A child's energy level or rambunctiousness alone does not warrant an ADHD diagnosis if they are functioning well in school, sports, and social relationships.

“if you think to yourself oh my kid has ADHD but they're doing well in school they're progressing in Reading WR arithmetic they enjoy playing sports yeah maybe they're a little bit more rambunctious but they have friends like how would you help a parent sort of navigate that if they if they came to you and said you know I think my son or my daughter has ADHD like what are kind of the the impairment style questions you would be asking to to sort of paint the Contours of this condition even if you acknowledge that boy that that that kid's got a lot of energy”