Do All Fidgety Kids Have Adhd?

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A few weeks ago, I received a phone call from a mother who was implicated that her 5 year-old son might have Adhd. We set up an appointment for a consultation. As a child psychiatrist I accomplish diagnostic evaluations to settle if a child or a teenager has an identifiable pathology that warrants treatment. This boy's preschool instructor as well as baby sitter were implicated that he was permanently fidgety.

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The main complaint was that he had difficulties sitting still and would need frequent redirection. My concern is that many kids like this 5 year old boy are being tried on medications to see "if it helps." It is essential that a full diagnostic evaluation is done before any kind of rehabilitation is even considered. Not all kids who are fidgety in effect have attentiveness deficit hyperactivity disorder (Adhd.)

Adhd is a complicated medical condition that has been recognized for many decades. It is in general characterized by three categories of symptoms: inattention, hyperactivity, and impulsivity. However, just because a child or a teenager exhibits those symptoms it doesn't mean they have Adhd. Those symptoms have to be looked at in the context of every aspect of their lives.

For example, a 5 year old child might exhibit inattention and strangeness sitting still in situations that make him nervous and apprehensive. This is a base occurrence for children when they are beginning school or are with a new child care provider. When young children are anxious and uncomfortable they can appear same to kids with Adhd. In these situations it would be a huge mistake to try and Adhd medication. This is why it is essential that a thorough evaluation is done before the initiation of any treatment.

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