Attention Deficit Hyperactivity Disorder (cont.)
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Can a Preschool-Aged Child Be Diagnosed With ADHD?
The diagnosis of ADHD in the preschool-aged (under 5 years old) child is possible, but it can be difficult and should be made cautiously by experts well trained in childhood neurobehavioral disorders. A variety of physical problems, emotional problems, developmental problems (especially language delays), and adjustment problems can sometimes imitate ADHD in this age group. It is certainly not mandatory that the preschool-aged child showing ADHD-suggestive symptoms be placed in a preschool. The first line of therapy for children of this age showing ADHD-like symptoms is not stimulant medication therapy but rather environmental or behavioral therapy. This type of therapy can be carried out in the home with appropriate training supplied to the parents. If the child is to be placed in a preschool, the caretakers must be equally trained in the techniques of behavioral therapy. Stimulant therapy can reduce oppositional behavior and improve mother-child interaction, but it is usually reserved for severe cases or used when a child does not respond to environmental or behavioral interventions.
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