Most people receive an ADHD diagnosis around 12 years of age . However, symptoms can present in children as young as 3 years. In younger children, hyperactivity and impulsivity are the main symptoms of ADHD . However, as a child grows, symptoms can change.
A diagnosis of ADHD can be considered but will not usually be confirmed until a child is around six years old and starts school but can also be noted later as challenges are sometimes more evident for children with inattention in secondary school.
The signs of ADHD in girls are more likely to look like inattention than hyperactivity. Girls with ADHD often don't fit the stereotype of excessive energy. Instead, they have a hard time paying attention, staying organized, and managing their time. People might mistake girls with ADHD for just being spacey or lazy.
Kids with ADHD can show signs in any or all these areas: Inattentive. Kids who are inattentive (easily distracted) have trouble focusing their attention, concentrating, and staying on task. They may not listen well to directions, may miss important details, and may not finish what they start.
Put simply; masking is intentionally shifting your behavior to hide your differences. For example, a woman with ADHD might smile and nod during a conversation even though she tuned out long ago, or she may secretly work late into the night to overcompensate for not staying on task for a deadline.
With girls, inattentive ADHD is the most common.
Many girls with ADHD tend to be hyper-talkative, hyper-social, and hyper-emotional, rather than hyperactive. Physical restlessness often manifests in fidgeting with hair or nails, rather than leaving their seats.
Girls are also less likely to be diagnosed earlier because they often display more symptoms of anxiety. Medical providers may only treat a female patient's anxiety or depression without evaluating for ADHD. Hormones, which affect the symptoms of both ADHD and anxiety, can complicate things.
To be diagnosed with ADHD, symptoms must have been present before the age of 12. Children up to age 16 are diagnosed with ADHD if they have had at least six persistent symptoms of inattention and/or six persistent symptoms of hyperactivity-impulsivity present for at least 6 months.
In addition to genetics, scientists are studying other possible causes and risk factors including: Brain injury. Exposure to environmental risks (e.g., lead) during pregnancy or at a young age. Alcohol and tobacco use during pregnancy.
ADHD tends to run in families and, in most cases, it's thought the genes you inherit from your parents are a significant factor in developing the condition. Research shows that parents and siblings of someone with ADHD are more likely to have ADHD themselves.
Treatment recommendations for ADHD
For children 6 years of age and older, the recommendations include medication and behavior therapy together — parent training in behavior management for children up to age 12 and other types of behavior therapy and training for adolescents.
Further, because autism and ADHD often occur together—and because people diagnosed with ADHD tend to have higher levels of autism traits than typical people do—girls who seem easily distracted or hyperactive may get this label, even when autism is more appropriate.
Children with ADHD often have difficulty paying attention to the same thing for too long, and they may get distracted easily. Autistic children may have a limited scope of interest. They may seem to obsess over things that they enjoy and have difficulty focusing on things that they have no interest in.
One type of ADHD masking — known as mirroring — involves intentionally or unintentionally mimicking the speech, movements, or behaviors of someone else. While ADHD mirroring and body doubling may seem similar at first glance, you can work alongside a body double without imitating them in any way.
You can inherit genes that boost risk for ADHD from your mother, from your father or from both parents. In a recent Norwegian study, inherited risk was somewhat higher when a child's mother had ADHD compared to their father, but researchers weren't certain why that would be.
ADHD symptoms start before age 12, and in some children, they're noticeable as early as 3 years of age. ADHD symptoms can be mild, moderate or severe, and they may continue into adulthood. ADHD occurs more often in males than in females, and behaviors can be different in boys and girls.
Often fails to give close attention to details or makes careless mistakes in schoolwork, at work, or with other activities. Often has trouble holding attention on tasks or play activities. Often does not seem to listen when spoken to directly.
Though screen time doesn't cause ADHD, some studies have suggested that children with ADHD may be at increased risk of developing a screen addiction. While parents of children with ADHD can try to be aware of their kid's screen time, most children's screen time falls short of addiction, according to Lightfoot.
There's no simple test to determine whether you or your child has ADHD, but your specialist can make an accurate diagnosis after a detailed assessment. The assessment may include: a physical examination, which can help rule out other possible causes for the symptoms. a series of interviews with you or your child.