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Inattentive ADD, but the hyperactivity is now an issue

My daughter was diagnosed with Inattentive ADD, but this past five months or so I’m almost certain she has the ADHD (the hyper) part of it.  She has a hard time sitting still, tells me she has to much energy and needs to get her energy out….this has been an awful winter in Iowa, couped up with the weather, and she really never seems to be happy unless she is outdoors.  I’m not sure how to deal with this new found energy and fidgetiness.  Is it possible to get the hyper part of the ADD or do you think it’s just her not getting adequate amounts of exercise that she needs?

Replies

You don’t say how old she is or how long ago she was diagnosed as “inattentive” type.  Girls often HAVE the hyperactive component but the questions asked/answered on some questionnaires (or BY the clinician) don’t adequately tease that component out.  Girls often have an “internal restlessness” which IS the neurological equivalent of “hyperactive (physical)” for boys.  Also, in girls that mental and/or physical hyperactivity will be masked by nothing more than having a greater aversion to the social consequences of behaving “improperly” (they don’t want to get in trouble for running around the classroom so they chew on their pencil instead).  The classifications that subdivide the disorder into inattentive, combined, and hyperactive are man-made mental constructs which help people who do NOT have the disorder conceptualize and classify it more than anything.  Some “experts” do not even use that classification system at all but instead use Dr. Amen’s Seven-Classification-Scheme.  One last tidbit: I have also read that when using the 3-tiered schematic, over the course of a lifetime people DO move from one “type” to another depending at least, in part, on the circumstances they find themselves in.

Posted by BC on Mar 24, 2014 at 8:07pm

It’s been a hard winter all over the place so I’m sure that ADHD children have Spring Fever and then some! As for my son I cannot tell you how many hours we spent at the Burger King Indoor Playland. Other parents would come and go but we were there until the sun went down! It was just all of that energy that had to get out!

My son has primarily the Inattentive version, but the symptoms cross over between the two. It’s usually a combination, especially at different times in life.

Medication should be looked into to make sure her symptoms are under control and maybe get used to a lot of sitting and waiting as your daughter runs in playlands, or takes gymnastics, swimming etc. Grab and book and pray the summer months aren’t too far away!

Posted by Havebeenthere on Mar 25, 2014 at 1:06am

I agree with the great advice/info from BC and have been there.  One more thing to consider:  food sensitivities.  My gluten sensitivity made me incapable of sitting still a few years ago.  My ADHD developed an extremely exaggerated H component that I could not figure out until I read article by Dr. Sanford Newmark.  Within a month, I was significantly improved.  Have been G-free for 1 1/2 years.  Food sensitivities can develop at any time.

Posted by TimeMgtQueen;) on Mar 25, 2014 at 2:48am

How can I know if she is having food sensitivities, by just starting to eliminate certain things?  She is 9 and has been diagnosed with inattentive add for two yrs, but I have noticed alof of changed this year with her.

Posted by klsmidwestmom on Mar 25, 2014 at 4:46am

Some of the ways hyperactivity expresses itself in girls can be just a generalized somewhat fidgety manner, chewing on pencils, chewing gum, having something in your hands and continually fiddling with it, tapping your foot, playing with your hair.  Sometimes these mannerisms will be mistaken for just being mildly anxious or “nervous.”  They will tend to increase when bored out of your mind or when trying hard to concentrate.  Sometimes a more truly physical hyperactivity will come out only in certain situations (ones that are mind-numbingly boring or uncomfortable).  And you don’t need to have ADHD (or the predominantly hyperactive or combined type) to have being cooped up inside for too long drive you nuts!

Oh, I forgot the other biggie for girls—hyperactivity can come out as nothing but motor-mouth (Chatty Cathy).  The increased mental activity just pours right out of their mouth.

Posted by BC on Mar 25, 2014 at 5:36am

Need to know how old your daughter was when she was diagnosed. I would also be interested to know if she is on any supplements such as EPA Omega 3 or PS as these can increase activity.

That’s all I have.
Hope this limited info is helpful.
Susan in PC, Ohio

Posted by SueH on Mar 25, 2014 at 5:08pm

SueH, she was diagnosed at age 7, she is now 9 and yes she is on Omega-3 supplement, but what is PS?  BC, she does all those types of things in certain situations that you mentioned, including a big one, biting nails.  I’m really worried about how I’m going to get her through all these years of school, this year has been a bit tougher, and it’s only 3rd grade, but she becomes bored easily at school and gets through it by nail biting, moving her legs….by the time she gets home from school she thinks we need to immediately go somewhere for her to get all her energy out by the time bedtime rolls around, thank goodness Spring is almost here and Soccer will be starting in a month!

Posted by klsmidwestmom on Mar 25, 2014 at 6:21pm

Has anything changed recently? My son was diagnosed as predominantly inattentive, which I agreed with. We slowly began seeing an increase in hyperactivity at home, until it got to the point that once he walked in the door from school he was basically bouncing off the walls. I didn’t realize it until his dr pointed it out, but the hyperactivity started after he quit gymnastics. He had been a competitive gymnast for two years. He was practicing up to fourteen hours a week, year round, during this time, so of course he had time to get all of his energy out. Once he quit it quickly escalated at home. We had to adjust the meds a few times, but seem to have found a combination that works right now. Has anything like that happened with your daughter? Or maybe it could just be that she’s been stuck inside for so long, as you’ve mentioned. Good luck.

Posted by Joyful22 on Mar 27, 2014 at 4:50am

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