It is difficult to diagnose children less than 5 with ADHD because many children have some symptoms of ADHD in that age group. To confirm a diagnosis of ADHD the symptoms or behaviors must occur in more than one setting, such as in school and at home, they must start before the age of 7, be present for at least 6 months, and must interfere with functioning at home ,school, or in social settings. Children with ADHD show signs of inattention, hyperactivity and/or impulsivity. Your pediatrician can assess whether your child has ADHD using standard guidelines developed by the American Academy of Pediatrics. He or she will also look for other conditions that may mimic or coexist with ADHD.
The academy lists the following symptoms for a child 6 to 12 years old:
The child has a hard time paying attention or daydreams
The child does not seem to listen
The child is easily distracted and doesn't finish an assignment or chore.
The child has trouble following through on instructions.
The child does not care about details and makes careless mistakes.
The child is disorganized
The child loses a lot of important things
The child forgets things
The child avoids doing things that require a lot mental attention
The child is in constant motion as if “driven by a motor”
The child cannot stay seated
The child squirms and fidgets
The child talks too much
The child runs, jumps, and climbs excessively even when not permitted
The child cannot play quietly
The child acts and speaks without thinking
The child has difficulty waiting in lines or taking turns
The child blurts out answers
The child interrupts others
The child may run into the street without checking for traffic
Children with ADHD may have symptoms of inattention only, symptoms of hyperactivity and impulsivity only, or symptoms of combined inattention and hyperactivity/impulsivity.