Attention-deficit/hyperactivity disorder (ADHD) is one of the most common neurodevelopmental conditions affecting children. According to recent data from the Centers for Disease Control and Prevention (CDC), an estimated 7 million children in the United States have been diagnosed with ADHD at some point in their lives.1 About half of these children continue to experience symptoms into adulthood.2 With adolescent mental health treatment becoming an increasing priority for families across Massachusetts, understanding the signs of ADHD and how it affects both boys and girls is key to early intervention and ongoing support.
Northeast Health Services provides treatment that supports you, and we are proud to serve our local communities throughout Massachusetts. If you’re concerned about your child’s focus, emotional regulation, or impulsivity, our team is here to help you navigate the next steps with warmth, compassion, and expert care. Call 508.794.8711 today to get started.
Understanding how ADHD shows up in children
Attention-deficit/hyperactivity disorder often becomes noticeable in early childhood and can show up in many different ways—difficulty sitting still, acting impulsively, or having trouble paying attention in class. It can also present as emotional outbursts, forgetfulness, or problems with organizing tasks.
But not all signs are loud or disruptive. For some children, especially girls, the symptoms may be more subtle. That’s why knowing what to look for and how these signs might differ across genders is important.
Why ADHD is often underdiagnosed in girls
ADHD in girls is frequently underrecognized because their symptoms tend to be less overt. While boys often exhibit more noticeable hyperactivity—like fidgeting, blurting out answers, or getting up from their seat frequently—girls may be more likely to present with inattentiveness. That might look like daydreaming, being “quietly” disorganized, or struggling to follow multi-step instructions.
In many cases, these behaviors are misunderstood. Instead of being seen as signs of a mental health condition, they may be mistaken for emotional immaturity or simply being “shy” or “sensitive.” This can lead to girls receiving diagnoses later in life, or being misdiagnosed with conditions like anxiety or depression first.
The difference in presentation, not in the prevalence of ADHD itself, is a major reason for this gender gap in identification.
Common early signs of ADHD
Being able to recognize early signs of ADHD can help families seek support sooner. Some of the most common symptoms include:
- Difficulty focusing: Your child may struggle to pay attention, get easily distracted, or frequently lose things.
- Acting impulsively: They might interrupt conversations, make snap decisions without thinking, or find it hard to wait their turn.
- Restlessness: They could seem constantly on the move, fidget a lot, or talk nonstop.
- Emotional challenges: Small frustrations or sudden changes might feel overwhelming for them.
- Trouble staying organized: Managing time, completing tasks, or following instructions may be challenging.
While many children may display these behaviors from time to time, persistent patterns that interfere with daily functioning could signal something more.
How ADHD connects with trauma and childhood adversity
There is growing evidence showing a connection between ADHD and adverse childhood experiences (ACEs). Trauma—including abuse, neglect, or family instability—can affect brain development in ways that mimic or exacerbate ADHD symptoms. In fact, studies suggest that children exposed to trauma are significantly more likely to be diagnosed with ADHD than those who aren’t.
While trauma doesn’t cause ADHD, it can influence how symptoms appear and how children respond to treatment. That’s why working with compassionate providers who understand the importance of trauma-informed care is essential—something we prioritize at Northeast Health Services. We’re here to support you and your child on their mental health journey, focusing not just on the symptoms but on understanding and addressing the root causes, so they can feel better and thrive.
Ways parents can support executive functioning
Executive functioning is a set of cognitive skills that help children plan, organize, and complete tasks. Children with attention-deficit/hyperactivity disorder often struggle with these abilities, which can impact their performance at school and at home. Here are some supportive ways you can help your child enhance their executive functioning:
- Try visual reminders: Calendars, color-coded checklists, and visual schedules can make remembering things and staying organized easier.
- Break things down: Tackle tasks one step at a time to avoid feeling overwhelmed.
- Build consistent routines: A predictable daily schedule can create structure and help ease anxiety.
- Focus on effort: Celebrate progress and small wins—it’s a great way to build confidence and stay motivated.
- Work together with educators: Stay in touch with teachers and counselors to ensure everyone is on the same page and using the same strategies.
You don’t have to figure this out alone. Our therapists offer various therapeutic approaches, including those proven to support children with attention challenges.
A holistic, compassionate approach to care
Northeast Health Services knows that every child is one of a kind. That’s why we’re here to provide personalized care, offering outpatient therapy and support for challenges like ADHD. We’re all about putting people first—focusing on what matters most to your family, your goals, and your everyday life.
We do not offer diagnostic evaluations for ADHD, but our experienced providers are here to work with families post-diagnosis to develop thoughtful, effective care plans. Whether your child has already been diagnosed or you’re exploring what support might look like, we’re here to listen, guide, and care.
Let Northeast Health Services support your family
Northeast Health Services is proud to serve our local communities throughout Massachusetts with treatment that supports you and compassionate care for your mental well-being. Whether your child is navigating ADHD or another mental health condition, our team is ready to partner with you to create a care path that works. Call 508.794.8711 today to take the first step toward care.
If you’re ready to take the next step in your mental health journey, click here to reach out to our team of empathetic mental health care experts. For existing clients, please click here and find your office location to contact your office directly.
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