Hyperactive Children: Tips for Managing Their Energy - Rehabilitation

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Active child


Hello, Doctor! My son is now 5 years old and very active.
Even when attracted by cartoons, he can’t sit still for more than 20 seconds.
Since he started walking, my home has been in chaos—he has knocked over the TV, killed the fish in the small aquarium, broken the aquarium, damaged the sound system, and pulled the phone line apart.
I’ve padded the corners of the coffee table with tape and towels to prevent injuries, but nothing seems to stop him.
I’ve even tried confining him, but he just causes destruction in his room.
He has undergone sensory integration therapy and we’ve done everything we can.
After turning 2, I sent him to preschool to learn discipline, but he still behaves the same way.
Every day is a struggle; if things don’t go his way, he screams, “Vegetables are here!” I also have to care for my 1.5-year-old daughter, and I’m about to go crazy.
Could he be hyperactive? How should I deal with this mischievous child? Thank you.

Sue, 30~39 year old female. Ask Date: 2008/08/11

Dr. Chen Xianchang reply Rehabilitation


Hello, Miss: Thank you for your inquiry.
Here are my responses and suggestions: 1.
For conditions such as Attention Deficit Hyperactivity Disorder (ADHD) or attention deficits, it is advisable to take the child to a larger hospital for evaluation by a pediatric neurologist or rehabilitation specialist.
2.
It is recommended to enhance sensory integration training, and to have teachers pay extra attention as well.
3.
If necessary, medication may be used in conjunction with therapy.
Lastly, I wish you peace and happiness~~

Reply Date: 2008/08/11

More Info


Managing hyperactive children can be quite a challenge, especially when their energy levels seem boundless. Your son’s behavior, as you described, raises concerns that are common among parents of active children. While it’s important to consider the possibility of Attention Deficit Hyperactivity Disorder (ADHD), it’s equally crucial to understand that not all hyperactive behaviors indicate a disorder. Children develop at different rates and exhibit various temperaments, and many factors can contribute to their behavior.


Understanding Hyperactivity
Hyperactivity in children can manifest as excessive movement, impulsivity, and difficulty in maintaining attention. However, it’s essential to differentiate between typical childhood behavior and symptoms of ADHD. According to the American Academy of Pediatrics, ADHD is characterized by patterns of inattention, hyperactivity, and impulsivity that interfere with functioning or development. A comprehensive evaluation by a healthcare professional is necessary for a proper diagnosis.


Strategies for Managing Hyperactive Behavior
1. Establish Routines: Children thrive on structure. Establishing a daily routine can help your son understand what to expect throughout the day. Consistent meal times, play times, and bedtimes can provide a sense of security and predictability.

2. Set Clear Expectations: Clearly communicate the rules of the house and the consequences for breaking them. Use simple language and be consistent in enforcing these rules. Positive reinforcement for good behavior can also be effective.

3. Provide Physical Outlets: Since your son has a lot of energy, channeling that energy into physical activities can be beneficial. Encourage outdoor play, sports, or even simple activities like running or jumping. This can help him expend energy in a constructive way.

4. Limit Screen Time: While cartoons can be engaging, excessive screen time can lead to overstimulation. Set limits on how much time he spends in front of screens and encourage other forms of play that require physical movement or creativity.

5. Create a Calm Environment: Designate a quiet space in your home where your son can go to calm down when he feels overwhelmed. This space can have calming toys, books, or activities that help him relax.

6. Engage in Sensory Activities: Since you mentioned that he has undergone sensory integration therapy, continue to incorporate sensory activities into his daily routine. Activities like playing with playdough, sand, or water can help him focus and calm down.

7. Mindfulness and Breathing Exercises: Teaching your son simple mindfulness techniques or breathing exercises can help him learn to manage his emotions and energy levels. Even short, guided sessions can be beneficial.

8. Seek Professional Guidance: If you continue to have concerns about your son’s behavior, consider consulting a pediatrician or child psychologist. They can provide insights and strategies tailored to your son’s specific needs.


Conclusion
It’s understandable to feel overwhelmed when managing a hyperactive child, especially with another young child in the home. Remember that you are not alone in this journey, and many parents face similar challenges. By implementing structured routines, providing physical outlets, and seeking professional advice when needed, you can create a more harmonious environment for both your son and your family. It’s essential to remain patient and consistent, as behavior change takes time. Your love and support will play a crucial role in helping your son navigate his energy levels and develop self-regulation skills.

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