Attention Deficit Hyperactivity Disorder (ADHD) in Toddlers

Child with ADHD

If your toddler is behaving out of control, wacky, or plain mysterious, like throwing pans from the balcony or showing sudden temper tantrums, he may be having ADHD. ADHD is diagnosed as a clinical condition by therapists, and you can get acquainted with it by reading this article and consulting a therapist. Here’s everything you need to know about toddlers with ADHD.

What is ADHD?

ADHD is defined as ‘Attention Deficit Hyperactivity Disorder’, and it is a mental condition when your child behaves out of the ordinary. At the heart of ADHD is a lack of focus, concentration and a short attention span. Forgetting what he has just learnt and the tendency to daydream in the middle of something important also falls under hyperactivity, which prevents your child from being calm, focused and obedient.

ADHD is not to be confused with momentary bouts of frustration, anger or inactivity. If your child stays calm when sitting for meals and going to bed, then that may rule out ADHD, but to be very sure, additional testing by a certified therapist is recommended.

Symptoms

The following are the signs of ADHD in 2-year-olds and above-

1. Inattention

Toddlers with ADHD have difficulty organizing toys, completing tasks, and paying attention or focusing in the classroom. They exhibit short attention spans and shuffle around different activities without sticking to any one activity. Inattention often translates to forgetfulness and is a tell-tale sign of ADHD in kids since they often forget details and cannot seem to remember what they were doing previously.

2. Hyperactivity

Does your child keep moving his legs, biting his fingernails, or fiddling with his arms whenever you ask him to sit quietly? Maybe your child goes from doodling on the walls to making a mess of household items in a second or two. Whatever the case, hyperactivity translates to restlessness and fidgetiness, being in a state of constant motion without pausing or taking breaks. Shifting across different corners of the room and trying to do multiple things at the same time are also obvious signs. If your child has boundless energy compared to other toddlers his/her age and can’t seem to stop moving around for even a minute where every single activity is concerned – that could mean ADHD.

3. Impulsiveness

Impulsiveness in toddlers is basically showcased as a lack of self-control or discipline. Children who exhibit behaviour akin to being unable to control their own emotions, not matching what they say and do, being short-tempered, and throwing sudden temper tantrums when they don’t get their way. They also go through mood swings and become extremely emotional. Older toddlers may even invade others’ personal space, interfere with ongoing conversations and carry out actions without stopping to think about their consequences and also speaking without permission.

Angry child

4. Positive Symptoms

Although ADHD can be troublesome, sometimes it can come with benefits. The positive symptoms of ADHD are-

  • High intellectual and creative abilities.
  • Being able to focus on play or work for long periods of time without any breaks, which is the flip side of the symptom of being distracted. Children with ADHD can exhibit hyperfocus, which means that they can concentrate on something for hours together, if it holds their interest.
  • Open to trying out new ideas and not sticking to recurring methods.
  • Extremely artistic and demonstrating creative problem-solving abilities along with a vivid imagination.

5. Other Symptoms

There are other symptoms of ADHD which are distinctive from the rest. They are the following –

  • Being extremely aggressive when interacting with friends during playtimes.
  • Being very friendly with strangers without a sign of caution.
  • Lack of an understanding of safety that is demonstrated by extreme fearlessness.
  • Unable to hop on one foot at 4 years old and above.

Diagnosis

Diagnosing ADHD in toddlers is a bit different than other obvious psychological/mental disorders. Your doctor will conduct a thorough evaluation by asking for reports and findings from daycare providers, neighbours, preschool teachers, and other adults who often see your child on a day-to-day basis, coupled with his/her own observations during an evaluation. Since ADHD signs and symptoms are similar to regular behaviours exhibited by toddlers of developmental ages, an additional ADHD test for toddlers may be needed to rule out whether your child indeed has ADHD or not. The key takeaway is that ADHD is a persisting condition, and kids get tired of hyperactivity eventually, but ADHD-prone kids do not, and that’s something to keep in mind.

Treatment for ADHD in Toddlers and Pre-Schoolers

There are various treatment methods for ADHD in toddlers and pre-schoolers. They are-

  • Behavioural Therapy – This is a common treatment method that involves praising kids for good behaviour and when they accomplish tasks. Bad behaviours and unruly instances are ignored, and therapists highlight the positive aspects of children and talk about them. Time-outs are used, and structure and routine are incorporated. Rewards are given when kids accomplish tasks or make progress in changing old behavioural patterns.
  • ADHD Medications – If your child is 4 years or older, then you may consider giving him/her ADHD medications like methylphenidate. Consider medications only if your child hasn’t been showing changes despite attending behavioural therapy sessions. Medication is usually recommended for ages 6, and above, however, younger children are more sensitive to these, and it may help. Expected side effects include weight loss, loss of appetite, growth delays and anxiety. Once they stop taking these meds, the side effects go away, however, keep in mind that some ADHD drugs are not FDA-approved.

Child with ADHD at therapist

Parents must act like detectives if they want to spot ADHD and treat it effectively. Early treatment is recommended since ADHD in toddlers and speech delay accompanied along with it when gone unnoticed, can cause huge problems later in life which manifests in the form of poor academic performance and lack of social behaviours. Start by developing a positive relationship with your child and be gentle and kind with your little one if you suspect he has ADHD. The key point here is to encourage positive behaviour and reinforce them through rewards and encouragement while ignoring negative behaviours and allowing them to fade away with time. Make sure to consult a therapist if you suspect that your child has ADHD and always remember – your kid must be continually monitored long-term since ADHD is a little complex to spot and treat quickly.

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