What Is ADHD?
ADHD stands for attention deficit hyperactivity disorder. It is a medical condition.
A person with ADHD has differences in brain development and brain activity that affect
attention, the ability to sit still, and self-control. ADHD can affect a child at
school, at home, and in friendships.
What Are the Signs of ADHD?
All kids struggle at times to pay attention, listen and follow directions, sit
still, or wait their turn. But for kids with ADHD, the struggles are harder and happen
more often.
Kids with ADHD may have signs from one, two, or all three of these categories:
- Inattentive. Kids who are inattentive (easily distracted) have
trouble focusing their attention, concentrating, and staying on task. They may not
listen well to directions, may miss important details, and may not finish what they
start. They may daydream or dawdle too much. They may seem absent-minded or forgetful,
and lose track of their things.
- Hyperactive. Kids who are hyperactive are fidgety, restless,
and easily bored. They may have trouble sitting still, or staying quiet when needed.
They may rush through things and make careless mistakes. They may climb, jump, or
roughhouse when they shouldn't. Without meaning to, they may act in ways that disrupt
others.
- Impulsive. Kids who are impulsive act too quickly before thinking.
They often interrupt, might push or grab, and find it hard to wait. They may do things
without asking for permission, take things that aren't theirs, or act in ways that
are risky. They may have emotional reactions that seem too intense for the situation.
Sometimes parents and teachers notice signs of ADHD when a child is very young.
But it's normal for little kids to be distractible, restless, impatient, or impulsive
— these things don't always mean that a child has ADHD.
Attention, activity, and self-control develop little by little, as children grow.
Kids learn these skills with help from parents and teachers. But some kids don't get
much better at paying attention, settling down, listening, or waiting. When these
things continue and begin to cause problems at school, home, and with friends, it
may be ADHD.
How Is ADHD Diagnosed?
If you think your child has ADHD, make an appointment with your child's
doctor. He or she will give your child a check-up, including vision and hearing,
to be sure something else isn't causing the symptoms. The doctor can refer you to
a child psychologist or psychiatrist if needed.
To diagnose ADHD, doctors start by asking about a child's health, behavior, and
activity. They talk with parents and kids about the things they have noticed. Your
doctor might ask you to complete checklists about your child's behavior, and might
ask you to give your child's teacher a checklist too.
After gathering this information, doctors diagnose ADHD if it's clear that:
- A child's distractibility, hyperactivity, or impulsivity go beyond what's usual
for their age.
- The behaviors have been going on since the child was young.
- Distractibility, hyperactivity, and impulsivity affect the child at school and
at home.
- A health check shows that another health or learning issue isn't causing the problems.
Many kids with ADHD also have learning problems, oppositional and defiant behaviors,
or mood and anxiety problems. Doctors usually treat these along with the ADHD.
How Is ADHD Treated?
Treatment for ADHD usually includes:
- Medicine.
This activates the brain's ability to pay attention, slow down, and use more self-control.
- Behavior therapy. Therapists
can help kids develop the social, emotional, and planning skills that are lagging
with ADHD.
- Parent coaching. Through coaching, parents learn the best ways
to respond to behavior difficulties that are part of ADHD.
- School support. Teachers
can help kids with ADHD do well and enjoy school more.
The right treatment helps ADHD improve. Parents and teachers can teach younger
kids to get better at managing their attention, behavior, and emotions. As they grow
older, kids should learn to improve their own attention and self-control.
When ADHD is not treated, it can be hard for kids to succeed.
This may lead to low self-esteem, depression, oppositional behavior, school failure,
risk-taking behavior, or family conflict.
What Can Parents Do?
If your child is diagnosed with ADHD:
- Be involved. Learn all you can about ADHD. Follow the treatment
your child's health care provider recommends. Keep all recommended appointments for
therapy.
- Give medicines safely. If your child is taking ADHD medicine,
always give it at the recommended time and dose. Keep medicines in a safe place.
- Work with your child's school. Ask teachers if your child should
have an IEP. Meet often with teachers to
find out how your child is doing. Work together to help your child do well
- Parent with purpose and warmth. Learn what parenting
approaches are best for a child with ADHD — and which can make ADHD worse.
Talk openly and supportively about ADHD with your child. Focus on your child's strengths
and positive qualities.
- Connect with others for support and awareness. Join a support organization for ADHD to get updates on treatment and other
information.

What Causes ADHD?
It's not clear what causes the brain differences of ADHD. There's strong evidence
that ADHD is mostly inherited. Many kids who have ADHD have a parent or relative with
it.
ADHD is not caused by too much screen time, poor parenting, or eating
too much sugar.
ADHD can improve when kids get treatment, eat healthy food, get enough sleep and
exercise, and have supportive parents who know how to respond to ADHD.
Date reviewed: November 2017