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Patient education: Attention deficit hyperactivity disorder (ADHD) in children (The Basics)

Patient education: Attention deficit hyperactivity disorder (ADHD) in children (The Basics)

What is ADHD? — ADHD is a condition that can make it hard to sit still, pay attention, or make good decisions. ADHD often begins in childhood. ADHD can cause a child to have trouble in school, at home, or with friends. ADHD is more common in males than females. ADHD stands for "attention deficit hyperactivity disorder." Some people call it just ADD (attention deficit disorder).

There is no cure for ADHD, but different treatments can help improve a child's symptoms and behavior.

What are the symptoms of ADHD? — Children with ADHD have 1 or more of the following symptoms:

Increased activity, also called "hyperactivity" – A child might have trouble sitting still or playing quietly.

Poor decision-making – A child might interrupt others or do things without thinking them through.

Trouble paying attention – A child might be forgetful, lose things, or have trouble finishing a project.

Symptoms often begin by the time a child is 4 years old and can change over time. Children often continue to have symptoms as teenagers or adults.

Is there a test for ADHD? — No. There is no test. If you suspect your child has ADHD, talk to your child's doctor or nurse. They will ask about your child's symptoms and behavior at home and at school. To find out about your child's behavior at school, you will need to ask their teacher.

A doctor can make a diagnosis of ADHD only if a child's symptoms:

Are seen in more than 1 place, for example, both at home and in school

Last at least 6 months

Start before age 12

Affect their friendships or school work

Other conditions can cause symptoms similar to ADHD. For example, children who have trouble learning to read can also have a tough time in school. Your child's doctor or nurse will try to figure out what is causing your child's symptoms. But this might involve a few visits to the doctor.

Is ADHD a condition that needs to be treated? — Most doctors recommend that ADHD be treated. Children with untreated ADHD are more likely than children whose ADHD is treated to have a hard time in school, become depressed, or have accidents.

How is ADHD treated? — ADHD can be treated in different ways. Treatment can improve symptoms and help children do better at school, at home, and with friends. Children with ADHD might have 1 or more of the following treatments:

Medicines – Doctors can prescribe different medicines to help children pay attention and concentrate better. ADHD medicines are often very effective at improving the condition, but they can cause side effects. Tell your doctor if your child has any problems while taking ADHD medicine. Some children need to try more than 1 medicine to figure out which is right for them.

Behavior treatment – You might find that you can improve your child's behavior by making changes at home. For instance, you can make a checklist for your child to use every morning so they remember what to do. Or you can have your child keep homework in the same place so they don't lose it.

Changes at school – Teachers can make changes in the classroom to help children with ADHD do better in school. For example, a teacher might write down what the homework is every day so the child does not forget. Or a teacher might allow a child to have extra time to finish school work. You will need to work with the teacher and school to create a "school plan" that is right for your child. Keep in mind that a school plan might need to change over time as the child gets older or if their symptoms change.

Some children with ADHD have other problems, too. These can include problems with learning, anxiety, or trouble sleeping. It's important to work with your child's doctor to treat these problems if needed. Sometimes, this can even help improve ADHD symptoms.

You might hear or read about treatments for ADHD that include things like special vitamins or diets. Experts do not know if these help improve symptoms. Check with a doctor before trying any of these treatments.

Can adults be diagnosed with ADHD? — Yes. ADHD can run in families. Some adults figure out that they have ADHD only after their child is diagnosed with it. ADHD can also cause adults to have trouble at work or with relationships.

If you are an adult and suspect that you have ADHD, talk with your doctor or nurse about treatment. Some people also find it helpful to talk to a counselor or go to a self-help group to learn ways to manage symptoms.

More on this topic

Patient education: Medicines for attention deficit hyperactivity disorder (ADHD) in children (The Basics)

Patient education: Symptoms and diagnosis of attention deficit hyperactivity disorder in children (Beyond the Basics)
Patient education: Treatment of attention deficit hyperactivity disorder in children (Beyond the Basics)

This topic retrieved from UpToDate on: Jan 01, 2023.
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