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ADHD Signs in Preschoolers

For: Babies/kindergarten/Nursery School Children, Ages 3 – 6

ADHD Signs in Preschoolers

For: Babies/kindergarten/Nursery School Children, Ages 3 – 6

The guidelines for diagnosing ADHD are set out in the Diagnostic and Statistical Manual (DSM-5) published by the American Psychiatric Association.

The ADHD symptoms listed in DSM-5 are intended for children between 4 and 16 years old and for people 17 and older.

A child must exhibit 6 or more of the 9 core symptoms of inattention or of the 9 core symptoms of hyperactivity-impulsivity in order to be diagnosed as ADHD. There are no clinical guidelines for ADHD in babies or preschoolers under 4 years old however studies suggest that there can be early signs of ADHD in toddlers.

Read in this guide:

    • How early can you tell if an infant has ADHD?
    • How can you prevent ADHD in babies?
    • What are the most common neurobehavioral signs of ADHD in babies
    • What are the core symptoms of ADHD in infants?

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Although uncommon, some preschoolers under 4 years old are diagnosed with ADHD. The DSM-5 symptoms listed for the diagnosis of children 4-17 years old can be used to help spot the early signs of ADHD in babies, toddlers and preschoolers. The signs listed below are how the symptoms may possibly display themselves in these particular age groups.

Signs by age

 

Age Signs of ADHD Note
Signs of ADHD in babies 1-12 months old. Regulatory issues; persistent excessive crying; difficulty sleeping; restlessness; difficulty feeding. DSM-5 does not list ADHD symptoms in babies.
Signs of ADHD in babies 12-24 months old. Regulatory issues; persistent excessive crying; difficulty sleeping; restlessness; difficulty feeding. DSM-5 does not list ADHD symptoms in babies.
Signs of ADHD in infants 24-36 months old. CShort attention span; impulsivity; excessive, prolonged temper tantrums; high levels of activity; won’t sit still; emotional outbursts; unsafe risk-taking including climbing and being excessively loud. DSM-5 does not list ADHD symptoms for two-year-olds.
Signs of ADHD in toddlers 3-4 years old Disruptive behavior; restlessness; trouble maintaining attention; running, climbing and jumping incessantly; showing no appropriate fear; difficulty settling down for naps, stories or meals; compulsive talking; impulsive behavior; emotional o DSM-5 does not list ADHD symptoms for three-year-olds.
Signs of ADHD in preschoolers 4-5 years old Excessively loud; refusal to participate in activities requiring focus; inability to play peacefully with his peers; non-stop talking; easily distracted; appear not to listen when spoken to; fidgeting and daydreaming. These are some of the signs of ADHD symptoms as listed by DSM-5 for people over 4 years old. To be diagnosed they must display 6 or more of the symptoms for at least 6 months in several settings.
Signs of ADHD in preschoolers 5-6 years old Self-focused behavior; tends to interrupt conversations/activities of others; difficulty waiting in turn; emotional, angry outbursts; fidgets, squirms or runs around incessantly; difficulty playing quietly; lack of focus; difficulty finishing tasks; daydreaming;  difficulty following instructions and forgetfulness. These are some of the signs of ADHD symptoms as listed by DSM-5 for people over 4 years old. To be diagnosed they must display 6 or more of the symptoms

FAQ

How early can you tell if an infant has ADHD?

There are no clinical guidelines of ADHD symptoms in babies, toddlers or preschoolers under 4 years old. However, the early signs of ADHD can sometimes be spotted in infants as young as two years old. The difficulty in telling if an infant has ADHD is that many of the symptoms of ADHD resemble the natural behavior of young children. That said, there are cases where preschoolers as young as two years old have been diagnosed with ADHD. Infants that persistently cry excessively or have feeding or sleep problems can be showing the early signs of ADHD.

Early signs of ADHD in babies

Although clinical guidelines for ADHD symptoms are only set for children over 4 years old there are some early signs to look out for. Toddlers with ADHD may be restless; run around, climb and jump excessively; talk non-stop; find it hard to settle down and find it difficult to concentrate or listen to a story for an extended period of time. Of course, all preschoolers can display these characteristics at some time without having ADHD. Nursery school children that just happen to be full of energy but don’t have ADHD will be able to focus and sit still when faced with a favorite toy or something that interests them. If you feel that your preschooler’s behavior is excessive, intense and disruptive then talk to your doctor about the possibility of an ADHD diagnosis.

How can you prevent ADHD in babies?

Although a way of preventing ADHD has not yet been discovered there are certain theories relating to prenatal behavior that could influence whether your baby has ADHD. For example, mothers-to-be who smoke, take drugs or drink alcohol while pregnant increase the chance that their baby will be born with ADHD. Similarly, pregnant women exposed to toxins in the environment and babies born prematurely have a higher likelihood of ADHD. If you suspect your baby has or may develop ADHD the best thing you can do to prevent it is to give him a stable, calm and supportive environment. Establish a regular sleep and feeding routine for the baby. It is also important to rule out any other conditions your baby might have which may have similar symptoms to ADHD.

What are the most common neurobehavioral signs of ADHD in babies?

There are no clinical guidelines for the neurobehavioral signs of ADHD in babies. Early signs of ADHD in babies can include persistent, prolonged and excessive crying as well as sleep issues and feeding problems. These signs may be caused by other co-existing conditions so it is important to consult with your doctor to rule out other causes of these symptoms.

 

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What are the core symptoms of ADHD in infants?

The core symptoms of ADHD according to DSM-5 guidelines are relevant for children over 4 years old and adults. If your preschooler is under 4 years old these core symptoms may be used as a reference. The 9 core symptoms of inattention are: difficulty giving attention to detail and making careless mistakes; difficulty maintaining attention when playing, doing tasks or activities; often appearing not to listen when spoken to; often failing to complete tasks or follow through on instructions; difficulty with organizing activities and tasks; difficulty with tasks that require consistent mental effort; frequently losing things required for a given task/activity; often being easily distracted and forgetful of routine daily activities. The 9 core symptoms of hyperactivity-impulsivity are: frequently fidgeting; often leaving their seat in situations where sitting is expected; running around, climbing and being restless; frequently unable to participate in quiet play and activities; often on-the-move and difficult to keep up with; excessive talking; often giving the answer before the question has been completed; often having difficulty waiting for their turn and frequently interrupting conversations or the activities of others. To be diagnosed with ADHD a preschooler must display 6 or more of these symptoms in several settings for at least 6 months.