Dr Pervushkin · Nizhny Novgorod

Hyperactivity and attention difficulties in children

Activity, impulsivity and attention difficulty have different causes. ADHD diagnosis requires an appropriate specialist; osteopathy does not replace that assessment or treatment.

Understanding the concern

What to know before booking

A child’s behaviour is shaped by age, sleep, demands, home and school context, hearing and vision, anxiety, development and physical health. The phrase cannot sit still is not enough for diagnosis.

Persistent difficulties seen in more than one setting and affecting learning or relationships warrant paediatric, neurological, child psychiatric or clinical psychology assessment. Information from family and school and alternative explanations matter.

The centre may discuss associated sleep, muscle tension, sensory load and calm body skills. These sessions are not presented as ADHD treatment and do not justify stopping educational, behavioural or medical support.

Reasons to consult

Common concerns

This list helps orientation but does not establish a diagnosis or confirm an indication for osteopathic care.

attention and self-control difficulties at home and school
sleep disturbance and marked daytime tiredness
unusual sensitivity to sound, touch or load
associated headache or muscle tension
parents seeking safe calming strategies without physical restraint

Initial consultation

How assessment works

Assessment and next steps depend on history, existing investigations and the condition on the day.

01
Age, development, sleep, behaviour across settings and existing assessment.
02
Review of physical complaints and indications for paediatrics, neurology, psychiatry, psychology, hearing or vision assessment.
03
Separate goals into medical concerns, movement support or self-regulation skills.
04
Family guidance without labels, shame or promises of rapid behavioural change.

Team approach

Practitioners who may help

Roles are kept distinct: medical diagnosis and treatment are not replaced by wellbeing or consultation practices.

Clinic practitioner

Eduard Pervushkin

As a physician, assesses associated physical and functional concerns and refers to developmental or behavioural specialists when needed.

Qualifications and credentials

Clinic practitioner

Elena Pavlova

May teach calm body and breathing practices in an age-appropriate, playful and voluntary format.

Qualifications and credentials

Clinic practitioner

Elena Sharonova

May support family emotional load and self-regulation within her scope, without replacing ADHD assessment.

Qualifications and credentials

Urgent care

Do not wait for a routine visit

Seek urgent medical care or call emergency services for:

!sudden behavioural change with confusion, seizure or weakness
!a child threatening harm to self or others
!rapid deterioration after head injury or with high fever

Patient questions

Key questions

Can ADHD be diagnosed at an osteopathic consultation?+

No. Diagnosis requires specialist assessment across settings and exclusion of other causes. The clinic physician may recommend an appropriate specialist.

Should medication be stopped before a visit?+

No. Prescribed medication must not be changed without the treating clinician. Provide the name and dose.

Does a parent stay?+

Yes. The format is agreed with parent and child. Any practice is voluntary and stops if the child is uncomfortable.

Have a question?

We will help you choose the right practitioner

Call the administrator or open Telegram or MAX. Please do not send medical records through public channels.

+7 (910) 395-29-70