4 year old girl with adhd/social cues | ADHD Information

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My almost 5 year old has yet to be diagnosed with ADHD, but I've had it brought it up by 2 of her daycare providers - one who said very matter-of-factly that she thought it might be an issue and the other who hinted about it, saying she had problems with focusing and hyperactivity. When I read about preschoolers with ADHD, I feel like someone is sitting there, watching my kid and writing about her. As she gets older and I see her with her peers, it's much more obvious. We've yet to take her to a doctor because we just moved to Norway and have been waiting for her visa so that she'll be in the health care system.

We put her on a rewards chart in the last month, as well as cut out most tv and nearly all candy/junk food/processed sugars. It has made a HUGE difference in her behavior but there are some things that are real problems, particularly her inability to read or register social cues.

She has NEVER met a stranger, child or adult. She totally loves all people and adores school so she can be with other kids, but at the same time... she has a hard time making "friends". She had one best friend at her previous school but pretty much ignored the rest of the class entirely. When she's playing with other kids, not only is she way too rough but she can't read them at all. While she does really really well academically, when I watch her play, I feel like I'm watching a much younger child.

For example - we were at a park today and she saw two kids (a brother and a sister) slightly older than her playing hide and seek. Without so much as saying hi, she invited herself into the game. At first the kids were okay with it, but she kept 'ruining the game' by jumping up and screaming randomly, only hiding with the other little girl, etc. The kids were getting more and more frustrated, which she was oblivious to. When they told her to stop, she just laughed. Eventually, the children became nasty and ran away, leaving her bewildered. On one hand, I was furious because she didn't get why they were being so mean, but on the other hand, they had tried to work with her, and she was just completely oblivious to what was going on.

It's making me really, really nervous as we're about to move into a duplex with my dh's parents and will share a backyard with his aunt and her two children, both of whom are close in age to mine. There are also 6 other little girls surrounding us who are pretty much in the same age range. I see how my dd plays with the aunt's children and it's the same thing - she really does not get what's going on and when it's just play and when they're angry. They've been good sports about it, but I worry that when she's seeing them every day, it's going to be a huge problem and will turn into a problem with my husband's aunt. I'm also worried that other children will end up making her an outcast.

How do I start teaching her about social cues and how to interact with other kids? Is it even possible when the problem is that she's not paying attention and missing things like tone of voice, body language, etc? She just doesn't realize that she's irritating or angering someone and the kids don't understand what's going on and run away from her. It's really hard when she LOVES social interaction so much.

you know, to me this is the harder part of ADHD than the academic piece.

You CAN help her though. A couple of suggestions are try to do a LOT of one on one playdates. This way you can guide her on how to see social cues, how to respond how not to respond. Not necessarily by critisizing her in front of the friend, BUT a litle correctiona nd help whne dealing with 5 year olds is appropriate. Role play at home before the playdate, role play after the friend leaves. Try to have playdates structured. So always have something for them to do, not letting them work it out on their own. So maybe all do a craft together, play scavenger hunt (with you), things you can be part of and work with them. If possible have playdates with younger children, they are porbably more at her social level. KEEP doing it, it will be slow and steady progress, but it will help.

A child's inability to pick up on social cues is indicative of many disorders, not just ADHD. Having said that, the two daycare providers who brought it up are not child psychiatrists. Only unskilled doctors, meaning those that aren't specialists or non professionals like daycare providers will say "might be" or "looks like". A specialist bases their final assessment on the distinctions of the disorders. Each disorder is very different than the other, not similar but again, a non professional will compare what they think are similarities. Many things factor into making a definitive diagnosis Many things can look like ADHD to the untrained individual, including a serious medical conditions like diabetes, thyroid problems, allergies, etc   However, if your child does get diagnosed with ADHD, the most effective way to treat the symptoms is by getting your child effective treatment and then enrolling your child in social skills training classes. You can ask the school if they conduct them or get a referral to a psychologist that conducts these classes. ADHD children don't learn by watching other children in a social settings. They learn through role playing with a group of children under the direction of a psychologist. They learn visually and through hands on examples. They are taught how to cope with and handle any given social situation. What most children without ADHD naturally learn, children with ADHD have to be taught through visual props and repetition but again, they only learn in combination with effective treatment. Without effective treatment, they are still not focused and so distracted that even trying to learn how to pick up on social cues in the right environment to learn doesn't work too well. The unfocused child who is put into a social situation will not learn from another child because they are not focused enough to even realize what's appropriate behavior and what isn't.   Diane V is right in that role playing has to be done but this is most effective in a group setting because all the children are role playing and interacting with each other because they all have the same problems. I also agree with Diane that social issues are much more complexed than the academic issues because the social issues affect every area of life. Role playing includes, how to diffuse a potential confrontational situation, how to walk away from a fight, how to curb speaking out impulsively, learning how to wait ones turn or any other negative behaviors that cause these children such serious social problems. Also, keep in mind that children with ADHD have a 30% maturity lag.   When you feel the time is right, I highly recommend that you get your child evaluated to identify the underlying problem because if there is an underlying problem, the sooner you get the proper interventions, the better the outcome. Good luck and please keep us informed :)