Introduction
Hyperactivity in preschoolers is often characterized by a short attention span and lack of focus in children, which can lead to misdiagnoses and misunderstandings. These symptoms might suggest underlying developmental challenges related to play skills, language, or executive functions, often observed during significant growth spurts in early childhood. This blog aims to enlighten parents on the importance of recognizing and nurturing sustained attention through interactive methods to aid in their child’s overall development, paving the way for better emotional and cognitive maturity.
Defining Hyperactivity and Its Implications
Hyperactivity in young children typically manifests as constant movement, impulsivity, and a brief attention span. These children might appear exceptionally bright yet scattered, frequently transitioning from one activity to another without completion. Challenges noted in classroom settings include excessive fidgeting, a competitive nature, and difficulties with turn-taking, which can disrupt not only the affected child but also their peers. It’s crucial to identify underlying causes, such as global developmental delays (GDD) or immature executive functions, to effectively address these behaviors.

Parental Concern Example: A parent of a 5½-year-old describes their child’s difficulty sitting still during lessons, frequent fidgeting, and disruptions to classmates. They wonder if an ADHD evaluation is necessary.
Understanding Executive Functions in Young Children
Executive functions are a set of cognitive processes essential for goal-directed behavior, including behavioral regulation, working memory, planning, organizational skills, and self-monitoring. These skills are crucial for managing daily life and achieving academic success, particularly as children start school.
• What Executive Skill Is | • Possible Impacts on Daily Activities |
• Response Inhibition | • Taking time before making a decision helps consider the impact of choices, whereas acting impulsively can lead to mistakes or regret. |
• Working Memory | • Keeping track of details ensures tasks are completed successfully; forgetting can lead to errors or incomplete tasks. |
• Emotional Control | • Being able to stay calm under pressure aids in making sound decisions, while losing control can disrupt personal and professional relationships. |
• Task Initiation | • Starting tasks efficiently prevents procrastination and ensures timely completion; delay can cause stress and pile-up of duties. |
• Sustained Attention | • Focusing on tasks without distraction improves efficiency and quality of work; lack of focus can lead to errors or incomplete work. |
• Planning/Prioritizing | • Efficient planning ensures successful task completion; poor planning can lead to unmet goals and disorganization. |
• Organization | • Keeping spaces and thoughts orderly helps streamline tasks and responsibilities; disorganization can cause chaos and inefficiency. |
• Time Management | • Managing time well ensures tasks are done in a timely manner; poor time management often leads to chronic lateness or failure to meet deadlines. |
• Flexibility | • Adapting to new situations can lead to new opportunities; rigidity can result in missed opportunities or inability to cope with change. |
• Metacognition | • Reflecting on one’s own thought process helps improve future decision making; lack of self-reflection can perpetuate mistakes. |
• Goal-Directed Persistence | • Setting and achieving goals leads to success and satisfaction; lack of persistence can result in unmet goals and dissatisfaction. |
• Stress Tolerance | • Handling unexpected events calmly can reduce the impact of stress; poor stress management can lead to health issues or emotional breakdowns. |
Importance of Sustained Attention: Sustained attention, a critical component of executive functions, is essential for learning and development. Lack of development in this area can often be mistaken for general hyperactivity.
The Connection Between Sustained Attention and Hyperactivity
Difficulties in maintaining focus on a single task can manifest as hyperactive behavior. This section explores how a lack of sustained attention contributes to behaviors typically labeled as hyperactivity, with real-life examples from both home and school settings.
Does your child show inconsistent attention across different activities?
One of the most perplexing aspects for parents dealing with young children who show signs of hyperactivity is the inconsistency in their behavior across different settings and activities. This inconsistency can be particularly confusing when trying to differentiate between a genuine short attention span and selective engagement based on the child’s interests.
Have you noticed your child engaging deeply in play but struggling with structured tasks?
Many parents observe that their children can spend hours focused on activities they find captivating, such as building complex LEGO structures, solving jigsaw puzzles, or engaging in extensive sessions of solitary pretend play. These activities indicate that the child does not inherently lack the ability to focus but instead displays selective attention, aligning closely with their immediate interests.
Differentiating Based on the Origin of Activity
Whose Idea Is It?
Understanding a child’s focus begins with determining who initiated the activity. Children are naturally more engaged and attentive when participating in tasks they have chosen or that resonate with their current interests. This engagement is often evident as they discuss and expand on the play scenario, showing deep immersion in the activity.
In contrast, activities assigned by adults—whether educational tasks in a classroom or instructions during structured play—might not captivate the child’s interest to the same extent, leading to apparent inattention or hyperactivity.
Following the Conversation
Observing how a child links new information to their existing knowledge can provide insights into their cognitive processes. For example, a child receiving a toy at a family restaurant might later play with the toy and recall the visit, incorporating elements of that experience into their pretend play.
This ability to connect past experiences with current activities suggests a complex level of cognitive engagement and focus. If a child struggles to make these connections, it might seem like they have a short attention span or working memory issues when, in reality, they are just going through the motions without truly engaging with the content.
Maintaining Attention for Learning
While a child may quickly respond to straightforward questions like naming a letter or identifying a colour, more complex interactions requiring deeper cognitive involvement, such as explaining a process (E.g., How seeds grow into plants), or reasoning through a problem (Why is it not right to run across the road), or solving a riddle ( Guess the animals with a few given clues) might prove challenging.
This differentiation is crucial in settings such as classrooms, where tasks often require prolonged focus and deeper cognitive engagement, unlike the more transactional interactions they might excel in during quick, reward-based activities.
Strategies to Support Short Attention Span and Diverse Learning Needs
It can be tempting to think that teaching or training is the key to addressing a short attention span. While adult-led lessons may provide useful information, information alone does little to shape a developing brain. It’s not homework that prepares children for growth, nor is it structured lessons on handling emotions. The good news? Play does! Experience, not just information, is the foundation of emotional and cognitive development.
For some children, free play may not always be feasible. Instead, they benefit from guided interactions tailored to their interests and developmental pace. Through child-led play, children learn to tolerate frustration, regulate emotions, read social cues, take turns, resolve conflicts, and play fairly. They are intrinsically motivated to acquire these skills because they want to stay connected with their parents or play partners and keep the fun going.
Recognizing individual differences is vital for supporting your child effectively. Therefore, our strategies differ from conventional approaches:
1. Encourage Child-Led Play
Allowing children to take the lead in choosing and directing play activities enhances engagement, autonomy, and sustained attention. This fosters executive function skills essential for learning. DIR Floortime is particularly helpful in guiding parents to follow their child's lead in play while providing clear developmental signposts. This approach supports children's ideation and play skills, focusing on how they generate and communicate ideas in play contexts.
2. Facilitate Meaningful Connections
Helping children link past experiences to current activities deepens engagement and understanding. Simple strategies such as discussing daily events, using visual aids, or creating storyboards help children organize their thoughts and improve focus.
3. Create an Engaging and Supportive Learning Environment
A well-structured environment supports a child’s individual differences and enhances focus. For example:
For a visually distracted child: A minimally stimulating environment can help reduce distractions.
For a child with low muscle tone: Providing a beanbag for postural support allows the child to focus on the content rather than exerting effort to stay upright.
These are just general examples—every child has unique needs. A professional assessment can help determine the specific accommodations that support your child’s focus and energy regulation.
4. Support Emotional Regulation
Consistent, responsive interactions help stabilize emotional responses, fostering better cognitive engagement. In play, it is also essential to expand a child’s range of emotional adaptability. This reduces rapid emotional escalations and catastrophic reactions, leading to a child who can co-regulate effectively through social interactions.
5. Balance Structured and Unstructured Play
Both types of play are essential for developing executive functions like planning, sequencing, problem-solving, and adaptability. In Unstructured Representational Play, a child has no pre-written script to follow—he must use language and communication skills to direct his play partner’s actions. Using visualization, he must "paint" the pretend scene in his partner’s mind, ensuring a shared understanding of the play. This process enhances abstract thinking, imagination, and empathy.
6. Seek Professional Guidance When Needed
If a child’s attention, regulation, or behavior significantly impacts their ability to function across settings, consulting a child development specialist can provide tailored strategies and support. Early intervention, DIR Floortime, speech and language therapy, or play therapy in Singapore can be instrumental in addressing these challenges.
By embracing these approaches, we move beyond simply instructing children and instead create enriching experiences that foster attention, emotional growth, and meaningful learning.
Conclusion
Hyperactivity and inattention in preschoolers often mask complex underlying issues related to how they engage with the world around them. By understanding the nuances of your child’s behaviors and the conditions under which they best demonstrate focus and engagement, you can adopt strategies that not only mitigate the challenges associated with global developmental delays (GDD) and emotional dysregulation but also significantly enhance your child’s development and learning experiences.
If you're concerned about your child's attention span or behavior, consider seeking a professional consultation. Contact us at Speech Therapy Adventures for expert guidance on play-based interventions and best speech therapy in Singapore.
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