How to avoid a misdiagnosis when a child is young for his class:

One reason immaturity might be confused with ADHD is that ADHD itself has been linked to a delay in brain maturation. An older child with ADHD might present behaviours that are typical in a younger child — and the opposite could be true if your frame of reference is older children. Several  important neuroimaging studies have shown delays in brain development in kids with ADHD.

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