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MWMG Pediatrics


Melissa Zentgraf knew early on her young son’s behaviors were not like those of his preschool friends.

“He was more persistent in what he would do,” Ms. Zentgraf says. “He would yell a little louder. His moves would be very exaggerated. He would do the activities four times the speed of everyone else, regardless of quality. He would always try to run faster. Everything was just twice as much.”

Ms. Zengraf’s son was later diagnosed at 12 years old with the inattentive type of attention deficit/hyperactivity disorder, or ADHD, but she suspects ADHD was there all along during those early years.

Young children between the ages of 2 and 5 tend to be impulsive, don’t pay close attention to details, have difficulty keeping focused and do not appear to listen very well. These are all common symptoms of ADHD as well as the characteristics of a young child. How, then, can you as a parent tell if your child has ADHD?

Parents are often told not to compare their children to others, but this is not the case in trying to figure out if a child has a special need. Look at your child’s interactions on the playground, at preschool or around other kids. Does your child have difficulty controlling his or her temper more often than the other children? Does your child fidget and squirm when other kids are sitting still and listening at story time? Does your child have more problems keeping his hands to himself when compared to other kids his age?

A diagnosis of ADHD is based on The Diagnostic and Statistical Manual of Mental Disorder, Fifth Edition (DSM 5). The manual lists three presentations of ADHD — Inattentive, Hyperactive-Impulsive and Combined, along with the symptoms for each presentation.

These symptoms can change over time, so children may fit different presentations as they grow older.
If you suspect that your child may have ADHD or some other health issue, talk to a professional who is trained to diagnose ADHD such as your pediatrician, a child psychiatrist or clinical social worker. The clinician can conduct an evaluation, which includes asking you and your child’s teachers or child care providers to complete questionnaires about your child’s behavior. In addition to checking for ADHD, your health care provider should check for other conditions that may be present or may explain your child’s behavior if it is not related to ADHD.

Having your child diagnosed with ADHD is not bad news. It just means that your child processes things differently, and you and your family need to figure out how best to help your child to succeed.

The first line of treatment for children under the age of 5 is behavior therapy. This involves parent training with licensed therapists who specialize in ADHD. The therapist teaches parents techniques that reinforce positive behavior and skills in their children. If your child is diagnosed with ADHD, talk to your health care provider to create a treatment plan that works best for your child and your family.

Petrina Chong Hollingsworth is the technical science editor for the National Resource Center on ADHD: A Program of CHADD. The NRC provides a helpline 1-800-233-4050, M-F, 1-5 p.m. ET. For more information on ADHD, please visit

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Symptoms of ADHD There are three presentations of ADHD. Each has a specific listing of symptoms that a person may have, and a person must have most, but not all of the symptoms within a presentation for a diagnosis. Inattentive • Fails to give close attention to details or makes careless mistakes • Has difficulty sustaining attention • Does not appear to listen • Struggles to follow through on instructions • Has difficulty with organization • Avoids or dislikes tasks requiring a lot of thinking • Loses things • Is easily distracted • Is forgetful in daily activities Hyperactive Impulsive • Fidgets with hands or feet or squirms in chair • Has difficulty remaining seated • Runs about or climbs excessively in children; extreme restlessness in adults • Difficulty engaging in activities quietly • Acts as if driven by a motor; adults will often feel inside like they were driven by a motor • Talks excessively • Blurts out answers before questions have been completed • Difficulty waiting or taking turns • Interrupts or intrudes upon others Combined, Inattentive & Hyperactive-impulsive • Has symptoms from both of the above lists

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Pouches' Community Corner

Pouches Visits the Past


If Pouches' experience at History Camp is any indication, your son or daughter will enjoy joining Washington Heritage Museums and the George Washington Foundation for History Camp in Fredericksburg. The week-long day camp will be held June 25-29, from 9:00 a.m. to noon each day.

Young historians discover American history with hands-on experiences as they walk in the footsteps where the history of Fredericksburg, and a budding America, was created. The camp complements the history taught in classrooms with activities such as soap making, code breaking, colonial crafts, penmanship and much more.