “Calm Brain, Happy Family™”

Disclaimer: This article is not intended to give health advice and it is recommended to consult with a physician before beginning any new wellness regime. *The effectiveness of diagnosis and treatment vary by patient and condition. Dr. Roseann Capanna-Hodge, LLC does not guarantee certain results.

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Dr. Roseann is a Children’s Mental Health Expert and Licensed Therapist who has been featured in/on hundreds of media outlets including The Mel Robbins Show, CBS, NBC, PIX11 NYC, Today, FORBES, CNN, The New York Times, The Washington Post, Business Insider, Women’s Day, Healthline, CNET, Parade Magazine and PARENTS. FORBES called her, “A thought leader in children’s mental health.

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She coined the terms, “Re-entry panic syndrome” and “eco-anxiety” and is a frequent contributor to media on mental health. 

Dr. Roseann Capanna-Hodge has three decades of experience in working with children, teens and their families with attention-deficit hyperactivity disorder (ADHD), autism, concussion, dyslexia and learning disability, anxiety, Obsessive Compulsive Disorder (OCD), depression and mood disorder, Lyme Disease, and PANS/PANDAS using science-backed natural mental health solutions such as supplements, magnesium, nutrition, QEEG Brain maps, neurofeedback, PEMF, psychotherapy and other non-medication approaches. 

She is the author of three bestselling books, It’s Gonna Be OK!: Proven Ways to Improve Your Child's Mental Health, The Teletherapy Toolkit, and Brain Under Attack. Dr. Roseann is known for offering a message of hope through science-endorsed methods that promote a calm brain. 

Her trademarked BrainBehaviorResetⓇ Program and It’s Gonna be OK!Ⓡ Podcast has been a cornerstone for thousands of parents facing mental health, behavioral or neurodevelopmental challenges.

She is the founder and director of The Global Institute of Children’s Mental Health, Neurotastic™Brain Formulas and Dr. Roseann Capanna-Hodge, LLC. Dr. Roseann is a Board Certified Neurofeedback (BCN) Practitioner, a Board Member of the Northeast Region Biofeedback Society (NRBS), Certified Integrative Mental Health Professional (CIMHP) and an Amen Clinic Certified Brain Health Coach.  She is also a member of The International Lyme Disease and Associated Disease Society (ILADS), The American Psychological Association (APA), Anxiety and Depression Association of America (ADAA) National Association of School Psychologists (NASP), International OCD Foundation (IOCDF).

© Roseann-Capanna-Hodge, LLC 2024

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