My Child Is Hyperactive: ADHD or Just Boundless Energy?

Your child can't sit still, doesn't listen, acts out in class? Discover how to distinguish ADHD from simple high energy and how to help.

"He Can't Sit Still!"
Do you recognize this scene? Your child runs everywhere, climbs on furniture, constantly interrupts, seems unable to sit for more than two minutes. At school, the teacher says he "disrupts the class," "can't focus," "acts up."
You wonder: Is this normal? Is it ADHD? Am I a bad parent?
Take a breath. You're not alone, and most importantly, it's not your fault.
ADHD by the Numbers
Attention Deficit Hyperactivity Disorder affects about 5-7% of children. It's one of the most common neurodevelopmental disorders. And no, it's not about parenting.
Hyperactivity vs ADHD: What's the Difference?
All children have energy. That's healthy. So how do you know if it's "just" high energy or a real disorder?

Signs of Normal Energy
- Restlessness in situations boring to them
- Can focus on things they truly enjoy
- Behavior improves with age
- Responds to rules and limits
- Can have calm moments
Signs Suggesting ADHD
- Constant restlessness, even in enjoyable activities
- Concentration difficulties in all contexts
- Marked impulsivity (speaks before thinking, interrupts)
- Doesn't learn from consequences
- Symptoms present before age 12
- Significant impact at school AND home
Avoid Hasty Conclusions
Only a professional (child psychiatrist, neuropsychologist) can diagnose ADHD. Symptoms must be present for at least 6 months and significantly impact the child's life.
The 3 Types of ADHD
ADHD doesn't manifest the same way in all children:
The inattentive type is often underdiagnosed, especially in girls, because it doesn't disrupt class. The child "daydreams," is "in the clouds," but ADHD isn't considered.
What Your Child Actually Experiences

It's crucial to understand that your child isn't doing it on purpose. Their brain works differently:
A child with ADHD doesn't have a willpower problem, but a regulation problem. They know what they should do, but their brain doesn't let them do it at the right moment.
What They Often Feel
- Frustration: "I can't control myself"
- Confusion: "Why am I always getting in trouble?"
- Shame: "I'm stupid, I disappoint everyone"
- Exhaustion: Yes, hyperactivity tires the child too
Self-Esteem at Risk
Children with ADHD receive on average 20,000 more negative messages than other children before age 12. Protecting their self-esteem is as important as managing symptoms.
When to Seek Help

Consult if:
School raises concerns
Repeated comments about behavior, learning difficulties despite normal intelligence.
Family life is impacted
Constant conflicts, parental exhaustion, siblings suffering from the situation.
Your child is suffering
They feel different, rejected, misunderstood. They say they're "stupid" or "bad."
Classic strategies don't work
Punishments, rewards, explanations... nothing seems to work long-term.
The Diagnostic Path
| Step | Professional | Objective |
|---|---|---|
| 1 | Primary care doctor | Referral and ruling out other causes |
| 2 | Child psychiatrist or developmental pediatrician | Complete clinical evaluation |
| 3 | Neuropsychologist | Cognitive and attention tests |
| 4 | Other specialists (if needed) | Evaluation of associated conditions |
Wait Times
Wait times to see a specialist can be long. Ask your doctor for a detailed letter to expedite the process, or consider private practice if possible.
How to Help Your Child Daily

Even before (or without) diagnosis, these strategies can help:
1. Structure the Environment
- Visual routines: Posted schedule, pictograms
- Clean workspace: Organized desk, few distractions
- Short instructions: One instruction at a time
- Visual timer: To make time passing concrete
2. Adapt Communication
The 3 C's Rule
Concise: Simple and direct sentences Clear: Avoid double meanings Concrete: "Put your 3 cars in the blue box" rather than "Clean your room"
3. Manage Impulsivity
- Teach them to count to 3 before speaking
- Create a secret signal between you (gesture, code word)
- Plan regular movement breaks
- Praise every small effort at control
4. Channel Energy
Mistakes to Avoid
What Makes Things Worse
- Yelling: Increases agitation and anxiety
- Systematic punishment: The child can't control their behavior
- Comparing: "Look at your sister, she can stay calm"
- Humiliating: Especially in public, in front of friends
- Overprotecting: The child needs to learn, not be sheltered
Treatment: Medication or Not?
This is THE question that worries parents. Here's a balanced view:
Non-Medication Options
- Psychoeducation: Understanding the disorder to manage it better
- CBT (Cognitive Behavioral Therapy): Learning strategies
- Parent guidance: Training parents in adapted techniques
- School accommodations: IEP, 504 plans, aide if needed
- Rehabilitation: Speech therapy, occupational therapy as needed
Medications (Ritalin, Concerta, etc.)
- Are not a miracle solution or a "drug"
- Are effective in 70-80% of children with ADHD
- Don't change the child's personality
- Should be accompanied by other interventions
- Are a medical decision to discuss with the specialist
Refusing treatment on principle or being afraid of it is understandable. But a suffering child deserves exploring all options, including medication.
School: How to Collaborate?
Inform the teacher
Explain the disorder without apologizing. Offer resources.
Request accommodations
Seat near the desk, written instructions, extra time, allowed breaks.
Set up a plan
Formalize accommodations through proper channels (IEP/504).
Stay in regular contact
Communication log, emails, regular meetings to adjust.
The Most Important Message

Your child isn't "difficult." They have difficulties. That's not the same thing.
ADHD isn't inevitable. With proper support, these children can:
- Succeed in school
- Have friends
- Develop their talents (often many!)
- Lead fulfilling lives
ADHD Strengths
Children with ADHD are often creative, enthusiastic, spontaneous, original thinkers, and capable of hyper-focus on their passions. These "superpowers" deserve to be valued!
You haven't failed as a parent. You're looking for solutions for your child. That's exactly what a good parent does.
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