Proactive Support: Cadabam's Early Intervention for ADHD Indicators
The earliest years of a child's life are a time of rapid growth and development. Sometimes, parents or caregivers may notice patterns of behaviour in infants, toddlers, or preschoolers – such as significant challenges with paying attention, managing impulses, or extremely high activity levels relative to peers – that raise concerns and questions about potential future diagnostic pathways like ADHD. While a formal ADHD diagnosis is typically made later in childhood, addressing these early indicators proactively through specialized support can make a profound difference. This is the focus of Early Intervention for ADHD
indicators. Early Intervention for ADHD
indicators provides specialized support for infants, toddlers, and preschoolers showing signs like significant hyperactivity, impulsivity, or attention challenges relative to their age. It uses play-based strategies to build foundational skills and mitigate potential long-term impacts. Rather than labeling, the emphasis is firmly on understanding a child's unique developmental profile and providing tailored support to nurture essential skills like self-regulation, attention, and social interaction. At Cadabam’s Child Development Center (CDC), our specialized Early Intervention
programs offer expert guidance and evidence-based strategies, empowering families to support their young child's optimal development from the very beginning. Understanding Early Intervention for ADHD
signs is the first step.

Why Choose Cadabam’s Early Intervention Approach?
When considering support for a very young child exhibiting challenging behaviours or developmental patterns potentially associated with ADHD risk, choosing the right provider is paramount. Cadabam’s CDC offers a specialized Early Intervention
approach grounded in developmental expertise and family partnership:
- Deep Expertise in Early Childhood Development: Our team comprises professionals – including Child Psychologists, Developmental Pediatricians, Occupational Therapists (OTs), Speech-Language Pathologists (SLPs), and Early Intervention Specialists – who possess specific training and extensive experience in infant, toddler, and preschool development (ages 0-5). They understand age-appropriate expectations and the nuances of neurodiversity in early childhood.
- Focus on Foundational Skill Building: Our
Early Intervention
programs target the critical underlying skills necessary for later success. We focus on fostering precursors to attention (like joint attention), developing early self-regulation abilities, promoting positive social interactions, enhancing communication skills, and supporting motor development, all within a developmentally appropriate framework. - Family-Centered Care Model: We strongly believe parents and caregivers are the most important people in a child's life and are essential partners in
Early Intervention
. Our services include extensive parent coaching, education, and support, empowering families with the knowledge and strategies to foster their child's development in everyday routines and interactions. - Play-Based Intervention Philosophy : Children learn best through play. Our therapeutic approach leverages engaging, naturalistic,
play-based early intervention techniques
to build skills. Therapy looks and feels like guided play, making it enjoyable and motivating for young children while effectively targeting developmental goals linked to concerns likepreschool ADHD behaviours
. - Integrated Multidisciplinary Team: We offer access to a range of specialists under one roof. This allows for collaborative assessment and intervention planning, ensuring a holistic view of the child's needs and coordinated care (e.g., an OT and SLP working together on regulation and communication).
- Proactive Support Philosophy : We advocate for addressing developmental concerns early. We understand the significant
Role of early intervention in mitigating long-term ADHD impact
and believe in providing proactive support rather than adopting a passive "wait and see" approach when challenges are already impacting the child or family. This aligns with the benefits ofearly intervention vs "wait and see" approach for ADHD signs
.
Choosing Cadabam's Early Intervention
program means partnering with a team dedicated to nurturing your child's potential through expert, compassionate, play-based, and family-focused care during these critical early years.
Practical Support for Little Ones: Early intervention strategies for preschool ADHD behaviours
Early Intervention
provides concrete, positive, and developmentally appropriate strategies to support young children (toddlers and preschoolers) showing significant challenges with hyperactivity, impulsivity, and inattention that might resemble later ADHD symptoms. These early intervention strategies for preschool ADHD behaviours
focus on building skills and managing challenges within the child's daily routines and play.
Focus: Building foundational skills and using positive guidance rather than punitive measures.
Key Early Intervention Strategies
Used at Cadabam's:
- Structuring Environments and Routines:
- Why: Predictability helps young children feel secure and know what to expect, reducing anxiety and challenging behaviours. Structure minimizes opportunities for impulsivity and disorganization.
- How: Establishing consistent daily schedules (meals, naps, play, clean-up), creating organized and clutter-free play areas with designated spots for toys, using clear physical boundaries for different activity zones.
- Implementing Visual Supports:
- Why: Young children, especially those with attention challenges, benefit greatly from visual cues rather than relying solely on verbal instructions.
- How: Using picture schedules for daily routines, "First-Then" boards (showing a less preferred activity followed by a preferred one), visual timers to signal transitions, simple picture rules charts.
- Utilizing Positive Behaviour Support (PBS):
- Why: Focuses on teaching and reinforcing desired behaviours proactively, rather than just reacting to challenging ones.
- How: Providing specific, immediate praise for positive actions ("Great job waiting your turn!", "I like how you put the blocks away!"), using simple reward charts for specific goals (e.g., staying at the table during snack time), giving clear and simple instructions ("Feet on the floor" instead of "Don't climb"), and effectively redirecting off-task or impulsive behaviour to more appropriate activities.
- Teaching Basic Self-Regulation Skills:
- Why: Helping children begin to understand and manage their big feelings and energy levels is a core EI goal.
- How: Naming emotions ("You seem frustrated"), teaching simple calming techniques through play (e.g., "smell the flower, blow out the candle" breathing, squeezing a stress ball, finding a quiet "calm-down corner"), providing co-regulation (calm adult presence and support during distress).
- Developing Precursors to Attention Skills:
- Why: Building the ability to focus, even for short periods, is foundational for learning.
- How: Gradually increasing the duration of engaging one-on-one activities (reading, puzzles, simple games), minimizing distractions during focused play, using songs or verbal cues ("Ready, Set, Listen!") to gain attention before giving instructions, incorporating activities requiring joint attention (shared focus on an object/activity).
- Facilitating Social Skills Through Play:
- Why: Early challenges with impulsivity or attention can impact peer interactions.
- How: Using
play-based early intervention techniques
such as facilitated playdates, coaching children through simple steps for joining play ("Can I play too?"), practicing turn-taking with highly desired toys, using puppets or role-playing to model sharing and waiting.
- Intensive Parent Coaching and Training:
- Why: Parents are the primary implementers of
early intervention strategies
. - How: Therapists work directly with parents/caregivers, teaching them how to use these specific strategies consistently and effectively within their daily routines and interactions at home. This is a critical component of successful
Early Intervention for ADHD
indicators.
- Why: Parents are the primary implementers of
These positive and practical early intervention strategies for preschool ADHD behaviours
aim to build crucial developmental skills, improve child and family functioning, and set a foundation for future success.
The Lasting Advantage: Role of early intervention in mitigating long-term ADHD impact
Choosing Early Intervention
when developmental concerns arise isn't just about managing current challenges; it's a proactive investment in a child's future. The Role of early intervention in mitigating long-term ADHD impact
is significant, potentially altering a child's developmental trajectory in profoundly positive ways.
Focus: How intervening early can build resilience and foundational skills, potentially reducing later difficulties.
Potential Long-Term Benefits of Early Intervention for ADHD
Indicators:
- Building Critical Foundational Skills:
- EI directly targets the development of core skills that are often challenging for individuals with ADHD. Strengthening early self-regulation, attention precursors (like joint attention), impulse control, working memory basics, and social-emotional skills provides a stronger foundation for entering school and navigating more complex academic and social demands later.
- Preventing or Reducing Secondary Issues:
- Untreated early challenges with attention, impulsivity, and regulation can cascade into secondary problems. Children may develop low self-esteem ("I'm always in trouble"), anxiety related to performance or social situations, oppositional behaviours stemming from frustration, or difficulty forming positive peer relationships. Early support can help prevent or lessen the severity of these secondary impacts by building skills and fostering positive experiences.
- Improving Parent-Child Relationships and Family Functioning:
- Parenting a young child with significant behavioural challenges can be incredibly stressful.
Early Intervention
provides parents with effective, positive strategies, reducing frustration, decreasing conflict, and fostering more positive interactions. This strengthens the parent-child bond, which is protective for long-term development.
- Parenting a young child with significant behavioural challenges can be incredibly stressful.
- Capitalizing on Early Brain Plasticity:
- The first few years of life are a period of incredible brain growth and plasticity (the brain's ability to change and adapt). Providing targeted support and enriched experiences during this critical window may help strengthen neural pathways involved in attention, regulation, and executive functions more effectively than intervening later.
- Potentially Reducing Functional Impairment Later On:
- While EI doesn't "cure" ADHD (which has a strong neurobiological basis), it equips children with compensatory strategies and bolstered foundational skills. This may mean that even if they are later diagnosed with ADHD, the functional impairment – how much it impacts their daily life – might be less severe because they have developed better coping mechanisms early on.
- Enhancing School Readiness:
- Children who participate in EI often enter kindergarten or primary school better prepared with the social, emotional, and early attentional skills needed to succeed in a group learning environment. This prevents them from starting school already at a disadvantage compared to peers.
The Role of early intervention in mitigating long-term ADHD impact
emphasizes building resilience and competence from the start. It's about optimizing development and providing the tools necessary for the child and family to navigate challenges more effectively, regardless of any future diagnosis. This highlights the critical choice in the early intervention vs "wait and see" approach for ADHD signs
debate.
Recognizing the Signs: Identifying need for early intervention services for suspected ADHD
Deciding whether a young child's behaviour warrants seeking Early Intervention
can be challenging for parents. Toddlers and preschoolers are naturally active, impulsive, and have shorter attention spans. Identifying need for early intervention services for suspected ADHD
involves looking for patterns of behaviour that are significantly more intense, frequent, persistent, and impairing compared to same-aged peers.
Important Disclaimer: Early Intervention for ADHD
indicators is based on developmental concerns and observed behaviours, not a formal ADHD diagnosis. A definitive ADHD diagnosis is complex, requires ruling out other potential causes (like hearing issues, sleep problems, environmental stress, other developmental conditions), and is typically made later in childhood when behaviours persist across time and settings, and diagnostic criteria can be more reliably applied. The goal of EI is support, not premature labeling.
Early Indicators That May Warrant Evaluation (Consider Intensity, Frequency, Persistence, Impairment relative to AGE):
- Excessive Activity Level / Hyperactivity:
- Seems constantly "on the go," runs instead of walks most of the time.
- Has extreme difficulty sitting still even for brief periods during enjoyable activities (e.g., stories, preferred tabletop play).
- Fidgets excessively, climbs inappropriately, appears internally driven to move.
- Compare: Significantly more active than other children of the same age in similar settings.
- Significant Impulsivity:
- Acts without thinking frequently, leading to safety concerns (darting into street, jumping from heights).
- Has extreme difficulty waiting for turns in games or conversation (beyond typical toddler impatience).
- Frequently grabs toys from others, hits, pushes, or bites with minimal provocation.
- Cannot seem to stop and listen to instructions before acting.
- Compare: Impulsivity causes frequent conflicts, safety risks, or disruption significantly greater than peers.
- Marked Inattention:
- Has extreme difficulty sustaining focus even on activities they typically enjoy.
- Flits rapidly from one activity to another without completion.
- Doesn't seem to listen when spoken to directly, even without obvious distractions.
- Easily distracted by minimal environmental stimuli.
- Compare: Attention span is noticeably shorter and more easily disrupted than same-aged peers across various activities.
- Significant Difficulties with Routines and Transitions:
- Excessive difficulty following simple daily routines despite consistency.
- Extreme emotional reactions or behavioural outbursts during transitions between activities.
- Delayed Social-Emotional Skills:
- Major difficulties with frustration tolerance, leading to frequent intense tantrums.
- Significant struggles with sharing, cooperation, or joining peer play appropriately for their age.
- Appears to have difficulty reading basic social cues from peers.
- Overall Impairment:
- The behaviours are causing significant stress for the child and/or family.
- The child is having difficulty participating successfully in preschool or childcare settings.
- Safety is a frequent concern due to impulsivity or inattention.
- The child is experiencing significant negative social feedback from peers or adults.
When to Seek Professional Input:
If you observe several of these indicators persistently, across different situations (home, daycare/preschool), and they are causing noticeable impairment or stress, it is recommended to seek a professional developmental screening or evaluation. This helps in Identifying need for early intervention services for suspected ADHD
. Trust your instincts as a parent – if you are significantly concerned, getting expert input is always a good idea. Contact Cadabam's to discuss a developmental assessment. [ADHD Assessment]
Learning Through Play: Play-based early intervention techniques for ADHD characteristics
At the heart of effective Early Intervention for ADHD
indicators lies the power of play. Young children learn about the world, practice skills, and process emotions primarily through play. Therefore, therapists utilize specific, targeted play-based early intervention techniques for ADHD characteristics
to make learning engaging and developmentally appropriate.
Play as the "Work" and Language of Early Childhood:
Instead of structured drills or tabletop tasks, Early Intervention
interventions are embedded within enjoyable play activities. This approach:
- Increases motivation and engagement, especially crucial for children with attention challenges.
- Makes skill-building feel natural and fun.
- Allows therapists to observe skills and challenges in a realistic context.
- Provides opportunities for practicing skills repeatedly in varied ways.
Examples of Play-Based Early Intervention Techniques
Targeting ADHD-like Characteristics:
- Building Attention and Focus:
- Activities: Playing simple board games or card games requiring sustained focus, completing developmentally appropriate puzzles, engaging in shared book reading with interactive questions, building structures with blocks following a simple visual plan, playing "I Spy" focusing on details.
- Techniques: Starting with short durations and gradually increasing, minimizing distractions in the play space, using enthusiastic tone and non-verbal cues to maintain engagement, positively reinforcing moments of sustained focus ("Wow, you really stuck with that puzzle!").
- Developing Impulse Control:
- Activities: Games like "Red Light, Green Light" (stop/go commands), "Simon Says" (listen before acting), freeze dance/musical statues, taking turns building a tower or playing with a highly desired toy, practicing waiting briefly for a snack or preferred item.
- Techniques: Providing clear visual cues for waiting (hand signal), using timers, offering specific praise for successful waiting/inhibition ("Good waiting!"), providing immediate redirection for impulsive actions paired with practice of the desired behaviour.
- Improving Ability to Follow Directions:
- Activities: Going on simple "scavenger hunts" following one- or two-step verbal directions, playing "follow the leader," completing simple obstacle courses based on instructions ("Crawl through the tunnel, then jump over the pillow"), participating in basic cooking or craft activities requiring children to follow steps.
- Techniques: Giving clear, simple, one-step directions initially, using gestures and visual aids alongside verbal instructions, gaining attention before speaking, providing praise for successful follow-through.
- Supporting Emotional Regulation:
- Activities: Using puppets or dolls in pretend play scenarios to act out situations involving big feelings (frustration, anger, excitement) and practice coping strategies, designating a "calming corner" in the play area with soft items or sensory tools, reading stories about emotions, incorporating calming movement like rocking or swaying.
- Techniques: Labeling emotions observed during play ("You look mad the tower fell!"), modeling calming strategies (taking deep breaths), providing co-regulation (calm presence, soothing voice), validating feelings while gently guiding behaviour.
- Facilitating Social Skills:
- Activities: Setting up structured play opportunities with peers (facilitated playdates), engaging in cooperative games requiring teamwork (building something together, parachute play), using social stories or role-playing simple scenarios like asking to join play or sharing a toy.
- Techniques: Providing direct coaching during peer interaction ("Try asking, 'Can I have a turn?'"), prompting sharing or turn-taking, reinforcing positive social behaviours (praising sharing), helping children interpret simple social cues.
- Incorporating Sensory-Motor Play for Regulation:
- Activities: Providing opportunities for regulated movement like swinging (linear), jumping on a mini-trampoline, crashing onto soft mats, engaging in "heavy work" like pushing/pulling loaded toy wagons, playing with sensory bins (sand, water, beans – with supervision). [Occupational Therapy for ADHD]
- Techniques: Observing the child's response to different sensory inputs, incorporating movement breaks, suggesting activities that provide organizing input based on individual needs.
These play-based early intervention techniques
make skill-building enjoyable and effective, addressing ADHD characteristics
in a positive, supportive, and developmentally sensitive manner as part of Early Intervention for ADHD
indicators.
Proactive Steps vs. Waiting: Early intervention vs "wait and see" approach for ADHD signs
When parents notice early signs that might suggest ADHD risk, they often face a difficult decision: seek Early Intervention
now, or adopt a "wait and see" approach, hoping their child will simply mature or "grow out of it"? Understanding the arguments for early intervention vs "wait and see" approach for ADHD signs
can help families make informed choices.
Acknowledging Parental Concerns: It's natural for parents to hesitate. Concerns might include:
- Fear of prematurely labeling their child.
- Uncertainty about whether the behaviours are truly atypical or just part of being a young child.
- Hope that the challenges are just a phase.
- Worries about the time, cost, or stigma associated with intervention services.
The Case for Proactive Early Intervention
:
- Support, Not Necessarily Labeling: Quality EI focuses on identified developmental needs and skill-building, regardless of any potential future diagnosis. The aim is to support optimal development based on current challenges.
- Building Essential Skills Now: EI directly targets foundational skills (self-regulation, attention, social-emotional learning) crucial for all children, particularly those showing early difficulties. Delaying support means delaying opportunities to build these critical skills during a sensitive developmental period.
- Capitalizing on Early Brain Plasticity: The early years offer a prime window for intervention due to the brain's high degree of adaptability . Early targeted experiences may help strengthen developing neural pathways related to attention and regulation more effectively.
- Empowering Parents Immediately: EI equips parents with positive and effective strategies now, reducing current family stress, improving parent-child interactions, and increasing parental confidence and competence . Why wait to feel more capable and less stressed?
- Addressing Current Impairment: If a child's behaviours are significantly impacting their safety, ability to participate in preschool, social interactions, or causing major family disruption, addressing these impairments now improves the child's and family's current quality of life.
- Better School Readiness: EI helps children develop the foundational skills needed to successfully transition to kindergarten or primary school, potentially preventing them from starting school already facing significant disadvantages .
Potential Downsides of a Pure "Wait and See" Approach:
- Missed Opportunities: Valuable time for early skill-building during peak brain plasticity may be lost.
- Challenges May Escalate: Without support, challenging behaviours may become more ingrained and harder to change later. Frustration and negative patterns can solidify.
- Risk of Secondary Issues: The child may experience ongoing negative feedback, leading to lowered self-esteem, anxiety, or oppositional behaviours that could potentially be mitigated with early support .
- Increased Family Stress: Continuing to struggle without effective strategies can take a heavy toll on parental well-being and family dynamics.
- Entering School Unprepared: The child might face greater academic and social difficulties upon school entry if foundational skills are weak.
Cadabam's Philosophy: Proactive, Positive Support
While respecting family choices, Cadabam’s CDC generally advocates for a proactive approach. If significant developmental concerns are present, exploring Early Intervention for ADHD
indicators provides valuable support tailored to the child's current needs, fostering positive development and empowering families with effective tools, making the argument for early intervention vs "wait and see"
compelling for optimizing outcomes.
The Early Intervention Journey at Cadabam's
Initiating Early Intervention
services at Cadabam’s CDC for concerns related to potential ADHD indicators follows a thoughtful, family-centered process:
- Initial Consultation and/or Developmental Screening:
- The journey begins with parents reaching out to discuss their specific concerns about their young child's development, behaviour, attention, or activity levels.
- An initial consultation allows our specialists to gather a detailed developmental history, understand the family's perspective, and potentially conduct brief developmental screening measures.
- Action: Contact us to schedule an initial consultation or inquire about developmental screening options. [ADHD Assessment]
- Comprehensive Developmental Evaluation:
- If screening or consultation indicates potential developmental concerns, a more comprehensive evaluation is recommended.
- This evaluation is play-based and utilizes standardized assessment tools appropriate for infants, toddlers, or preschoolers (e.g., Bayley Scales, Mullen Scales, ADOS-2 if ASD is also queried, Vineland Adaptive Behavior Scales via parent report), clinical observations of the child during play, and detailed parent interviews/questionnaires.
- The focus is on assessing strengths and needs across multiple developmental domains: cognitive, communication, social-emotional, adaptive behaviour, and motor skills.
- Collaborative Goal Setting (IFSP-like Process):
- Following the evaluation, the clinical team meets with the parents/caregivers to discuss the findings clearly and collaboratively.
- Together, the team develops individualized goals. In EI, these goals often address both child skill development (e.g., "Maya will wait for her turn in a simple game for 30 seconds with one verbal prompt") and family support/coaching (e.g., "Parents will implement a visual schedule for the morning routine 4 out of 5 weekdays"). This mirrors the philosophy of an Individualized Family Service Plan (IFSP) used in some EI systems.
- Intervention Delivery:
- Based on the goals, a tailored intervention plan is created.
- Services are typically delivered through individual or small group sessions involving the child and, crucially, the parent/caregiver.
- Sessions are led by EI specialists (e.g., Child Psychologist, OT, SLP, Early Childhood Special Educator) and utilize
play-based early intervention techniques
focusing onstrategies for preschool ADHD behaviours
and skill-building. - A strong emphasis is placed on parent coaching within sessions – modeling strategies, providing feedback, and empowering parents to implement techniques at home.
- Ongoing Monitoring and Adjustment:
- Progress towards goals is regularly monitored through observation, data collection (e.g., parent logs, therapist notes), and periodic check-ins.
- The intervention plan and goals are adjusted as the child progresses or new needs emerge. Communication between the therapist(s) and family is continuous.
This journey ensures that Early Intervention for ADHD
indicators at Cadabam's is individualized, family-driven, developmentally appropriate, and focused on achieving meaningful functional outcomes.
Meet Our Early Childhood Specialists
Providing effective Early Intervention for ADHD
indicators requires a team with specialized knowledge and experience in early childhood development and neurodiversity. At Cadabam’s CDC, our multidisciplinary team includes professionals dedicated to supporting our youngest clients and their families:
- Child Psychologists (PhD/PsyD): Experts in child development, behaviour, emotional regulation, and assessment. They often lead developmental evaluations, provide parent coaching, and can offer direct play-based therapeutic support.
- Developmental Pediatricians (MD): Medical doctors specializing in child development and behaviour. They can conduct developmental screenings, contribute to differential diagnosis (ruling out medical causes), and provide medical perspectives, sometimes collaborating on complex cases. [ Developmental Pediatrics]
- Occupational Therapists (OTR/L): Focus on supporting participation in daily activities ('occupations') including play, self-care, and preschool readiness. They address sensory processing, fine motor skills, visual-motor skills, self-regulation, and organizational precursors using
play-based
approaches. [Occupational Therapy for ADHD] - Speech-Language Pathologists (SLP / CCC-SLP): Address communication development, including understanding and using language, social communication skills (pragmatics), and pre-literacy skills, all crucial for early learning and interaction. They also work on oral-motor skills impacting feeding, which can sometimes co-occur. [Speech Therapy for ADHD]
- Early Childhood Special Educators / Early Interventionists: Professionals with specific training in early childhood education and intervention strategies for young children with developmental delays or diverse needs. They often excel in
play-based
teaching strategies and parent coaching.
Expert Insights – Focusing on Early Development:
- Quote 1 (Cadabam's Developmental Pediatrician): "
Identifying need for early intervention
(KW3) is not about rushing to a diagnosis like ADHD at age 2 or 3. It's about recognizing significant developmental deviations early and providing evidence-based support to optimize that child's trajectory. Therole of early intervention
is foundational." - Quote 2 (Cadabam's Early Interventionist): "Almost all our
early intervention strategies for preschool ADHD behaviours
are embedded in play. We might use a fun game involving stopping and starting to build impulse control, or a sensory-motor activity to support regulation – it has to be engaging and developmentally right for this age." This highlightsplay-based early intervention techniques
. - Quote 3 (Cadabam's Child Psychologist): "Parents often struggle with the
early intervention vs 'wait and see' approach for ADHD signs
. We emphasize that EI offers skills and support beneficial for any child needing help with regulation or attention, potentiallymitigating long-term impact
by addressing challenges proactively."
Our dedicated early childhood team at Cadabam's provides the specialized expertise needed to effectively implement Early Intervention for ADHD
indicators.
Success Stories: Early Steps, Big Gains
Early Intervention
focused on ADHD indicators can lead to significant positive changes in a young child's skills and a family's well-being. These brief, anonymized examples illustrate the impact of our approach:
-
Story 1: Finding Focus in Circle Time
- Challenge: Three-year-old Aarav consistently ran around during preschool circle time, unable to sit even briefly. His teacher was concerned about his readiness for group activities. Key Need:
Early intervention strategies for preschool ADHD behaviours
. - Intervention: Cadabam's Early Interventionist worked with Aarav and his parents. They used
play-based techniques
involving short, highly engaging seated games, a visual timer for circle time duration, and a picture cue for "sitting feet." The EI specialist also coached the preschool teacher on providing positive reinforcement for brief moments of participation. - Outcome: Over several months, Aarav gradually increased his ability to sit and attend during circle time, initially for 1-2 minutes with support, eventually participating for 5-7 minutes independently, allowing him to benefit from group instruction.
- Challenge: Three-year-old Aarav consistently ran around during preschool circle time, unable to sit even briefly. His teacher was concerned about his readiness for group activities. Key Need:
-
Story 2: Calmer Transitions, Happier Mornings
- Challenge: Four-year-old Isha had intense tantrums daily during the transition from playtime to getting ready to leave daycare. Her parents dreaded pickup time. Key Need: Emotion regulation support and addressing
preschool ADHD behaviours
related to transitions. - Intervention: An OT at Cadabam's coached Isha's parents on creating a predictable end-of-day routine using a visual schedule, giving clear 5-minute warnings before cleanup, and incorporating a brief "heavy work" activity (like helping push a toy cart) just before leaving to
support regulation
. Parents practiced these strategies consistently. - Outcome: While occasional resistance still occurred, the frequency and intensity of Isha's transition tantrums decreased dramatically. Pickups became significantly less stressful for both Isha and her parents, positively
mitigating
the daily impact .
- Challenge: Four-year-old Isha had intense tantrums daily during the transition from playtime to getting ready to leave daycare. Her parents dreaded pickup time. Key Need: Emotion regulation support and addressing
-
Story 3: Learning to Wait (Briefly!)
- Challenge: Two-and-a-half-year-old Ben showed extreme impulsivity, constantly grabbing toys from others and having meltdowns if asked to wait even a moment. Key Need: Building early impulse control using
play-based techniques
. - Intervention: Ben's therapy sessions involved structured turn-taking games with highly motivating toys, using a visual "wait" card, and providing immediate, enthusiastic praise ("Good waiting, Ben!") for even brief moments of waiting successfully. These strategies were coached to parents for home use.
- Outcome: Ben slowly began to demonstrate the ability to wait for 10-15 seconds with prompting in structured situations. While still highly impulsive for his age, this represented significant progress in foundational impulse control, demonstrating the value of
early intervention vs "wait and see"
.
- Challenge: Two-and-a-half-year-old Ben showed extreme impulsivity, constantly grabbing toys from others and having meltdowns if asked to wait even a moment. Key Need: Building early impulse control using
These stories highlight how targeted, play-based
Early Intervention for ADHD
indicators can foster crucial developmental skills and improve daily life for young children and their families.