How Doctors Diagnose + Treat ADHD in Children
Diagnosing a child with ADHD takes a team effort.

Childhood ADHD, or attention-deficit/hyperactivity disorder, can sometimes be difficult to diagnose. Even when you see the symptoms in your child, it can be hard to tell if your child really has ADHD, or perhaps is just an energetic kid.
“Every child with ADHD can present very differently, or have a very different severity of it,” says Preeti Parikh, MD, chief medical officer at HealthiNation and pediatrician at Mount Sinai Hospital. “It’s important to work with the parents, the teachers, your psychiatrist, and healthcare provider, to really talk about the symptoms that your child is presenting.”
Making an ADHD Diagnosis
One of the most important criteria for an ADHD diagnosis is that the behavioral symptoms appear in more than one setting—that is, not just in school. To check this, your doctor will give both you and your child’s teacher a survey to give observations about your child’s behavior.
In these surveys, your doctor is looking to see if there are consistent patterns. This helps rule out the possibility that there aren’t other environmental problems going on that could be causing the behavioral symptoms. For example, a poor relationship with their teacher could cause your child to act out at school—but not at home.
Your doctor will also ask if there have been any major life changes for your child, such as a divorce, move, or loss of a loved one. This can cause ADHD-like behaviors temporarily while your child processes the change.
And finally, doctors will want to rule out other disorders. For example, depression and anxiety in children can sometimes be confused with ADHD.
What a Comprehensive Treatment Plan Looks Like
Like any parent, you want the best for your child. That’s why when searching for treatment plans for your child with ADHD, it’s critical to know your options. That way you and your doctor can make the right decision about your child’s care.
Many doctors use what’s called a multimodal treatment approach. “A big part of a comprehensive treatment plan is education—making sure the parents and [the child] understand what ADHD is and how we’re going to treat it,” says Dr. Parikh.
“The two [main] options are medications and behavioral therapy,” says Dr. Parikh. “The data shows that those two in combination are the best ways to treat ADHD.”
The treatment plan may also include some of the following additional interventions, based on what your child needs and what you have access to:
Mental health counseling for your child, you, or the family to address any challenges.
Parent training classes or programs to address your child’s behavior. For example, here are parenting strategies to help raise children with ADHD.
Modifications and supports in school, including 504 Plans, tutoring, and special education programs.
Often more than one intervention is needed to fully treat your child with ADHD.
“One of the key things about parents being educated about ADHD is to know that it’s a team effort and they’re not alone,” says Dr. Parikh. “Talk to your doctor and psychiatrist about anything that you’ve seen that’s going on at home, any changes since they’ve been treated … We all are a team, and we want to make sure we do the best for your child.”
Preeti Parikh, MD serves as the Chief Medical Officer of HealthiNation. She is a board-certified pediatrician practicing at Westside Pediatrics, is an Assistant Clinical Professor at the Mount Sinai School of Medicine, and is an American Academy of Pediatrics spokesperson. She holds degrees from Columbia University and Rutgers Robert Wood Johnson Medical School and has completed post-graduate training at the Mount Sinai School of Medicine.
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Every child with ADHD can
present very differently or
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have very different severity of it.
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And it's important to work with the
parents, the teachers, your psychiatrist,
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and healthcare provider to really
talk about the symptoms that your
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child is presenting.
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[MUSIC]
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So when you meet your
healthcare professional and or
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usually also a psychiatrist to diagnose
ADHD, you also will be given a survey
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where both the school teachers and
the parents are gonna have to fill out.
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We're talking about your child's symptoms,
because one of the criteria
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they look at is that,
is it happening in more than one area?
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Or is it only happening at school,
or is it only happening at home?
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Is there any changes at home like a
divorce, or different things, an illness,
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or something that maybe the child
is presenting symptoms and
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acting out because of that,
and not necessarily ADHD?
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Sometimes you may also have other
disorders, maybe like depression or
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anxiety.
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It's a big partnership between
the school teachers and
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the parents to really work with
the healthcare providers and
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psychiatrists, to really decided
if your child really has ADHD.
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Treating childhood ADHD
is a comprehensive plan.
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A big part of comprehensive
treatment plan is education,
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making sure the parents and actually this
child themselves understand what ADHD is,
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and how we're gonna treat it.
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The two options are medications and
behavioral therapy.
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And the data shows that those
two in combination are the best
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ways to treat ADHD.
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One of the key things about parents being
educated about ADHD is to know that it's
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a team effort and they're not alone.
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Talk to your doctor and
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psychiatrist about anything that
you've seen that's going on at home.
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Any changes since they've been
treated with medications and
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behavioral therapy, to have that
dialogue because we all are a team and
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wanna make sure we do the best for
your child.
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