NASET’s ADHD Series
Teaching Students with ADHD: 14 Questions & Answers for Supporting Educators
This issue of NASET’s ADHD Series offers a practical and accessible resource for teachers seeking to better understand and support students with Attention-Deficit/Hyperactivity Disorder (ADHD) in the classroom. Key characteristics of ADHD, the impact of symptoms on learning and behavior, and the importance of early identification and intervention are addressed. This Q & A article also explores instructional strategies, accommodations, and effective techniques to enhance engagement, self-regulation, and academic performance for those students with ADHD.
- What are the core symptoms of Attention-Deficit/Hyperactivity Disorder ADHD that impact learning in the classroom?
The 3 core symptoms of students with ADHD are: Inattention, hyperactivity, and impulsivity.
Inattention
Inattention refers to difficulty sustaining focus and resisting distractions. Children with ADHD who exhibit inattention may:
- Struggle to pay close attention to details or make careless mistakes
- Have trouble staying focused on tasks or play activities
- Seem not to listen even when spoken to directly
- Fail to follow through on instructions or finish schoolwork or chores
- Avoid or dislike tasks that require sustained mental effort
- Frequently lose items necessary for tasks (e.g., pencils, books, toys)
- Be easily distracted by unrelated stimuli
- Be forgetful in daily activities
Hyperactivity
Hyperactivity involves excessive movement and difficulty staying still or quiet when expected. Children with ADHD who are hyperactive may:
- Fidget or squirm in their seat
- Leave their seat in situations where remaining seated is expected
- Run or climb in inappropriate situations (in teens and adults, this may appear as restlessness)
- Have difficulty playing quietly
- Talk excessively
- Always seem to be “on the go” or act as if “driven by a motor”
Impulsivity
Impulsivity means acting without thinking and having difficulty waiting or taking turns. Children with ADHD who are impulsive may:
- Blurt out answers before questions have been completed
- Have difficulty waiting for their turn
- Interrupt or intrude on others’ conversations or games
- Act without considering the consequences, which can lead to safety issues or conflicts
These characteristics can vary in intensity and impact, and not all children with ADHD show all three. ADHD is often diagnosed as one of three types: Predominantly Inattentive Presentation, Predominantly Hyperactive-Impulsive Presentation, or Combined Presentation (when both sets of symptoms are present).
2. How can teachers help students with ADHD stay organized?
Here are three effective ways teachers can help students with ADHD stay organized:
Use Visual Schedules and Checklists
- Post a daily visual schedule in the classroom and provide individual copies.
- Create step-by-step checklists for assignments or routines (e.g., morning unpacking, turning in homework).
- Use icons, colors, or pictures for younger students or those with reading difficulties.
Benefit: Helps students know what to expect and stay on track with tasks.
Break Tasks into Manageable Steps
- Divide large assignments into smaller, clearly defined parts.
- Provide one task at a time rather than multiple instructions at once.
- Use timers or cues to signal when to begin and end tasks.
Benefit: Reduces overwhelm and improves task initiation and completion.
Provide a Structured Work Environment
- Designate a consistent place for storing materials (folders, bins, labels).
- Use color-coded folders or notebooks for each subject.
- Help students clean out desks or backpacks regularly.
Benefit: Minimizes distractions and helps students locate and manage their materials more easily.
These strategies support executive functioning challenges common in ADHD and help promote independence and confidence.
3. What classroom seating arrangement is best for students with ADHD?
Seat Near the Teacher (Preferential Seating)
- Place the student close to the teacher and instructional area.
- Allows for frequent monitoring, redirection, and encouragement.
Why it works: Reduces distractions and makes it easier for the teacher to provide immediate support.
Away from Distractions
- Seat the student away from windows, doors, noisy classmates, or high-traffic areas.
- Avoid placing the student near chatty peers or class clutter zones.
Why it works: Minimizes visual and auditory distractions that can interfere with focus.
Flexible Seating or Quiet Zones
- Provide an alternative space (e.g., a quiet corner, standing desk, or wiggle seat).
- Allow movement breaks or seat changes during independent work.
Why it works: Offers options for movement and self-regulation without disrupting others.
4. How should instructions be delivered to students with ADHD?
Instructions for students with ADHD should be delivered in a clear, concise, and supportive way to help them focus, understand, and follow through. Here are effective strategies:
Give Short, Clear, and Direct Instructions
- Use simple language and short sentences.
- Break complex directions into smaller, manageable steps.
- Avoid giving too many instructions at once.
Example: Instead of saying, “Finish your worksheet, put it in the bin, pack your bag, and line up,” say, “First, finish your worksheet. Then raise your hand.”
Repeat and Check for Understanding
- Ask the student to repeat the directions back in their own words.
- Use prompts like, “What do you do first?” or “Tell me the next step.”
Why: Ensures they have processed and remembered the instructions.
Use Visual and Written Supports
- Provide written directions, visual cues, or picture schedules.
- Highlight or color-code steps to increase clarity.
Why: Helps students stay on task, especially if they struggle with working memory.
Give One Step at a Time
- Allow students to complete one step before moving on to the next.
- Use timers or verbal cues to pace them through tasks.
Why: Prevents overwhelm and increases task success.
Use Positive and Encouraging Tone
- Deliver directions in a calm, positive voice.
- Reinforce compliance with praise or encouragement.
Why: Builds trust and motivates the student to stay engaged.
5. How can lessons be adapted to support focus and engagement?
To support focus and engagement for students with ADHD, lessons can be strategically adapted in the following ways:
Use Multisensory Teaching
- Incorporate visuals, hands-on activities, movement, and audio.
- Use manipulatives, graphic organizers, role-plays, or videos.
Why: Engages multiple senses, increases interest, and helps sustain attention.
Chunk Instruction and Vary Activities
- Break lessons into short, manageable segments (10–15 minutes).
- Alternate between listening, doing, discussing, and moving.
Why: Prevents boredom and mental fatigue, which often lead to inattention.
Incorporate Frequent Movement Breaks
- Include quick physical breaks (stretching, walking, brain breaks).
- Let students stand, pace, or use fidget tools when appropriate.
Why: Movement helps regulate energy and improve focus for students with ADHD.
Set Clear, Consistent Expectations
- Post and review clear routines and behavior expectations.
- Use visual cues and timers to manage transitions and time on task.
Why: Predictability reduces anxiety and supports sustained effort.
Provide Immediate and Positive Feedback
- Reinforce on-task behavior and participation right away.
- Use specific praise (“Great job focusing during the reading!”) and rewards when needed.
Why: Encourages continued engagement and builds motivation.
Offer Choices and Student Voice
- Let students choose how to complete tasks (e.g., draw, write, present).
- Include interest-based topics when possible.
Why: Increases ownership and relevance, making students more invested.
Use Technology Thoughtfully
- Use educational apps, timers, or tools that support task completion and organization.
- Avoid tech that overstimulates or distracts.
Why: The right tools can support focus, while poor choices can cause distractions.
By combining structure, flexibility, movement, and motivation, teachers can create lessons that better meet the attention and learning needs of students with ADHD.
6. What type of behavior interventions work best?
Behavior interventions that work best for students with ADHD are those that are consistent, positive, structured, and individualized. Here are the most effective types of behavior interventions:
Positive Reinforcement Systems
- Provide immediate and specific praise or rewards for desired behavior (e.g., “I like how you raised your hand before speaking”).
- Use token systems, sticker charts, or point-based reward systems.
Why it works: Encourages repetition of good behavior by focusing on what the student is doing right.
Clear Rules and Expectations
- Establish and teach simple, consistent classroom rules.
- Post visual reminders of the rules and review them regularly.
Why it works: Provides clarity and structure, reducing confusion and impulsive behavior.
Behavior Contracts
- Create a written agreement outlining specific behaviors and the rewards or consequences associated with them.
- Involve the student in setting goals to increase buy-in.
Why it works: Promotes accountability and gives students a clear sense of what is expected.
Daily Behavior Report Cards (DBRCs)
- Use a chart or checklist that tracks behaviors throughout the day.
- Send it home for parents to review and reinforce with praise or small rewards.
Why it works: Improves communication between home and school and helps track progress over time.
Planned Breaks and Self-Regulation Strategies
- Schedule short, regular breaks for movement or relaxation.
- Teach and model self-regulation tools (deep breathing, stress balls, calming routines).
Why it works: Helps students manage their energy and emotions proactively.
Ignore Minor Misbehaviors and Redirect
- Use planned ignoring for attention-seeking behaviors that aren’t disruptive.
- Redirect the student’s attention to appropriate tasks with calm, neutral cues.
Why it works: Prevents power struggles and keeps the focus on learning.
Teach Social and Emotional Skills
- Incorporate lessons or interventions that build skills like impulse control, problem-solving, and emotional regulation.
- Use role-playing, social stories, or small-group instruction.
Why it works: Addresses underlying challenges that contribute to behavioral difficulties.
Consistent Consequences
- Respond to misbehavior with fair, predictable consequences.
- Follow through calmly without escalating the situation.
Why it works: Builds trust and reinforces the connection between behavior and outcomes.
The key to success with ADHD behavior interventions is to be patient, proactive, and consistent. Interventions should be reviewed and adjusted regularly based on what works best for the individual student.
7. How can impulsive behavior be managed in the classroom?
Managing impulsive behavior in students with ADHD requires a combination of prevention strategies, consistent structure, and supportive interventions. Here are effective ways teachers can address and reduce impulsivity in the classroom:
Teach and Practice Self-Regulation Skills
- Use simple strategies like deep breathing, counting to 10, or squeezing a stress ball.
- Model and role-play how to pause before acting or speaking.
Why it works: Helps students develop internal tools to manage their impulses.
Use Visual and Verbal Cues
- Create quiet hand signals or use visual reminders (like a “Stop and Think” sign) to signal when the student needs to pause or reflect.
- Prompt with cues like “What’s the rule?” or “What should you do next?”
Why it works: Promotes awareness and helps redirect behavior in the moment without drawing negative attention.
Provide Clear and Predictable Structure
- Keep routines consistent and post a visible schedule.
- Give warnings before transitions and changes in activity.
Why it works: Predictability reduces anxiety and the likelihood of impulsive reactions.
Use Positive Behavior Reinforcement
- Reward self-control and appropriate behavior with praise or a token system.
- Acknowledge small steps, such as raising a hand instead of shouting out.
Why it works: Encourages repetition of good behavior and builds confidence.
Give Opportunities for Movement
- Offer frequent short breaks or tasks that allow physical activity (e.g., passing out papers, using a standing desk).
- Incorporate movement into lessons when possible.
Why it works: Helps release excess energy that can lead to impulsivity.
Break Tasks Into Smaller Steps
- Present one instruction at a time to avoid overwhelming the student.
- Use checklists or task cards to guide work completion.
Why it works: Reduces frustration and supports focus and impulse control.
Seat Strategically
- Place the student near the teacher and away from high-traffic or high-distraction areas.
- Avoid seating near peers who might provoke or distract.
Why it works: Minimizes external triggers for impulsive behavior.
Teach Social Skills and Perspective-Taking
- Use small-group lessons or social stories to explore empathy, turn-taking, and how actions affect others.
- Reinforce appropriate social behavior with feedback and support.
Why it works: Helps students understand the impact of impulsive actions on relationships and classroom dynamics.
8. How should teachers handle homework for students with ADHD?
Teachers should handle homework for students with ADHD in a way that reduces overwhelm, supports organization, and encourages success. Here are practical strategies:
Assign Clear and Manageable Homework
- Keep assignments short and focused on essential skills.
- Avoid busywork or tasks requiring long periods of sustained attention.
Why it works: Reduces frustration and increases the chance of completion.
Provide Written and Visual Instructions
- Give clear, step-by-step directions both verbally and in writing.
- Use checklists or visual reminders when possible.
Why it works: Supports memory and helps students follow through independently.
Use a Homework Planner or Folder System
- Teach and monitor the use of a consistent planner or take-home folder.
- Color-code subjects or use visual cues to help keep materials organized.
Why it works: Helps students remember what to do and where to find it.
Break Down Larger Assignments
- Divide projects into smaller tasks with individual deadlines.
- Check in regularly on progress and offer guidance as needed.
Why it works: Makes long-term assignments more manageable and prevents last-minute rushes.
Allow Extra Time or Modified Assignments
- Reduce the length or adjust expectations when needed (e.g., fewer math problems).
- Allow extra time to complete homework if attention and processing speed are issues.
Why it works: Provides a fair chance to succeed based on individual needs.
Communicate with Parents
- Keep parents informed of assignments through planners, apps, or weekly emails.
- Collaborate on routines and strategies that work best at home.
Why it works: Strengthens home-school connection and ensures consistency.
Offer Incentives and Positive Feedback
- Use praise, stickers, or small rewards to recognize completed homework.
- Emphasize effort and improvement, not just accuracy.
Why it works: Builds motivation and confidence in their ability to succeed.
Provide Homework Support Time
- Allow in-class time or after-school help sessions to start or complete assignments.
- Pair with a peer buddy or support staff when possible.
Why it works: Reduces procrastination and provides needed assistance.
Homework for students with ADHD should focus on quality over quantity, be clearly structured, and come with support systems to help the student stay on track and feel successful.
9. What role does movement play in helping students with ADHD?
Movement plays a critical role in helping students with ADHD by supporting their attention, self-regulation, and overall engagement in learning. Here’s how:
Regulates Attention and Focus
- Physical activity helps increase dopamine and norepinephrine levels in the brain—chemicals that are often underactive in individuals with ADHD.
- Movement can boost alertness and help students refocus after periods of inattention.
Example: A short walk or stretch break can help a student return to their desk ready to concentrate.
Releases Excess Energy
- Many students with ADHD have a strong need for physical activity to stay calm and attentive.
- Without movement opportunities, they may fidget, leave their seat, or disrupt others.
Example: Giving a student a job that involves walking (e.g., delivering papers) helps them release energy in a purposeful way.
Improves Self-Regulation and Behavior
- Structured movement breaks can reduce impulsivity and aggressive behavior.
- Physical activity supports emotional regulation, helping students manage frustration or anxiety.
Example: Activities like yoga, breathing exercises, or bouncing a ball can help calm the nervous system.
Enhances Learning and Retention
- Kinesthetic (movement-based) learning can help students internalize information more effectively.
- Incorporating motion into lessons makes learning more engaging and memorable.
Example: Acting out vocabulary words or using hand motions in math can boost comprehension.
Promotes Social Interaction and Confidence
- Group games and physical education can build social skills, such as cooperation and turn-taking.
- Success in physical activities may boost self-esteem, especially for students who struggle academically.
Example: A student who finds reading hard may thrive in a game of kickball or a dance activity.
Practical Ways to Include Movement:
- Brain breaks (e.g., GoNoodle, stretching)
- Flexible seating (e.g., wiggle cushions, standing desks)
- Movement-based transitions (e.g., hop to the door, march in place)
- Active learning strategies (e.g., scavenger hunts, walk-and-talks)
Movement is not a distraction for students with ADHD—it’s a tool that helps them thrive academically, socially, and emotionally. Integrating frequent, purposeful movement into the school day can greatly enhance their success.
10. How do you build a positive relationship with a student who has ADHD?
Building a positive relationship with a student who has ADHD is essential for their success and emotional well-being. These students often experience frequent correction, frustration, and social challenges—so a strong, supportive connection with a teacher can make a powerful difference. Here’s how to build that relationship:
Show Consistent Patience and Understanding
- Accept that the student’s behaviors (inattention, impulsivity, restlessness) are not intentional defiance.
- Stay calm and avoid reacting emotionally to challenging behavior.
Why it works: Builds trust and shows the student they are accepted and safe in your classroom.
Focus on Strengths, Not Just Challenges
- Highlight the student’s talents, creativity, humor, or persistence.
- Give opportunities to shine in areas they enjoy (e.g., art, building, helping others).
Why it works: Builds self-esteem and shows that you see them as more than their difficulties.
Use Positive Reinforcement Frequently
- Catch them doing the right thing and praise it immediately (“I noticed how you waited your turn—great job!”).
- Recognize effort, not just results.
Why it works: Increases motivation and encourages more positive behavior.
Give Them a Voice
- Involve the student in problem-solving and decision-making (“What helps you stay focused during reading?”).
- Offer choices when possible (e.g., where to sit, how to complete a task).
Why it works: Builds respect and a sense of ownership over their learning.
Maintain Open, Low-Stress Communication
- Use a warm, encouraging tone.
- Check in regularly with simple questions like “How are things going today?” or “Need help with anything?”
Why it works: Helps the student feel seen, supported, and connected.
Create Predictable Structure
- Use routines and visual schedules to reduce anxiety and confusion.
- Be clear and consistent with expectations and consequences.
Why it works: Gives the student a sense of control and reduces stress.
Celebrate Progress, Not Perfection
- Acknowledge small improvements and steps forward.
- Celebrate effort with encouragement, notes, or classroom rewards.
Why it works: Reinforces a growth mindset and builds momentum for continued success.
Partner with Families
- Share positive updates with parents, not just concerns.
- Ask families what works well at home and how you can support consistency.
Why it works: Builds a support team around the student and shows genuine investment.
Students with ADHD often try hard but face constant hurdles. A caring, consistent adult who sees their potential can change their educational experience—and sometimes their entire self-image. Building that relationship is one of the most meaningful things a teacher can do.
11. What is a 504 Plan and how can it help a student with ADHD?
A 504 Plan is a formal agreement developed under Section 504 of the Rehabilitation Act, a federal law that ensures students with disabilities receive the accommodations they need to access education equally. Unlike special education services, which are provided under the Individuals with Disabilities Education Act (IDEA), a 504 Plan is designed for students whose disabilities may not require specialized instruction but still impact their ability to learn in a general education setting. The plan outlines specific accommodations and supports tailored to the student’s unique needs, ensuring they have an equal opportunity to succeed academically alongside their peers.
For students with ADHD, a 504 Plan can be especially helpful in addressing the challenges related to attention, impulsivity, and hyperactivity that may interfere with learning. It provides practical accommodations such as extended time on tests, preferential seating away from distractions, scheduled breaks for movement, and organizational supports like checklists or planners. These adjustments help students manage their symptoms more effectively, stay focused, and reduce frustration. By leveling the playing field, a 504 Plan promotes not only academic achievement but also the student’s confidence and engagement in school.
12. How can teachers promote self-regulation in students with ADHD?
Teachers can promote self-regulation in students with ADHD by creating a structured and supportive classroom environment that encourages awareness and control of their own behavior. One effective approach is to teach explicit self-regulation strategies such as deep breathing, counting to ten, or using a quiet signal to pause and think before acting. Modeling these techniques and practicing them regularly helps students develop tools they can use independently. Additionally, breaking tasks into smaller, manageable steps with clear, consistent routines allows students to focus better and reduces feelings of overwhelm, which can often trigger impulsive or inattentive behaviors.
Another way teachers promote self-regulation is by providing frequent, immediate feedback and positive reinforcement when students demonstrate self-control and focus. Using visual supports like checklists, timers, or behavior charts helps students monitor their own progress and stay motivated. Allowing opportunities for movement breaks or incorporating kinesthetic learning activities also helps students manage excess energy and maintain attention. By combining these strategies with patience and encouragement, teachers empower students with ADHD to build greater independence and confidence in managing their behaviors and emotions throughout the school day.
13. What is the teacher’s role in identifying students who may have ADHD?
The teacher’s role in identifying students who may have ADHD is crucial because they are often the first to observe behaviors that indicate attention, hyperactivity, or impulsivity challenges in the classroom setting. Teachers spend significant time with students and can notice patterns such as difficulty sustaining attention, frequent daydreaming, excessive fidgeting, or impulsive actions that interfere with learning and social interactions. By carefully documenting these behaviors and noting when and where they occur, teachers provide valuable information that can help guide the evaluation process. Early identification is important because it allows students to receive the support and accommodations they need to succeed academically and socially.
In addition to observation, teachers play an essential role in communicating concerns with parents, school counselors, and special education teams. They can share specific examples and data about the student’s behavior, academic performance, and how the student responds to classroom interventions. Teachers can also implement initial strategies and accommodations to support the student while the formal assessment is underway. Their collaboration with families and specialists helps ensure a comprehensive understanding of the student’s needs and leads to appropriate referrals for ADHD evaluation, ultimately contributing to better educational outcomes.
14. How do you prevent burnout when teaching students with ADHD?
Preventing burnout when teaching students with ADHD involves maintaining a balance between dedication to student success and self-care. Teachers should set realistic expectations and recognize that progress with students with ADHD can be gradual and non-linear. It’s important to celebrate small victories and focus on the positive impact made rather than getting overwhelmed by challenges. Establishing clear boundaries, such as designated times for work and personal time, helps maintain mental and emotional energy. Regular breaks during the day and opportunities for stress relief, like mindfulness exercises or physical activity, can also rejuvenate a teacher’s focus and patience.
Another key to preventing burnout is building a strong support network. Collaborating with colleagues, special education staff, and families allows teachers to share strategies, reduce isolation, and gain new perspectives on managing difficult situations. Professional development focused on ADHD and classroom management can boost confidence and provide fresh ideas. Additionally, using resources such as classroom aides or technology tools can lighten the workload. By prioritizing self-care, seeking support, and staying informed, teachers can sustain their passion and effectiveness while creating a positive learning environment for students with ADHD.