Children are inherently energetic, sometimes even rowdy. If unruly behavior is the only symptom, then it’s difficult for a professional to say that their problem is truly a mental illness.
“ADHD is a real mental disorder. There are a myriad of reasons why children are inattentive, such as anxiety or inadequate sleep, but a child with attention-deficit disorder (ADD) or ADHD does have a condition. Diagnosis will require observations of numerous symptoms in multiple settings and evidence of significant impairment.” - Joshua Cabrera, MD, clinical psychiatrist and assistant professor at the Texas A&M College of Medicine.