a reply to: Edumakated
Eliminate everything else first. ADD/ADHD is supposed to be a diagnoses of exclusion, ruling out everything else first.
1st grade is about the time that learning disabilities begin to manifest. Check that he's not having trouble with reading/writing in terms of dyslexia
and/or dysgraphia or other learning issues. Make sure his hearing and sight check out, and I'm not just talking about the gross mechanics of his ears
working, make sure the full process - ear to brain, eye to brain is functioning. Make sure his ears are draining right so that he can balance
I am bringing all this up because there are a lot of things, both physical, mental (brain-based), and psychological that will lead a kid, especially a
boy, to act out and be wiggly and hyper like he has ADD/ADHD and that will often be the default because it's easy.
Our son was/is like that.
He is active to begin with, but ... he has a hearing problem that's based in his brain, not his ears. His brain struggles to reconcile auditory
information from the two ears and synch them up, so he makes frequent mistakes in what he's hearing and has to concentrate extra hard. It's fatiguing
and makes him anxious which makes him act out hyper the longer the day goes on.
Additionally, he has struggled with fluid build-up in his ears. It's affected his overall balance and to some extent his hearing. I think our jaws
about hit the floor and stayed there at his first martial arts practice after his tubes went in. His balance looked as good if not better than the
other kids' whereas previously he was like a literal drunken sailor. His confidence levels shot up too. He also has been finding it much easier to
simply sit and be still because he's not fighting his balance.
He has dysgraphia in addition, and he gets super anxious about having to do anything with writing because it's embarrassing for him both how hard it
is and how ugly his handwriting is. So he acts hyper and can act out to avoid it. It was worse when he was younger, and we did have teachers subtly
suggest he needed ADD/ADHD help rather than look at the obvious issues with handwriting.
The other thing is when you live with a kid you will also know. Understand that you can't judge based on how absorbed they get in TV or video games
because those are rewarding to hyper, no attention kids, but in his regular interactions with you and others. If he's so off the charts active that he
just can't interact normally, then maybe you have issues.