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Obsessive Compulsive Disorder (OCD)

Bipolar Disorder

Anxiety Disorder

Depression

Disruptive Oppositional Defiant Disorder (ODD)

Conduct Disorder (CD)

Attention Deficit Hyperactive Disorder (ADHD)

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Inattention

Forgetfulness

Short attention span

Easily distracted

Poor study skills

Poor organizational skills

Impulsivity

Interrupts others

Difficulty waiting their turn/to be called on

Takes risks/acts without thinking

Hyperactivity

Seems to always be in motion without a specific goal

Difficulty staying stationary

Excessive talking

Excessive fidgeting

Difficulty doing quiet activities

Loses or forgets things often

Shifts from one task to another without completing

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Parents report that only about 1 in 3 children with ADHD receive behavioral classroom management.

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Attention-deficit / hyperactivity disorder (ADHD) in children. Johns Hopkins Medicine. (2024). https://www.hopkinsmedicine.org/health/conditions-and-diseases/adhdadd

Centers for Disease Control and Prevention. (2023, September 27). Treatment of ADHD. Centers for Disease Control and Prevention. https://www.cdc.gov/ncbddd/adhd/treatment.html

DuPaul, G. J., Chronis-Tuscano, A., Danielson, M. L., & Visser, S. N. (2018). Predictors of receipt of school services in a national sample of youth with ADHD. Journal of Attention Disorders, 23(11), 1303–1319. https://doi.org/10.1177/1087054718816169

Women often diagnosed with ADHD later in life. CHADD. (2019a, June 13). https://chadd.org/adhd-weekly/women-often-diagnosed-with-adhd-later-in-life/

Women and girls. CHADD. (2023, March 3). https://chadd.org/for-adults/women-and-girls/

Centers for Disease Control and Prevention. (2023a, September 27). Treatment of ADHD. Centers for Disease Control and Prevention. https://www.cdc.gov/ncbddd/adhd/treatment.html

Tariq, A. O. (n.d.). Stimulant vs. non stimulant ADHD MEDS: Key differences. Choosing Therapy. https://www.choosingtherapy.com/stimulant-vs-non-stimulant-adhd-meds/#:~:text=Stimulant%20medications%20work%20by%20increasing,their%20degradation%20in%20the%20brain.

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https://chadd.org/for-parents/parenting-teens-with-adhd/

https://childmind.org/guide/parents-guide-to-adhd/

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Last updated September 2023

About

Attention Deficit/Hyperactivity Disorder (ADHD) is a condition which includes difficulties with attention, increased activity, and difficulties with impulsivity. Estimates show that up to 10 percent of school-aged children and about 4 percent of adults have ADHD. It is usually first identified when children are school-aged, although it also can be diagnosed in people of all age groups. In an average classroom of 30 children, research suggests that at least one will have ADHD.

No single biological cause for ADHD has been found. But most research points to genes inherited from parents as the leading contributor to ADHD. ADHD often runs in families.

The good news is that there are safe and effective treatments for children and adolescents with ADHD. Treatment is most effective when it begins early and when intervention is individualized to the needs of the child.
Choose a topic: Glossary of Symptoms: ADHD
Frequently Asked Questions

1. What is ADHD?

2. How common is ADHD?

3. What causes ADHD?

4. Common signs and symptoms of ADHD?

5. What are the types of treatment for ADHD?

6. When is it okay to stop taking ADHD medication?

7. What are the consequences of untreated ADHD?

Treatment Resources

Parents' Medication Guide

The American Academy of Child and Adolescent Psychiatry (AACAP) and the American Psychiatric Association (APA) created the Parents' Medication Guide series.

Included in these guides are new research on effective treatments for child and adolescent ADHD. The goal of the guide is to help parents make informed decisions about getting the best care for a child or adolescent with ADHD.

Facts for Families

AACAP's Facts for Families provide concise up-to-date information on issues that affect children, teenagers, and their families. Below are links to Facts for Families with information that may be useful to families of children with ADHD.

Video Clips

ADHD: A Guide for Families
Many children have restless behaviors that are typical of ADHD. When fidgeting, poor concentration, or impulsiveness begins disrupting performance in school, at home, or in relationships with other children, the cause might be ADHD. To be a good advocate for your child, you need to learn as much as you can about ADHD.

The following are chapters from the ADHD: A Guide for Families book:

Clinical Resources

Information about Choices in Psychotherapy Treatment

Treatment for ADHD comes in the form of medication and psychotherapy treatment. Both can be important elements of a comprehensive treatment plan. There are several psychotherapies that are helpful for children with ADHD. We have the most evidence that cognitive-behavioral therapy (CBT) and behavioral management techniques can be helpful for children with ADHD.
Learn more about the types of psychotherapy that are available to help children and adolescents with mental illness here.
Information about Choices in Medication
Learn more about how psychiatric medication is used to treat children and adolescents here Learn more about the types of psychiatric medication that are available to treat children and adolescents with mental health disorder here. .
Vanderbilt Diagnostic Parent Rating Scale
Parents who have a child or adolescent with ADHD, or any mental health condition, are often left facing difficult decisions regarding medication.

View up-to-date information about advances in psychopharmacological treatment for mood disorders here.

ADHD Rating Scales

Two rating scales which can be used by clinicians to help identify ADHD and monitor symptoms are the SWAN rating scale and the SNAP-IV rating scale. These scales are completed separately by a parent and a teacher.

The SWAN Rating Scale has 30 items and includes ADHD symptoms and symptoms of oppositional defiant disorder. Download the SWAN Rating Scale.

The SNAP-IV Rating Scale contains 90 items and includes symptoms of ADHD and also ODD and aggression. Download the SNAP-IV Rating Scale.

Research and Training

AHRQ review of ADHD, Attention Deficit Hyperactivity Disorder: Diagnosis and Treatment in Children and Adolescents

The abstract for the Multimodal Treatment Study of Children with ADHD is an NIMH sponsored research study that examined close to 600 children with ADHD and studied how they responded to different treatments. Click here to find a brief description of results from this study:
Multimodal Treatment Study of Children with ADHD

Learn more about the Multimodal Treatment Study of Children with ADHD and results from this large research study.

Books

AACAP's books: and Your Adolescent offer easy-to-understand and comprehensive information on the emotional development and behavior of children from infancy through the teen years.

A Bird's-Eye View of Life with ADD and ADHD: Advice from Young Survivors
Chris A. Zeigler Dendy and Alex Zeigler

ADHD and Me: Forty Years in a Fog
Ken Patterson

For more bibliotherapy resources, visit Living with Mental Illness: Books, Stories and Memoirs.

Getting Help

Getting help is the most important thing that parents can do for children and adolescents with a mental health concern. Parents should try to find a mental health professional with advanced training and experience evaluating and treating children and adolescents with attention-deficit/hyperactivity disorder. Also, it is important to find a comfortable match between your child, your family, and the mental health professional.

A child and adolescent psychiatrist is a physician who specializes in the diagnosis and treatment of mental health disorders that affect children and adolescents. Child and adolescent psychiatrists have completed four years of medical school, and at least three years of residency training in medicine, neurology, or general psychiatry with adults, and two years of additional training in psychiatric work with children and adolescents.

Find a child and adolescent psychiatrist in your area.
Services In School For Children With Special Needs: What Parents Need To Know
To learn about accessing child and adolescent psychiatrists and other mental health professionals, please read Where To Find Help For Your Child.

Oftentimes, parents are unsure when to seek a referral to a child and adolescent psychiatrist. For more information on when to seek a referral, please read this article.

Learn more about understanding mental health insurance, please read AACAP's Facts For Families on Mental Health Insurance.

Related Websites

This Resource Center was made possible through funding from the Lasdon Foundation.

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Attention Deficit/Hyperactivity Disorder (ADHD) is a condition which includes difficulties with attention, increased activity, and difficulties with impulsivity.

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https://yfrp.pitt.edu/resources/resources-educators-healthcare-professionals/adhd-resources-educators

https://www.adhdfoundation.org.uk/wp-content/uploads/2022/03/Teaching-and-Managing-Students-with-ADHD.pdf

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Centers for Disease Control and Prevention

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Children with attention-deficit/hyperactivity disorder (ADHD) experience more obstacles in their path to success than the average student. The symptoms of ADHD, such as inability to pay attention, difficulty sitting still, and difficulty controlling impulses, can make it hard for children with this diagnosis to do well in school.

To meet the needs of children with ADHD, schools may offer

ADHD treatments, such as behavioral classroom management or organizational training;

Special education services; or

Accommodations to lessen the effect of ADHD on their learning.

Classroom Treatment Strategies for ADHD Students

There are some school-based management strategies shown to be effective for ADHD students: behavioral classroom management and organizational training.

The behavioral classroom management approach encourages a student's positive behaviors in the classroom, through a reward systems or a daily report card, and discourages their negative behaviors. This teacher-led approach has been shown to influence student behavior in a constructive manner, increasing academic engagement. Although tested mostly in elementary schools, behavioral classroom management has been shown to work students of all ages.

Organizational training teaches children time management, planning skills, and ways to keep school materials organized in order to optimize student learning and reduce distractions. This management strategy has been tested with children and adolescents.

These two management strategies require trained staff-including teachers, counselors, or school psychologists-follow a specific plan to teach and support positive behavior.

The American Academy of Pediatrics (AAP) recommends that the school environment, program, or placement is a part of any ADHD treatment plan. AAP also recommends teacher-administered behavior therapy as a treatment for school-aged children with ADHD. You can talk to your child's healthcare provider and teachers about working together to support your child.

Special Education Services and Accommodations

Most children with ADHD receive some school services, such as special education services and accommodations. There are two laws that govern special services and accommodations for children with disabilities:

The Individuals with Disabilities Education Act (IDEA)

Section 504 of the Rehabilitation Act of 1973

The support a child with ADHD receives at school will depend on if they meet the eligibility requirements for one of two federal plans funded by IDEA and Section 504: an individualized education program (IEP) or a 504 Plan.

What are the main differences between the two Plans?

IEPs provide individualized special education services to meet the unique needs of the child.

A 504 Plan provides services and changes to the learning environment to meet the needs of the child as adequately as other students.
Learn more about IEP and 504 Plans [PDF - 2.75 MB]
Accommodations

IEP and 504 Plans can offer accommodations for students to help them manage their ADHD, including:

Extra time on tests;

Instruction and assignments tailored to the child;

Positive reinforcement and feedback;

Using technology to assist with tasks;

Allowing breaks or time to move around;

Changes to the environment to limit distraction; and

Extra help with staying organized.

There is limited information about which types of accommodations are effective for children with ADHD. However, there is evidence that setting clear expectations, providing immediate positive feedback, and communicating daily with parents through a daily report card can help.

What Teachers Can Do To Help

For teachers, helping children manage their ADHD symptoms can present a challenge. Most children with ADHD are not enrolled in special education classes, but do need extra assistance on a daily basis. The National Resource Center on ADHD provides information for teachers from experts on how to help students with ADHD.

Here are some tips for classroom success.

Communication

Give frequent feedback and attention to positive behavior;

Be sensitive to the influence of ADHD on emotions, such as self-esteem issues or difficulty regulating feelings;

Provide extra warnings before transitions and changes in routines; and

Understand that children with ADHD may become deeply absorbed in activities that interest them (hyper-focus) and may need extra assistance shifting their attention.

Assignments and Tasks

Make assignments clear-check with the student to see if they understand what they need to do;

Provide choices to show mastery (for example, let the student choose among written essay, oral report, online quiz, or hands-on project;

Make sure assignments are not long and repetitive. Shorter assignments that provide a little challenge without being too hard may work well;

Allow breaks-for children with ADHD, paying attention takes extra effort and can be very tiring;

Allow time to move and exercise;

Minimize distractions in the classroom; and

Use organizational tools, such as a homework folder, to limit the number of things the child has to track.

Develop a Plan That Fits the Child

Observe and talk with the student about what helps or distracts them (for example, fidget tools, limiting eye contact when listening, background music, or moving while learning can be beneficial or distracting depending on the child);

Communicate with parents on a regular basis; and

Involve the school counselor or psychologist.

Close collaboration between the school, parents, and healthcare providers will help ensure the child gets the right support.

Parent Education and Support

CDC funds the National Resource Center on ADHD (NRC), a program of Children and Adults with Attention Deficit/Hyperactivity Disorder (CHADD). The NRC provides resources, information, and advice for parents on how to help their child. Learn more about their services.

How to best advocate for your child

Understand your child's diagnosis, how it impacts their education, and what can be done at home to help.

Understand your child's IEP. If you have questions, don't be afraid to ask.

Speak with your child's teacher.

When possible, obtain written documentation from teachers, administrators, or other professionals working with your child.

Know your rights.

Play an active role in preparing your child's IEP or 504 Plan.

Keep careful records, including written documentation, communication between home and school, progress reports, and evaluations.

Try to maintain a good working relationship with the school while being a strong advocate for your child.

Communicate any concerns you may have about your child's progress or IEP or 504 Plan.

Encourage your child every day, and work with your child to create a system to help with homework and other school projects.

What every parent should know

More Information

Reference

1. Evans S, Owens J, Bunford N. Evidence-based psychosocial treatments for children and adolescents with attention-deficit/hyperactivity disorder. Journal of Clinical Child & Adolescent Psychology 2014;43(4):527-551 [Read overview]

2. DuPaul GJ, Chronis-Tuscano A, Danielson ML, Visser SN. Predictors of receipt of school services in a national sample of youth with ADHD. Journal of Attention Disorders Published online December 10, 2018. [Read summary]

3. Harrison JR, Bunford N, Evans SW, Owens JS. Educational accommodations for students with behavioral challenges: A systematic review of the literature. Review of Educational Research 2013;83(4):551-97.

4. Moore DA, Russell AE, Matthews J, Ford TJ, Rogers M, Ukoumunne OC, et al. School-based interventions for attention-deficit/hyperactivity disorder: A systematic review with multiple synthesis methods. Review of Education. Published online October 18, 2018.

5. https://chadd.org/for-parents/individuals-with-disabilities-education-act/

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To meet the needs of children with ADHD, schools may offer ADHD treatments, special education services, or accommodations to lessen the effect of ADHD on their learning.

# data[].attributes.headline
Classroom Accommodations for Students with ADHD

# data[].attributes.subject
Classroom Accommodations for Students with ADHD

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extra time on tests

instructions and assignments tailored to student(s)

individual positive reinforcement and feedback

using technology to assist with tasks

allowing breaks or time for student(s) to move around

changes in environment to eliminate distractions

extra time or assistance with organization

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Many women aren't diagnosed with ADHD until adulthood. This is due to several different factors, including:

Symptoms masked in childhood due to protective influences (parental organization or guidance)

Misdiagnosis with another disorder such as depression or anxiety

In several cases, women show more difficulty with attention, while boys often have more hyperactive symptoms which are easier to identify from an outside perspective. In some cases, women seek diagnosis after their child(ren) receive an ADHD diagnosis.

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Medication

Stimulants

Stimulant medications work through two main mechanisms. In both ways they increase the amount of neurotransmitters in the brain.

Non-stimulants

Non-stimulant medications for ADHD include antidepressant medications and previously used antihypertensive medications. They are typically used for ADHD when patients cannot take stimulant medications or have not benefited from stimulant medications. They work to increase the neurotransmitters in the brain by inhibiting their reuptake.

Cognitive Behavioral Therapy (CBT)

Cognitive Behavioral Therapy is a practical, short-term therapy model that looks at the way our thoughts, emotions, and behaviors are shaped by both our own preconceived notions and our environment. The goal of CBT is to help the individual learn to recognize irrational thought patterns that lead to negative behavioral outcomes, and construct new, rational thought patterns in their place.