ADHD in Children Slideshow
ADHD: What Is It?
Attention deficit hyperactivity disorder (ADHD) is a condition that robs children of their ability to focus and pay attention. Kids with ADHD are fidgety and easily distracted. This makes it difficult to stay "on task," whether it's listening to a teacher or finishing a chore. The National Institute of Mental Health estimates 3% to 5% of kids have ADHD, but the most recent survey from the CDC showed that 11% of children have it.
ADHD Symptoms: Inattention
The main symptom of ADHD is the inability to pay attention. Kids may have trouble listening to a speaker, following directions, finishing tasks, or keeping track of personal items. They may daydream often and make careless mistakes. Children with ADHD tend to avoid activities that require sustained concentration or that might be boring.
ADHD's Impact on Daily Life
Without treatment, ADHD can affect a child's development socially and academically. The inability to focus often leads to poor performance in school. Kids who interrupt or cut in line may have trouble making and keeping friends. These setbacks can lead to low self-esteem and risky behaviors. ADHD also increases the risk of childhood depression and anxiety disorders.
Diagnosing ADHD
There are no lab tests for ADHD. Instead, doctors rely on the patient's response to questions, the family's description of behavior problems, and a school assessment. With ADHD, a child must display some combination of inattention, hyperactivity, and impulsivity for at least 6 months. Symptoms must have appeared by age 12.
Types of ADHD
There are three forms of ADHD. Combined type is the most common and applies to children who display inattention, hyperactivity, and impulsiveness. In the hyperactive/impulsive type, children are fidgety and can't control their impulses. Kids with the inattentive type, formerly called attention deficit disorder, have trouble focusing. But they are not overly active and usually don't disrupt the classroom.
Medications for ADHD
Stimulant medications can help increase a child's attention span while controlling hyperactivity and impulsive behavior. Studies suggest these drugs work in 65% to 80% of patients. As with any medication, stimulants can have side effects. Be sure to discuss these with your doctor. Non-stimulant medications are options for some children. They too can have side effects.
Counseling for ADHD
Counseling can help a child with ADHD learn to handle frustrations and build self-esteem. It can also provide parents with supportive strategies. A specific type of therapy, called social skills training, can help kids improve at taking turns and sharing. Studies show that long-term treatment with a combination of drugs and behavioral therapy is more effective than medication alone.
Special Education for ADHD
Most children with ADHD are educated in standard classrooms, but some do better in a more structured environment. Special education is a type of schooling that is tailored to meet the specific needs of children with learning disabilities or behavioral disorders. Not all children with ADHD qualify for special education.
The Role of Routine
Parents can give kids more structure at home by laying out clear routines. Posting a daily schedule will remind your child of what he or she is supposed to be doing at any given time. This can help a child with ADHD stay on task. The schedule should include specific times for waking up, eating, playing, homework, chores, activities, and bedtime.
ADHD Diets
Studies on ADHD diets have had mixed results, but some health experts believe foods that are good for the brain could reduce symptoms of ADHD. High-protein foods, including eggs, meat, beans, and nuts, may improve concentration. It might also be helpful to replace simple carbs, like candy and white bread, with complex carbs, like pears and whole-grain bread. Talk to your pediatrician before making any dramatic changes to your child's diet.
ADHD and Junk Food
While many kids bounce off the walls after eating junk food, there is no evidence that sugar is a cause of ADHD. The role of food additives is less certain. Some parents believe preservatives and food colorings worsen the symptoms of ADHD, and the American Academy of Pediatrics says it's reasonable to avoid these substances.
ADHD and Television
The link between television and ADHD is unclear, but the American Academy of Pediatrics suggests limiting young children's exposure. The group discourages TV viewing for kids under 2 and recommends no more than two hours a day for older kids. To help your child develop attention skills, encourage activities like games, blocks, puzzles, and reading.
Preventing ADHD
There is no surefire way to prevent ADHD in children, but there are steps you can take to reduce the risk. You can increase your chance of your child not having ADHD by staying healthy during pregnancy. Start by avoiding alcohol, drugs, and tobacco during pregnancy. Children whose mothers smoked during pregnancy are twice as likely to develop ADHD.
Reviewed by Hansa D. Bhargava, MD on April 23, 2015
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SOURCES:
American Academy of Pediatrics news brief
CDC
CHADD: “ADHD Medications, An Overview."
Feingold Association of the United States
McCann, D. Lancet, Nov. 3, 2007.
National Institute of Mental Health
UptoDate
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