Often we hear friends comment on their own problems with ADHD, hyperactivity or focusing problems as though it were very common among adults, but ADHD is not as prevalent as we might believe as it effects less than 9% of children and approximately 3.4% of adults. We all experience difficulties with attention and focusing at some point in our lives, but an evaluation and diagnosis are only warranted when the symptoms are pervasive, effect more than one area of life, and prevent academic or social success.
ADHD is a neurodevelopmental disorder that causes difficulties with attention, organization, excessive physical movement, and executive functioning skills (organizing, decision making, short term memory). Most scientists believe it to be primarily hereditary, meaning it runs in families. In Individuals with Disabilities Act (2004), attention deficits are included under the category of Other health Impairment and defined as: having limited strength, vitality, or alertness, including a heightened alertness to environmental stimuli, that results in limited alertness with respect to the educational environment.
It is not a behavior disorder nor is it the result of bad parenting. However, the sooner you address the issues, the more likelihood of preventing underachievement and low self-esteem that can lead to other emotional and behavioral problems. https://www.understood.org
Symptoms of ADHD include inattention (not being able to keep focus), hyperactivity (excess movement that is inappropriate for the setting), and impulsivity (hasty acts that occur in the moment without thought of the consequences). In a broad estimate of prevalence, approximately 7-9% of children ages 2-19 have ADHD, which is often first identified in school-aged children when it leads to disruption in the classroom or problems with schoolwork. It is more common among boys than girls. Half of the children with ADHD also have a behavior or conduct disorder and about a third experience anxiety.
Children and Adults with Attention Deficit/Hyperactivity Disorder, Prevalence of ADHD
Center for Diseases Control, Data and Statistics About ADHD
Attention Deficit/Hyperactivity Disorder is defined by three types:
- Children younger than 17 require 6/9 symptoms; 17 & above require 5/9 symptoms.
- Symptoms must have occurred over the past 6 months.
Diagnostic Statistical Manual, 5th version (DSM-5), 2013
There is not a single test that can diagnose ADHD, but rather a battery of tests are usually given to rule out learning disorders, health concerns, and cognitive impairments. Many health issues can be masked as ADHD: unchecked hypoglycemia or diabetes, rare blood disorders, traumatic brain injury, auditory processing disorder, and a variety of other illnesses. It’s a good idea to schedule a medical check up with a doctor before jumping to a conclusion that your child has ADHD. If all is well medically, then you may need to schedule an evaluation.
Dr. Daniel Amen, Amen Clinic, has isolated seven different types of ADHD according to the traits and symptoms and provides a quick online assessment to help you determine which type your child has and what approach to take for treatment. ADHD Type Test
- Does not pay close attention to details or makes careless mistakes on tasks.
- Has problems staying focused on tasks or activities, such as during lectures, conversations, or long reading.
- Does not seem to listen when spoken to (i.e., seems to be elsewhere).
- Does not follow through on instructions and doesn’t complete schoolwork, chores or job duties (may start tasks but quickly loses focus).
- Has problems organizing tasks and work f or instance, does not manage time well; is messy & disorganized.
- Avoids or dislikes tasks that require sustained mental effort such as completing math lessons, writing an essay, or taking tests.
- Often loses things needed for tasks or daily life, such as school papers, books, keys, wallet, cell phone, and eyeglasses.
- Is easily distracted.
- Forgets daily tasks, such as doing chores and running errands. Older teens and adults may forget to return phone calls, pay bills, and keep appointments.
- Fidgets with or taps hands or feet, or squirms when seated.
- Not able to stay seated in classroom, church, or workplace.
- Runs about or climbs where it is inappropriate.
- Unable to play or do leisure activities quietly.
- Always on the go, as if driven by a motor.
- Talks too much, often loudly.
- Blurts out an answer before a question has been finished (for instance may finish people’s sentences, can’t wait to speak in conversations).
- Has difficulty waiting his or her turn, such as while waiting in line or while playing games.
- Interrupts or intrudes on others, for instance, cuts into conversations, games or activities, or starts using other people’s things without permission. Older teens and adults may take over what others are doing.
Source: American Psychiatric Association, What Is ADHD?
Everyone has difficulty with some of these symptoms some of the time, but true ADHD is when these symptoms affect daily life functioning at school, work, and play leading to persistent frustration and failure.
ADD Resource Center offers a free screening online at Online screening tool
TIP: Many Misdiagnosed
Intellectually gifted people, whose needs are neglected or misunderstood, may exhibit traits and behaviors that resemble conditions like Attention Deficit/Hyperactivity Disorder (ADHD). Thus, misdiagnosis can result in unnecessary medication and unintended harm. A thorough evaluation will include an intelligence test, achievement tests, symptoms checklists and behavioral observations.
- Misdiagnosis Initiative Social Emotional Needs of Gifted (SENG) offers a guide to use when trying to distinguish if a child has ADHD, giftedness or both.
- Misconceptions of IQ tests
Behaviors Associated with ADHD
- Poorly sustained attention in almost all situations
- Diminished persistence on tasks not having immediate consequences
- Impulsivity, poor delay of gratification
- Impaired adherence to commands to regulate or inhibit behavior in social context
Behaviors Associated with Giftedness
- Poor attention, boredom, daydreaming in specific situations
- Low tolerance for persistence on tasks that seem irrelevant
- Judgment lags behind development of intellect
- Intensity may lead to power struggles with authorities
- High activity level; may need less sleep
- Questions rules, customs and traditions
Dr. James Webb and Diane Latimer (1993), ADHD and Children Who Are Gifted
Children that have ADHD may also be gifted, have a specific learning disability, or a combination of any other exceptionality. Jay is intellectually gifted, artistically creative, but also has great difficulty with attention and focus. He is capable of hearing new information once and remembering it, but can’t get organized enough to remember his baseball gear, find his most valuable possessions, or meet school assignment deadlines.
TIP: Calming a Child with Hyperactivity
Children with ADHD are often overstimulated by their environment and have a very difficult time ignoring extraneous noises and sights. Even if the environment is perfectly calm, the child’s brain is jumping around in all different directions. Therefore, the following may help to soothe, calm, and focus.
- fidget toys: purchased or handmade such as a deflated balloon with sand in it or a sock with beans sewn into it to fiddle with while working
- noise cancelling headsets or calming music played through a headset
- low lighting, possibly lamps rather than overhead lighting
- flexible seating using bean bags, rubber balls, or even standing and pacing when appropriate; free mobility helps to refocus
- snacks, gum, something to chew on to release energy
Children & Adults with Attention Deficit Hyperactivity Disorder (CHADD) was founded by parents and children with ADHD in 1987 as they experienced frustration in trying to find help, resources, and general information about ADHD. Endless resources available here. www.chadd.org About ADHD Fact Sheets & Infographics
Attention Deficit Disorder Association (ADDA) is the world’s leading adult ADHD organization founded over twenty-five years ago to help adults with Attention Deficit Hyperactivity Disorder (ADHD) lead better lives. ADHD is believed to be hereditary, so it’s highly likely that one or more parents have it. Lots of resources here, particularly helpful for students preparing for college. Attention Deficit Disorder Association: Home | ADDA
CDC Center for Disease Control, https://www.cdc.gov/ncbddd/adhd/index.htm
The Parents Guide to Attention Deficit Disorder provides logical and useful suggestions for parents searching for solutions to their child’s problems and has hundreds of suggestions for parents to help their child who has an Attention-Deficit/Hyperactivity Disorder be more successful. www.Hawthorne-ed.com
The A.D.D. Resource Center, https://www.addrc.org/
OT Toolbox provides strategies for teaching executive functioning skills, Tool Box
Skills 4 Life shares strategies for home and school to assists children with ADHD. Strategies for ADHD