10 key questions to better understand ADHD in children and teens

10 key questions to better understand ADHD in children and teens

Summary

Attention Deficit Hyperactivity Disorder (ADHD) raises many questions among parents. Affecting nearly 5% of children according to clinical studies (INSERM, 2018), this condition may seem overwhelming at first, but understanding it is the first step towards supporting your child with patience and confidence.

Here are ten key questions parents often ask about ADHD. We will provide clear explanations, practical advice, and tailored solutions to help families better understand and support their child’s needs. Whether it concerns diagnosis, symptom management, school impact, or strategies for home life, this guide aims to offer essential insights for navigating ADHD with ease.

1. What is ADHD?

ADHD is a neurodevelopmental disorder that affects how the brain manages attention, impulse control, and, in some cases, hyperactivity. It often manifests in childhood and can persist into adulthood. This means your child may struggle to focus on tasks, wait their turn, or stay still. It is not a lack of willpower but rather a difference in how their brain functions.

According to Dr Sylvie Tordjman, a psychiatrist and neurodevelopment specialist: "ADHD is not a flaw, but a trait that, when understood, can become a strength."

2. What are the main symptoms?

ADHD symptoms can vary from child to child, but they typically fall into three main categories: inattention, hyperactivity, and impulsivity.
For example, your child may struggle to concentrate on their homework for extended periods or follow a conversation without getting distracted.
They may also have an irresistible urge to move or talk, even in situations where it might seem inappropriate. These behaviours are not deliberate and require a supportive approach.

3. What causes ADHD?

The causes of ADHD are multifactorial and not yet fully understood. Research suggests that genetic factors play a major role, along with certain differences in brain function. Specifically, the prefrontal cortex—a key region involved in attention regulation, impulse control, and action planning—often exhibits reduced activity or slower development in children with ADHD. This can explain difficulties in maintaining focus and organising tasks.

Other brain structures, such as the basal ganglia, which play a role in motor control and automatic behaviours, and the limbic system, involved in emotional regulation, may also be affected. Neuroimaging studies confirm that ADHD is based on biological factors rather than poor discipline or parenting.

A study published in The Lancet Psychiatry (2020) revealed that children with a parent diagnosed with ADHD have a significantly higher risk of developing the condition, highlighting the hereditary component.

4. How is ADHD diagnosed?

The diagnosis of ADHD requires a thorough assessment. A specialist, often a paediatrician or neuropsychologist, will conduct interviews with the child, parents, and sometimes teachers. The aim is to understand how symptoms manifest across different settings (home, school, extracurricular activities).

Standardised tools, such as detailed questionnaires, help evaluate how behaviours impact daily life. A precise diagnosis is essential to implementing the right support strategies.

5. Can ADHD affect school performance?

Yes, ADHD can impact school performance, but tailored adjustments can significantly help.
Children with ADHD may struggle to follow instructions, stay focused in class, or complete their homework. However, with the right support—such as a calm work environment, regular breaks, and open communication with teachers—your child can thrive and reach their full potential.

It is essential to establish a dialogue with the school for effective support. How can you help teachers understand your child’s ADHD? Ideally, organise a meeting with teachers to discuss your child's needs, highlighting both their strengths and challenges. Providing explanatory materials or a professional report can also help create a more accommodating learning environment. Strategies like short instructions, strategic seating, and flexible break times can make a significant difference.

6. What treatments are available for ADHD?

ADHD treatment is often multifaceted and tailored to each child's needs. Medication may be helpful in some cases to improve focus and reduce hyperactivity, but it is only part of the solution.

Non-medicated approaches, such as cognitive-behavioural therapy (CBT), are also highly effective. These help children develop coping strategies, improve self-esteem, and enhance emotional regulation. School accommodations and strong family support play a vital role.

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7. Can diet help with ADHD?

While no single diet can cure ADHD, research suggests that a balanced diet rich in omega-3 fatty acids may support cognitive function. It is advisable to reduce processed foods and high-sugar products, as they can sometimes worsen symptoms in certain children.

8. Does ADHD disappear with age?

ADHD does not "disappear" entirely, but its symptoms often evolve with age. For example, physical hyperactivity may decrease in adolescence, while difficulties with attention and organisation may persist into adulthood. Early intervention helps children develop strategies to manage their symptoms effectively.

9. Are girls less affected than boys?

Boys are diagnosed with ADHD more frequently than girls, but this does not mean girls are less affected. Their symptoms often manifest differently—such as quiet inattention rather than hyperactivity—which can lead to underdiagnosis. Understanding these differences is crucial to ensuring that girls receive the support they need.

10. How can I support my child with ADHD?

The key to helping a child with ADHD is to create a structured and supportive environment. A stable routine provides a sense of security, and positive reinforcement—focusing on achievements rather than setbacks—can make a significant difference. Close collaboration with teachers and, if necessary, specialists will also help implement appropriate strategies.

Emotional support is equally important. How can you explain ADHD to your child? Use simple, reassuring language to help them understand that their brain works differently, making some tasks harder but also giving them unique strengths like creativity or the ability to hyperfocus on subjects they love. Showing them that they are not alone and that there are ways to manage ADHD can boost their confidence.

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Understanding ADHD is the first step towards supporting your child effectively. With personalised and compassionate guidance, challenges can turn into opportunities for growth and self-discovery. Seeking professional advice and connecting with other parents can also provide valuable support.

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