Improving Attention in Active Toddlers: Is It ADHD? - Rehabilitation

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Pediatric rehabilitation


Hello Director Chen,
My son has undergone pediatric rehabilitation at a private hospital, which resolved his speech difficulties.
However, he still struggles with attention span and is very active.
What can be done to improve this? Does this qualify as attention deficit hyperactivity disorder (ADHD)? Does he need further treatment? Thank you!
Jamie

jamie, 30~39 year old female. Ask Date: 2006/07/08

Dr. Chen Xianchang reply Rehabilitation


(1) You can go to rehabilitation hospitals or clinics that provide early intervention services for sensory integration assessment and treatment.
(2) Children with attention deficit hyperactivity disorder (ADHD) need to excessively alternate between hand-eye activities, and failure to complete tasks is a criterion.
(3) Inattention is related to brain development, situational engagement, and poor sensory integration, and requires careful evaluation.

Reply Date: 2006/07/08

More Info


Hello Jamie,
Thank you for reaching out with your concerns about your son's attention and activity levels. It’s understandable to be worried when a child exhibits signs of hyperactivity and difficulty concentrating, especially after having undergone rehabilitation for language delays.
To address your question, it’s important to first clarify what Attention Deficit Hyperactivity Disorder (ADHD) is. ADHD is a neurodevelopmental disorder characterized by a persistent pattern of inattention and/or hyperactivity-impulsivity that interferes with functioning or development. Symptoms typically manifest in early childhood, often before the age of 12, and can continue into adulthood.
In toddlers, it can be challenging to diagnose ADHD definitively, as many young children naturally exhibit high levels of activity and short attention spans. However, if your son is consistently unable to focus on tasks, frequently interrupts others, and is excessively active compared to his peers, it may warrant further evaluation.
Here are some strategies that may help improve your son's attention and behavior:
1. Structured Environment: Create a structured daily routine that includes specific times for activities, meals, and rest. Predictability can help children feel more secure and focused.

2. Limit Distractions: Reduce distractions in his environment when he is engaged in tasks. For example, during playtime or learning activities, minimize background noise and visual distractions.

3. Break Tasks into Smaller Steps: Young children often benefit from breaking tasks into smaller, manageable steps. This can help them feel a sense of accomplishment and maintain focus.

4. Engaging Activities: Choose activities that capture his interest. Children are more likely to concentrate on tasks that they find enjoyable. Incorporate movement into learning, such as singing songs or using physical games to teach concepts.

5. Positive Reinforcement: Use positive reinforcement to encourage desired behaviors. Praise him when he focuses on a task or follows instructions, which can motivate him to repeat those behaviors.

6. Physical Activity: Ensure he has plenty of opportunities for physical activity throughout the day. Regular exercise can help reduce hyperactivity and improve concentration.

7. Mindfulness and Relaxation Techniques: Introduce simple mindfulness exercises or relaxation techniques to help him learn to calm himself and focus. Techniques such as deep breathing or short meditation can be beneficial.

8. Consult a Specialist: If you continue to have concerns about his attention and activity levels, it may be beneficial to consult a pediatrician or child psychologist. They can conduct a thorough assessment and determine if further intervention is necessary.

As for whether your son should receive treatment, it largely depends on the severity of his symptoms and how they impact his daily life and development. If his behavior is significantly affecting his ability to learn or interact with others, a professional evaluation could provide clarity on whether he meets the criteria for ADHD or if other interventions might be more appropriate.

In summary, while your son may exhibit behaviors that are concerning, it’s essential to consider the context of his age and development. Many young children are naturally active and may not yet have developed the ability to focus for extended periods. However, if you feel that his behavior is outside the norm for his age group, seeking professional advice is a prudent step.
Thank you for your inquiry, and I hope this information helps you in supporting your son’s development.

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