ADHD vs Developmental Coordination Disorder: Key Differences, Diagnosis & Treatment
Every parent wants their child to thrive, but when attention slips or motor skills lag, it’s hard to know what’s typical and what needs professional help. The confusion around ADHD vs developmental coordination disorder is common. Both conditions can make school and home life harder, yet they need different supports. At Cadabams CDC, we guide parents from worry to clarity so children can reach their full potential.

Quick Snapshot – ADHD vs DCD at a Glance
Core Symptoms Compared
- ADHD: Persistent inattention, impulsivity, and hyperactivity.
- DCD (Dyspraxia): Delays in gross and fine motor skills—e.g., trouble tying shoes or riding a bike.
Impact on Daily Life
- ADHD: Missed instructions, messy desks, emotional outbursts.
- DCD: Frequent spills, slow handwriting, avoidance of sports.
Overlap & Co-occurrence
Roughly 30–50 % of children with ADHD also meet criteria for DCD. Shared executive-function weaknesses can blur the line, so a precise assessment matters.
What Is ADHD?
Diagnostic Criteria (DSM-5)
A child must show six or more symptoms of inattention and/or hyperactivity-impulsivity for at least six months, in two or more settings. The meaning of ADHD is complex, and a formal diagnosis as per DSM is crucial.
Attention & Executive Function Challenges
- Losing homework
- Difficulty organizing tasks
- Emotional dysregulation
Common Misconceptions
- Myth: “All kids with ADHD are hyper.”
- Fact: Some present as quiet day-dreamers (Predominantly Inattentive Presentation), especially in ADHD in kids.
What Is Developmental Coordination Disorder (DCD)?
Motor Skill Milestones & Delays
Typical red flags:
- Late crawling or walking
- Trouble using scissors by age 5
- Awkward running gait
How DCD Differs from General Clumsiness
Clumsy kids catch up; children with DCD remain at or below the 5th percentile on standardized motor tests year after year.
Long-Term Effects if Untreated
- Academic underachievement, which can be mistaken for ADHD vs poor school performance.
- Low self-esteem
- Reduced physical activity leading to obesity
The Double Whammy: ADHD + DCD
Statistics on Comorbidity
Studies show 1 in 3 children with ADHD also have DCD—double the general population rate.
Shared Neurological Pathways
Both conditions involve fronto-striatal circuits, explaining why attention and motor planning can both suffer. These are considered neurodevelopmental issues.
Why Early Identification Matters
Combined issues raise the risk of anxiety and depression by adolescence; early intervention cuts that risk in half. This is particularly important for teens with ADHD.
Symptom Checklist – Spot the Differences
Red Flags for ADHD
- Interrupts others often
- Rushes through homework
- Loses toys weekly
Red Flags for DCD
- Holds pencil in an awkward tripod grip
- Struggles to jump with both feet together
- Avoids playground climbing frames
When Symptoms Overlap
A child might knock over a glass while talking nonstop. In such cases, standardized testing separates motor delay from impulsivity.
Assessment Process at Cadabams Child Development Center
Multidisciplinary Team Approach
Our child psychiatrist, occupational therapist, and special educators collaborate to rule out sensory issues or learning disabilities.
Tools We Use – Conners, MABC-2, BOT-2
- Conners 4: Screens for ADHD and executive-function deficits as part of our ADHD assessments.
- MABC-2 & BOT-2: Pinpoint exact motor-skill gaps with a developmental assessment.
What Parents Can Expect in 3 Easy Steps
- Intake Call: Discuss concerns and history.
- Day-long Evaluation: 2-hour assessment with breaks.
- Feedback Session: Receive diagnosis, report, and therapy roadmap within 48 hours.
Evidence-Based Treatment Plans
Behavior Therapy for ADHD
- Parent-management training (PMT)
- Classroom token-economy systems
- Emotion-regulation modules using behavioral therapy for ADHD.
Occupational Therapy for DCD
- Task-specific training: Daily 15-minute handwriting drills.
- Neuromotor approaches: Yoga and animal walks for core strength.
Integrated Programs for Co-occurring ADHD & DCD
Our 12-week Motor-Plus Program blends OT with executive-function coaching—proven to boost both motor accuracy and sustained attention. This is a core part of our ADHD treatment.
School & Home Support Strategies
Classroom Accommodations
- ADHD: Seat near teacher, visual schedules.
- DCD: Extra time for written tests, pencil grips.
- Both may benefit from educational support for ADHD.
IEP vs 504 Plan
- IEP: Needed when DCD significantly affects academic achievement.
- 504 Plan: Ideal for ADHD accommodations without specialized instruction. Both are types of special education programs for ADHD.
Practical Tips for Parents
- Break tasks into micro-steps.
- Use textured rulers for cutting practice.
- Schedule movement breaks every 20 minutes.
- For more tips, see our ADHD parent guide.
Success Stories – Real Children, Real Progress
Case Study 1: 7-Year-Old with Combined ADHD + DCD
Arjun fidgeted constantly and couldn’t button his uniform. After 8 weeks of Motor-Plus, his teacher noted 30 % improvement in writing speed and fewer classroom interruptions. This shows the success of combining therapies for ADHD in children.
Case Study 2: Teen Managing DCD Alone
14-year-old Ananya dreaded PT class. Six months of targeted occupational therapy plus a 504 Plan helped her score a B+ in sports skills assessment—boosting overall confidence for this teen with ADHD.