1 Attention Deficit Active attention retention time is not up to the corresponding level of the child’s age and IQ. Most of the children can not concentrate, can not pay attention in class, easy to be distracted by the interference of the environment, the object of attention is frequently shifted from one kind of activity to another, as if because of the attention to new things and lose interest in the original things. He or she is not able to pay full attention when doing homework and plays while doing it. Constantly changes the content of homework and interrupts homework for reasons such as getting a drink of water or eating something. Carelessness and random scribbling. Homework takes significantly longer. A few children show that they are staring at one place, sitting in the classroom and looking at the teacher, while their minds have already flown out. Mild attention deficit can concentrate on activities that interest them, such as watching TV, listening to stories, etc. Severe attention deficit can’t concentrate on any activities. Henan College of Traditional Chinese Medicine First Affiliated Hospital Pediatrics Du Xiu Bo 2 Excessive activity In an environment that requires relative quiet, the amount and content of activity is significantly more than expected; this is especially prominent in situations that require self-restraint or order. Manifested by excessive restlessness, small movements, and running around. Inability to sit still in the classroom, squirming in his seat, looking left and right, looking around. Shakes table and turns chair to provoke others. Leaves his/her seat and walks around. Talks a lot, makes a lot of noise, or makes a lot of noise to get attention. Enjoys dangerous games, climbs high and low, and likes to play pranks. 3 Impulsivity Quick, imprecise behavioral responses triggered by inadequate information. It is characterized by childishness, capriciousness and poor restraint. Easily provoked impulsive, easily excited by external stimuli, strong sense of frustration. Behavior is abrupt and impulsive; lack of careful consideration beforehand, reckless behavior, dangerous or destructive behavior; not learning lessons afterwards. These are the three core symptoms of ADHD. 4 Learning Difficulties and Cognitive Impairment The learning difficulties of these children are characterized by low academic performance. Possible reasons include: inattention, playfulness, half-understanding of the knowledge taught by the teacher; some of the children with low intelligence, comprehension and comprehension of the decline in verbal or written expression. Some children have low intelligence, decreased comprehension and comprehension, decreased ability to express themselves verbally or in writing; some children have cognitive deficits, such as visual-spatial positional deficits. Some children have cognitive deficits, such as visual-spatial positional disorders, which result in uncoordinated movements and difficulties in reading, writing, calculating, drawing, and analyzing graphs. Left-right discrimination is not possible. They can write upside-down characters, such as “部” for “陪”, “p” for “q”, “b” for “b”, “c” for “c”, “d” for “e”, and “e” for “f”. “p” for “q”, “b” for “d”. The main manifestations are visual/auditory or visual-motor dysfunctions. 5 Maladaptive behaviors 80% of the children have a variety of maladaptive behaviors, such as fighting, talking back, insubordination, stubbornness, bullying, temper tantrums, poor discipline, etc. These maladaptive behaviors are often not the result of the child’s behavior. The emergence of these bad behaviors is often not out of bad character, but they really can not control themselves, but if not pay attention to education, may develop into a character problem. 6 Neurological abnormalities Half of the children can be seen neurological soft signs, rapid alternating movements clumsy, uncoordinated, fine motor inflexibility, physiological reflexes active or asymmetric, not constant pathological reflexes, ataxia activity incoordination (can not walk a straight line, eyes closed, difficult to stand, pointing to the nose or to the finger test is positive) and so on.