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Are Preschoolers Overdiagnosed With ADHD? 

Concerns about preschool ADHD overdiagnosis have grown in recent years, as more young children are being assessed for behavioural and attention issues. While early identification can be helpful, diagnosing ADHD in toddlers and preschoolers is tricky because many typical behaviours at this age naturally resemble ADHD symptoms. 

At ages 3 to 5, it’s normal for children to be impulsive, energetic, or have short attention spans. However, in structured settings like nurseries or early classrooms, these behaviours can raise red flags. The danger comes when developmentally typical actions are too quickly labelled as early childhood ADHD, leading to potential ADHD misdiagnosis and unnecessary treatment. 

Why ADHD May Be Overdiagnosed in Preschoolers 

Here are a few reasons why preschool ADHD overdiagnosis occurs: 

Developmental variability  

Children develop at different rates one child’s restlessness may be age-appropriate, while another’s may be a concern. 

Pressure from structured environments  

Preschools with rigid routines may see normal behaviour as disruptive, prompting early referrals. 

Limited diagnostic clarity  

There’s a lack of age-specific tools to accurately assess ADHD in toddlers, increasing the risk of misjudgment. 

In conclusion, while it’s important to support children with genuine needs, it’s equally crucial to avoid pathologising normal early childhood behaviour. Careful, age-appropriate evaluation is key to avoiding overdiagnosis in the preschool years. 

Visit providers like ADHD Certify for personal consultations and expert guidance tailored to your unique situation. 

For a deeper dive into the science, diagnosis, and full treatment landscape, read our complete guide to Overdiagnosis vs. Underdiagnosis in ADHD.  

Avery Lombardi, MSc, author for my patient advice - mypatientadvice.co.uk

Avery Lombardi, MSc

Author

Avery Lombardi is a clinical psychologist with a Master’s in Clinical Psychology and a Bachelor’s in Psychology. She has professional experience in psychological assessment, evidence-based therapy, and research, working with both child and adult populations. Avery has provided clinical services in hospital, educational, and community settings, delivering interventions such as CBT, DBT, and tailored treatment plans for conditions including anxiety, depression, and developmental disorders. She has also contributed to research on self-stigma, self-esteem, and medication adherence in psychotic patients, and has created educational content on ADHD, treatment options, and daily coping strategies.

All qualifications and professional experience stated above are authentic and verified by our editorial team. However, pseudonym and image likeness are used to protect the author's privacy. 

Dr. Rebecca Fernandez, MBBS, author and a reviewer for my patient advice - mypatientadvice.co.uk

Dr. Rebecca Fernandez, MBBS

Reviewer

Dr. Rebecca Fernandez is a UK-trained physician with an MBBS and experience in general surgery, cardiology, internal medicine, gynecology, intensive care, and emergency medicine. She has managed critically ill patients, stabilised acute trauma cases, and provided comprehensive inpatient and outpatient care. In psychiatry, Dr. Fernandez has worked with psychotic, mood, anxiety, and substance use disorders, applying evidence-based approaches such as CBT, ACT, and mindfulness-based therapies. Her skills span patient assessment, treatment planning, and the integration of digital health solutions to support mental well-being.

All qualifications and professional experience stated above are authentic and verified by our editorial team. However, pseudonym and image likeness are used to protect the reviewer's privacy.