If you are the parent of an energetic or inattentive child, you may be wondering if your child has ADHD (Attention Deficit Hyperactivity Disorder). It is a tough question, because no objective test determines whether ADHD is present; the diagnosis is made when a child shows a cluster of behaviors relating to high activity levels and distractibility persisting over time and in multiple settings. In a recent national survey, 11% of children were reported by parents as having ever received the diagnosis of ADHD from a healthcare provider and 6% were reportedly taking medication for ADHD.
Of course, it is important to address problematic behavior, yet, are diagnostic labels and medication always necessary or helpful? Some important considerations include:
Is my child happy and functional? If you’d describe your child as a chatty, happy motor or a contented daydreamer who basically functions well (though perhaps giving caregivers a challenge), then you likely have a bright, healthy child on your hands. If, instead, you’d describe daily activities and schoolwork to be an ongoing source of significant distress, then an evaluation is warranted.
Are there environmental factors that could help my child? Children who seem disruptive or unable to sit still may do better in a less rigid environment that allows more movement and free play. Regular vigorous exercise may be particularly important. Certain healthy dietary changes may be worth a try. Some children may benefit from an overall increase in structure and “cuing” about behavioral expectations.
What specific skills does my child need to learn? Perhaps your child needs to gain increased empathy, respect for others, self-discipline, or organizational strategies. Often as awareness increases, behavior improves. Also, every child has built-in strengths for us to celebrate!
At Imagine Pediatrics, I utilize a whole-child approach in evaluating behavioral issues and partner with families to create a customized treatment plan. If this is what you are looking for, I invite you to call and schedule a consultation.
–Dr. Mary
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