A., I know this has got to be a terrible ordeal for you and your husband. ADHD can be a real challenge. Do you know of anyone in your family, or your husband's, with ADD issues? ADD does not necessarily manifest itself with the stereotypical hyperactivity. Some ADD's are just the opposite. They can appear almost lethargic at times. Do you know someone in the family who has a hard time staying on track? Go to retrieve their glasses but notice the afternoon paper in the yard; go out to get the paper, notice the garden hose is not put up; take that back to the shed but spot a car window down and detour to roll that up in case it rains ...
Whole comedy routines have been built around that behavior but there is a definite source. In most cases, it's AADD (Adult Attention Deficit Disorder). In recent years some in the medical profession have begun to acknowledge that ADD is not like measles or acne. It is not a childhood disease that kids will outgrow. People don't really outgrow ADD, they just find ways of dealing with it ... or not. Some adults have learned to use the ADHD qualities to help them succeed and even excel in their chosen occupations. David Neeleman, CEO of Jet Blue Airlines is ADD as is the former president of Eastern Airlines (whose name I have long since forgotten, sorry). The former CEO for Kinkos Printing (Paul or Peter Orfalea) is also ADHD.
Unfortunately, too many in the medical profession still refuse to recognize ADD/ADHD as a 'real' condition. And most doctors will refer you to a psychologist. You are fortunate that your pediatrician appears to be of the former mindset rather than the latter.
Recent studies have shown that a tendency to ADD tends to run in families. And too often it is diagnosed backwards. Your child presents with symptoms of ADHD (which, in children, can only be diagnosed anecdotally or through observation). The doctor may ask if anyone else in the family is ADD or if you, or your spouse, ever had problems in school, or keeping a job, or maintaining long-term relationships, or with alcohol or drugs. (Self-medicating is a common method of adult (or even teen)coping.) He may then move back to grandparents.
In back tracking, we start to see that Mom's always being late to every family event is rooted in the fact that she cannot stay on point when she is getting ready to go. Or Dad's alcoholism was not just a spiritual weakness, it was his way of dealing.
Too often, people with ADD are viewed as lazy, or crazy, or just plain stupid. The truth is that ADD's are more likely just the opposite. The brain apparently fires at a higher level than normal and there is a greater percentage of active (as opposed to passive) brain activity. ADD's tend to score generally higher on IQ tests, to be more creative, and can have a greater ability to be problem solvers as they tend to "think outside the box". ADD's also have the seemingly contradictory ability hyperfocus on something to the point of blocking out everything else until they complete or master the particular task.
As you can see, if your son is confirmed to be ADHD, he, and you and your husband, have a lot of challenges in store. And, with the right guidance and information, those challenges can be the stepping stones to an exceptional future. The more informed the medical profession and general public become on ADD the easier it is to diagnose, even in one as young as yours! And the earlier you start on addressing how to deal with his ADD, the better. You are already taking a great first step by controlling things you know trigger his hyperness such as too much video game play. As far as diet is concerned, make sure you avoid as much artificial dyes and processed foods. Processed sugar is a big offender as are the red dyes in almost all processed foods. If you cannot afford to eschew processed sugars altogether, beet sugar, which is readily available in most places, is a better choice than cane sugar as it is less refined and requires more from the digestive system to break it down and process it in the body. Watch for cause-and-effect foods and behavior. That will be your best guide as to what his triggers might be.
You absolutely need to get connected to a child psychologist who can effectively diagnose and treat his ADHD. Be wary if he or she wants to put your son on meds. At his age, he does not need to be putting artifical chemicals in his system. It's hard enough being a toddler without that! (Though, later, you may find medication is helpful in getting your son to focus on school work, etc.) That means you want to interview doctors as any employer would interview a prospective employee. (That is also a good standard for obtaining any new doctor.) Make sure the doctor is a good fit for your concept of treatment for your son. Discuss all options before you begin what can be a lifelong regimen of treatment.
You will also need to learn, not just how to be tolerant and patient with your son's excessive energy and habits, but how to handle issues like teaching him to clean up after himself, hang up his clothes, put something in the garbage ... My first advice on that is, make sure you are making eye contact when you make requests or mete out tasks. And don't overwhelm him with a multitude of duties at one time. At the age of three, one job at a time is about all he can probably handle. As he gets older, you may increase the task load but never exceed more than three tasks at a time. Three seems to be the magic number as far as attention span/retention is concerned, even as an adult.
Don't be surprised if you have to repeat requests several times but, if you make solid eye contact at the outset, you reduce the likelihood of the need for repeating yourself. And you will want to "quality control" to make sure the jobs got done, too. "Did you get your toys put away?" may have to be asked several times before the job is really complete.
For the future, you should also be aware that depression seems to go hand-in-hand with ADD conditions. This is, more likely than not, a result of the sense of failure instilled in those with ADD by a society lacking an understanding of the problems inherent therein. Happily, this situation is slowly turning around as more and more people become aware of the full spectrum of issues faced by ADDs.
Lastly, when your son starts school/pre-school, be sure to let the teachers, class assistants, pre-school workers, anyone else that may be working with him, that he is, in fact, ADD. Assemble information for them as to what to expect and how to deal with his particular symptoms.
I apologize for the voluminous response. ADD's tend to be perfectionists ... and very long-winded.
As you may have guessed, I, too, am ADD as are my son, my daughter, my grandson, my mother... probably more in the family tree than I realize. Some have chosen medication at some time in their lives, others have chosen self-medication (with predictably negative results). All of us are now non-medically controlled and, while some insist on ignoring the symptoms, others are behavior modification controlled. (I live and die by Post-It Notes and my phone/Palm organizer - my brain branch office.) So I have had a lot of experience with the effects, side-effects, and after-effects of the condition. I am also quite passionate about the fact that some, supposedly learned, medical professionals can still say such foolish things as, "It's not that I don't believe in it"! (You believe in the Tooth Fairy or Santa Claus. You don't 'believe' in ADD anymore than you 'believe' in chicken pox! (And a pox on those who think otherwise.))
Good luck to you and your family and I wish you all the best.