This is more pronounced when the child must focus carefully, like during classroom work. The hyperactivity includes fidgeting, difficulty sitting still, getting distracted, intruding and trouble waiting his or her turn. The symptoms usually begin before the age of seven. If left untreated, these children may not perform up to their capabilities. These labels can lead to a loss of the child's confidence and self-esteem.
All physicians are reluctant to start any child on medications.
A very careful weighing of the benefits and risks is done.