ADHD Living With ADD/ADHD What It’s Like for Kids With ADHD By Keath Low Keath Low Keath Low, MA, is a therapist and clinical scientist with the Carolina Institute for Developmental Disabilities at the University of North Carolina. She specializes in treatment of ADD/ADHD. Learn about our editorial process Updated on April 22, 2022 Medically reviewed Verywell Mind articles are reviewed by board-certified physicians and mental healthcare professionals. Medical Reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Content is reviewed before publication and upon substantial updates. Learn more. by Ann-Louise T. Lockhart, PsyD, ABPP Medically reviewed by Ann-Louise T. Lockhart, PsyD, ABPP Facebook LinkedIn Ann-Louise T. Lockhart, PsyD, ABPP, is a board-certified pediatric psychologist, parent coach, author, speaker, and owner of A New Day Pediatric Psychology, PLLC. Learn about our Medical Review Board Print Russ Rohde / Cultura / Getty Images Table of Contents View All Table of Contents Challenges for Kids With ADHD ADHD in Children What Is It Like? Effects of ADHD Medication Understanding ADHD How You Can Help Frequently Asked Questions ADHD can create a number of challenges for kids who live with the condition. Parents can help by learning more about these challenges and ensuring that their kids get the treatment and support that they need to cope. This article discusses what it is like for kids with ADHD, including the challenges they face and the effects on their lives. It also covers some of the steps you can take to help and support your child. Challenges for Kids With ADHD In general, young children tend to be active, rambunctious, and impulsive. They often play loudly and love to climb and run. They squirm and fidget and love to be up and out, exploring the world around them. It is not unusual for kids to have trouble listening, remembering, and following directions. This is all a normal part of being a child. For a child with attention-deficit/hyperactivity disorder (ADHD), however, normal childhood behaviors and challenges are amplified. The symptoms of ADHD are pervasive, chronic, and disruptive, and they cause significant problems for the child at school, at home, and with friends. Children with ADHD can become frustrated and overwhelmed very easily. They have trouble regulating their emotions and struggle with executive function issues. They may, for example, have great difficulty: PlanningPrioritizingPaying attentionRemembering details They also tend to be less mature developmentally. Some children with ADHD are very charismatic, personable, and popular. For many others, however, behavior problems result in rejection, isolation, and plunging self-esteem. Recap The symptoms of ADHD can make it more difficult for kids to pay attention, sit still, and manage their emotions. The effects on a child's life can vary but may result in behavior problems and peer rejection. ADHD in Children About 9.4% of children ages two to 17 in the United States have ever been diagnosed with ADHD, according to information from the 2016 National Survey of Children's Health. The median age of ADHD diagnosis in children is seven years old. According to the American Academy of Pediatrics (AAP), it's difficult to diagnose a child younger than four years old with ADHD because of how quickly they change. There are three subtypes of ADHD, and each has corresponding symptoms. For a diagnosis, symptoms must be present for at least six months, disruptive, and inappropriate for the child’s developmental level. In other words, the impairments are far greater than in other children of the same age. Inattentive: Difficulty paying attention and finishing tasks, easily distracted, forgetful, disorganized, doesn't appear to be listening when spoken toHyperactive/impulsive: Difficulty sitting still and waiting for their turn, excessive talking and interrupting, difficulty staying in seatCombined: Symptoms of both inattentive and hyperactive/impulsive types Combined type is the most common form of ADHD, while hyperactive/impulsive is the least common. Hyperactivity tends to subside as a child gets older. The likelihood of being diagnosed with ADHD is greater for boys than girls. However, this could be because girls more commonly have the inattentive type of ADHD, which can be harder to notice, while boys more commonly exhibit hyperactive/impulsive symptoms. ADHD Symptoms In Kids Difficulty paying attention to detailDislikes tasks that take a long time to finishEasily distractedInterrupts othersNot listeningTalks out of turnTrouble following directionsTrouble sitting still How ADHD Can Affect Kids' Friendships Effects of ADHD in Kids It can be tough living with ADHD. Children may experience a broad spectrum of emotions, including: ConfusionDisconnectionFeeling lostFeeling out of controlFeeling overwhelmedFrustrationRestlessness Children with ADHD are often labeled with inaccurate, negative terms. They may begin to feel like “the bad kid” or “lazy” or “dumb” when this is not true at all. Living with ADHD can mean challenges for children in all areas of their life. It is hard for them to cope with their big feelings and lack of executive function, and they face difficult consequences. School: Inattentive behaviors can result in difficulty finishing schoolwork, while hyperactive behaviors can disrupt classroom activity and lead to disciplinary actions. Relationships: Children with ADHD can experience struggles in their peer relationships and friendships. Development: ADHD is classified as a neurodevelopmental disorder, and children with it exhibit developmental delays. A 2013 study published in Frontiers in Human Neuroscience examined cognitive performance (attention, timing, impulsivity, and hyperactivity) in a group of children ages six to 11. It found that those with ADHD were mostly comparable to those without the disorder who were one to three years younger, except for hyperactivity, in which the gap was wider. Help Your Child Stay on Track With Homework When They Have ADHD Effects of ADHD Medication Stimulant medications are most commonly prescribed for ADHD. While these can be helpful in reducing ADHD symptoms, they may also come with side effects, including: AnxietyDecreased appetiteHeadacheIrritabilitySleep disturbancesStomachache Common side effects of non-stimulants, which may be prescribed if a child is not tolerating a stimulant, can vary depending on the medication. The first non-stimulant to be approved for the treatment of ADHD was Strattera (atomoxetine). Common side effects of Strattera in children and adolescents include: Abdominal painDecreased appetiteFatigueNauseaSomnolenceVomiting If your child's doctor has prescribed medication, they will monitor how it is affecting your child. They will look for a medication regimen that is effective and doesn't produce uncomfortable side effects. For example, if a stimulant medication is making it difficult for a child to sleep, their doctor may change the dosage of the stimulant or prescribe a non-stimulant medication instead. Behavioral interventions, specifically parent training behavior management, are recommended as a first-line treatment in children ages four and five. These children may be too young for medication; the effects of some ADHD medications on developing brains are poorly understood. How Parents Can Help Reduce the Side Effects of ADHD Medication The Importance of Understanding ADHD It can be empowering when a child understands more about ADHD, what it is and is not, and how it affects them. With understanding, they can work with parents and teachers to develop coping strategies and to find their areas of strength and build upon them. When children see themselves as having both challenges and strengths and receive support and recognition, self-esteem grows. Instead of seeing themselves as damaged, they can see themselves in a more positive, capable, and accurate light. Similar Conditions Some conditions have similar symptoms to ADHD, such as bipolar disorder. This can get in the way of a proper diagnosis and, therefore, proper treatment. It's important for ADHD to be distinguished from conditions including: AnxietyDepressionLearning disabilitiesAutismSeizuresSleep disorders Myths Myths about ADHD also may create an obstacle to treatment and be detrimental to a child's self-esteem. These include believing: A child is too young to have ADHD. It's not a real condition. It only occurs in boys. The child's behavior is the parents' fault. The child will outgrow it. The symptoms are just a form of laziness. Press Play for Advice On Raising Confident Children Hosted by Editor-in-Chief and therapist Amy Morin, LCSW, this episode of The Verywell Mind Podcast, featuring actress/author Jazmyn Simon, shares how to raise confident kids. Click below to listen now. Follow Now: Apple Podcasts / Spotify / Google Podcasts Stigma Another potential obstacle to treatment adherence and the well-being of children diagnosed with ADHD is the stigma that surrounds it. Skepticism regarding diagnosis and symptoms, along with negative perceptions about medication, have contributed to this stigma. Both adults and peers have been found to stigmatize children with ADHD in different ways. A 2020 review in The ADHD Report summarized that peers perceived their classmates with ADHD to be more violent, more likely to get in trouble, and less caring than others. Teachers perceived their academic performance more negatively, and parents' internalized stigma played out in criticism and irritability. Recap Factors including misdiagnosis, common myths about ADHD, as well as the stigma surrounding the condition can also present challenges for kids with ADHD. How You Can Help If you are a parent or caretaker of a child with ADHD, there are steps you can take to help them manage their condition and reduce frustration for everyone. Learn as much as you can about ADHD. Work with their teacher and other school personnel to make sure they have the accommodations they need to succeed. At home, focus on: Clear communication: Provide clear directions when communicating with them.Organization: Help your child stay organized by keeping their things in consistent places.Positivity: Encourage and support your child in the areas where they show strength and help them recognize their abilities in themselves.Structure and routine: Stick to a regular schedule and create predictable routines.Rewards: Ensure they know when they're doing the right thing. Praise them or offer rewards. Parent training may be a part of behavior therapy treatment for your child if they are younger than 12 years old. This training teaches parents skills they can use to help improve a child's behavior. A Word From Verywell ADHD is the most common behavioral disorder in children. With proper treatment, however, symptoms can be managed. It's also important to remember that children with ADHD have strengths and positive attributes that should be celebrated. Some characteristics, like being more high-energy, can be an asset and help them in life and certain professional settings. To improve your child's quality of life, recognize their strengths, dispel myths, and help them get the treatment and accommodations they need. Along with your love and support, this will help provide an environment for them to succeed. Frequently Asked Questions How do you help kids with ADHD? Professional diagnosis and treatment are the first steps toward helping a kid with ADHD, but there are also other strategies you can use to support your child. Provide consistent structure and routine. Try to stick to the same schedule as much as possible. Also, remember that it may take some time for your child to adjust to any new interventions, so focus on being patient and supportive as your child adjusts. How do you teach kids with ADHD? Because kids with ADHD have a harder time with attention, try to keep lessons brief and be creative in your teaching methods. Incorporate visual displays, hands-on activities, and games. This will help to prevent them from becoming overwhelmed or bored. Encouragement and positive reinforcement are essential and can help you child feel good about themselves and their learning experience. How do you discipline kids with ADHD? While every child is different, remember that kids with ADHD benefit from having clear rules and expectations. Be consistent about enforcing these rules and rely on positive reinforcement rather than punishment. Work on breaking tasks down into more manageable steps and try to be understanding, patient, and flexible. Giving your child plenty of chances for physical activity can also help them manage excess energy and improve behavior and attention. ADHD Diet for Kids: Foods to Eat and Foods to Avoid 23 Sources Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Danielson ML, Bitsko RH, Ghandour RM, Holbrook JR, Kogan MD, Blumberg SJ. Prevalence of parent-reported ADHD diagnosis and associated treatment among U.S. children and adolescents, 2016. J Clin Child Adolesc Psychol. 2018;47(2):199-212. doi:10.1080/15374416.2017.1417860 Wolraich ML, Hagan JF, Allan C, et al. Clinical practice guideline for the diagnosis, evaluation, and treatment of attention-deficit/hyperactivity disorder in children and adolescents. Pediatrics. 2019;144(4). doi:10.1542/peds.2019-2528 American Academy of Pediatrics. Diagnosing ADHD in children: Guidelines and information for parents. American Academy of Pediatrics. Understanding ADHD: Information for parents. Johns Hopkins Medicine. Attention-deficit/hyperactivity in children. National Institute of Mental Health. Attention-deficit hyperactivity disorder (ADHD): The basics. Centers for Disease Control and Prevention. Data and statistics about ADHD. Skogli EW, Teicher MH, Andersen PN, Hovik KT, Øie M. ADHD in girls and boys – gender differences in co-existing symptoms and executive function measures. BMC Psychiatry. 2013;13:298. doi:10.1186/1471-244X-13-298 DuPaul GJ, Gormley MJ, Laracy SD. School-based interventions for elementary school students with ADHD. Child Adolesc Psychiatr Clin N Am. 2014;23(4):687-697. doi:10.1016/j.chc.2014.05.003 Mikami AY, Normand S. The importance of social contextual factors in peer relationships of children with ADHD. Curr Dev Disord Rep. 2015;2(1):30-37. doi:10.1007/s40474-014-0036-0 Kuppili PP, Aneja J. Developmental delay, hyperactivity and mania: a perfect blend of confusion in a preschool child. Indian J Psychol Med. 2019;41(3):286-288. doi:10.4103/IJPSYM.IJPSYM_379_18 Berger I, Slobodin O, Aboud M, Melamed J, Cassuto H. Maturational delay in ADHD: Evidence from CPT. Front Hum Neurosci. 2013;7. doi:10.3389/fnhum.2013.00691 National Institute of Mental Health. Attention-deficit/hyperactivity disorder. U.S. Food and Drug Administration. Strattera highlights of prescribing information. American Psychological Association. New guidelines for ADHD among children. National Institute of Mental Health. Bipolar disorder Cleveland Clinic. Attention-deficit hyperactivity disorder (ADHD). Fresson M, Meulemans T, Dardenne B, Geurten M. Overdiagnosis of ADHD in boys: Stereotype impact on neuropsychological assessment. Appl Neuropsychol Child. 2019;8(3):231-245. doi:10.1080/21622965.2018.1430576 American Academy of Pediatrics. 8 ADHD myths and misconceptions. Nguyen PT, Hinshaw SP. Understanding the stigma associated with ADHD: Hope for the future? The ADHD Report. 2020;28(5):1-10,12. doi:10.1521/adhd.2020.28.5.1 Centers for Disease Control and Prevention. ADHD in young children. MentalHealth.gov. Attention deficit hyperactivity disorder (ADHD). American Academy of Pediatrics. Treatment and target outcomes for children with ADHD. By Keath Low Keath Low, MA, is a therapist and clinical scientist with the Carolina Institute for Developmental Disabilities at the University of North Carolina. She specializes in treatment of ADD/ADHD. See Our Editorial Process Meet Our Review Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Other Helpful Report an Error Submit Speak to a Therapist for ADHD Advertiser Disclosure × The offers that appear in this table are from partnerships from which Verywell Mind receives compensation.