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ADD/ADHD - when does a "normal"/busy/excitable child change to a child with ADD?

7 replies

SpanishFly · 01/05/2012 12:06

I am starting to wonder if my just-turned-7yr old DS may have ADD. I have had a good look at various websites, and the signs fit. I've listed some examples below.

Anyway, what I'm confused about is when we should be getting concerned, compared to how much of this is down to the fact that he is extremely clever, and is just bored out of his mind at school...? If any of you with experience in this type of situation could give me advice, I'd very much appreciate it. Incidentally, it's parents night tomorrow - what should I be asking the teacher in relation to this...? Many thanks!

  • at 3 school shows, he has been the ONLY child in the class on the stage who is constantly fidgeting, looking behind him, trying to get attention, etc etc.
  • he talks nonstop, and almost doesnt know how to sit quietly. He gets moved away from his friends regularly in class because he's chatting and distracting them.
  • he interrupts, even when youve just asked him not to.
  • he fidgets a lot, unless he's watching a film or cartoon, or if he's reading (ie something he loves doing).
  • when he's doing homework, he constantly chats to me, and gets very very easily distracted, despite constantly being asked to focus and get his homework finished before we chat.
  • he forgets what he's doing halfway through a job - eg he's sent to his room to get something, but cant remember what it is when he gets there.
  • Very VERY easily distracted at anything he finds boring.
  • he seems to struggle to listen to things I ask him. Even when I ask him to look at me, his eyes still wander off, and he loses any sort of focus.
OP posts:
EllenJaneisnotmyname · 01/05/2012 15:00

I would always go with instinct. If you are concerned, I'd be taking it further. See what school have to say tomorrow. Do they see any problems? Your list doesn't sound extreme, but if both you and school have concerns, perhaps you could mention it to your GP, ask for a referral.

My DS doesn't have ADD, though, but I'm sure others will come on with advice. Smile

SpanishFly · 01/05/2012 17:33

Thanks, Ellen, I know what you're saying. I just feel that sometimes it's easy to believe Google when it might be nothing to worry about at all!
I'll speak to the teacher and ask if she's noticed anything that concerns her.

Does anyone else have any suggestions/thoughts?

Cheers

OP posts:
coff33pot · 01/05/2012 22:39

I agree go with your instincts. Its far better to eradicate the possibility by a med proff saying no than always having that niggling "I wonder" everytime he does something out of what you expect to be the norm. :)

madwomanintheattic · 01/05/2012 23:10

ADHD usually needs to be present in more than one setting for any dx to occur, so both you and school would be given a questionnaire (usually SNAP IV) in the first instance to see if further testing was warranted.

School would always tell me Ds was hard to motivate, but as he was bright it wasn't a problem, he could get by and answer the questions without any bother if he put his mind to it.

In year 5 his teacher cut all that short real quick, and kept us there for an hour and quarter, then burst into tears. We went back to the paed, who suggested we pay for testing as the wait list was a year.

He now has, at 10, a dx of ADHD with aspergers traits (social and sensory) anxieties and phobias. (and also a gifted tag).

This has made no difference at all with his schooling. Grin except that because we are drugging him, he is easier to keep on task.

Soooooooooo, if school aren't worried, they either still think he is within the bounds of normal, or don't realise how bright he is. They won't (generally) be motivated to do anything about it, without a 'need' presenting. The kids with ADHD who are causing huge disruption int he classroom by throwing chairs and annoying peers will be the priority. If it starts to affect his schooling (or the idiosyncrasies become out of the ordinary as his peers mature - 7yo boys aren't well known for their focus) then he will gradually move into the spotlight as a student who would warrant more observation.

I suspect there is little that school will be interested in at the mo, ESP if he is clever enough to pull off not concentrating. At the most they will put him on the list to be looked at by the ed psych (sometimes around a year wait).

Sometimes parents (particularly of brighter kids) decide they can't wait for referrals and testing through the LA or NHS, and decide to test privately. This means that you can specify you want cognitive testing done as well, and might give you a fuller picture. Some kids have add, some are gifted, some gifted kids have add, etc. the bright kids with add are usually dx later, because they have coping strategies in place (ie they can answer the questions!) in school when they are caught staring into space.

It is worth trying a few of the recommendations to see if add-type interventions work with Ds - wobble cushions, blu tac, fiddle toys etc but tbh if school see no problem they are unlikely to bother. If you are brave enough you can ask about extension work, and see if that will help. Sometimes a child needs both.

It may be that he is entirely within the bounds of normal for 7yo boy. I ran a cub pack. Most of them had add. only two were medicated for it. 7 is the typical sort of age that 'differences' with peers can appear and not be attributable directly to immaturity, but still possibly...

Just ask the teacher, I'd mention casually that he has trouble focusing on his homework. She'll probably smile and say that's entirely normal. You can ask if she has any issues with his concentration etc. I'm not sure I would let on that you've been consulting dr google. At this point you want to flatter her professional opinion. You might want her on side!

mariasalome · 01/05/2012 23:28

If he did have it, first line treatment is to send you on a structured parenting course. Not because it's caused by parenting style, but because managing a more-challenging-than-average dc needs better-than-normal parenting skills.

So, maybe worth getting one of those under your belt anyway? Local CAMHS will be able to tell you how to find one. The "ADHD super-parenting" techniques I learned for ds1 also help dd and ds2 who don't (?) have it.

And if he does later turn out to have ADHD, when well meaning (or frankly hostile) outsiders suggest looking at parenting, you can smile sweetly and say how very helpful the course was, and now please could we have the next intervention.

SpanishFly · 02/05/2012 07:10

wow, what brilliant advice - thanks to you all for replying.

OK, I'll ask the teacher about his concentration etc, cos "he seemed to be the only one fidgetting constantly on stage last week" and cos of his lack of focus when doing homework etc.

I will have a look at the parenting class details - thanks for that, I had no idea this would be suggested, although it makes complete sense why it would be!

madwoman, I am going to Google vyvanse and have a look a the wobble cushion etc. Again, I had no idea about any of these things.

Again, thanks so much - the replies were exactly what I was needing. Very helpful and practical advice. I will let you know what the teacher says, if anything.

Thanks again - much appreciated. :)

OP posts:
madwomanintheattic · 02/05/2012 14:31
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