Louisville Medicine Volume 67, Issue 3 | Page 20

KIDS' STUFF WHAT IS CHILDLIKE BEHAVIOR AND WHAT IS ADHD? AUTHOR Jeffrey Wampler, MD, FAAP A lmost every parent of a child between the ages of two and five has wondered at some time or another, “Does my child have ADHD (Attention Deficit Hyperactive Disorder)?” This is because most children this age are very active, have trouble following instructions, are impulsive, and do not like to wait for anyone or anything. preschool years? The answer is yes. Children as young as age four can be diagnosed with ADHD. According to the 2010-2011 National Survey of Children’s Health, over 190,000 preschoolers (two to five years of age) had a current ADHD diagnosis. There is also increasing research which shows children four to five years of age can be accurately diagnosed. (1) This behavior creates a dilemma for the parent. Friends and family members may offer advice, saying something along the lines of “This type of behavior is normal for this age group and will get better with time.” Hopefully this is true! Nevertheless, some parents would like to know more. The Diagnostic and Statistical Manual of Mental Disorders (DSM 5) lists three types of ADHD: Inattentive, Hyperactive-Impulsive, and Combined. Is it possible to diagnose children with ADHD during the 18 LOUISVILLE MEDICINE Preschoolers with ADHD are more likely to be disruptive in school or daycare because of their impulsiveness. These children have more trouble learning at school and receive more “frowning faces” on their daily report. Inattentive symptoms include failing to pay close attention to details or making careless mistakes, having difficulty with sustained attention, and not appearing to listen. (Some parents might ask