Supporting ADHD and Autism: Neurologist Shares 5 Tips to Manage Screen Time in Children
In today’s digital era, screen time has become an inseparable part of children’s daily lives. While technology offers educational benefits, excessive use has raised major health concerns. Children diagnosed with ADHD (Attention-Deficit/Hyperactivity Disorder) and autism are particularly vulnerable, as unregulated screen exposure can worsen symptoms like hyperactivity, sleep disturbances, and social withdrawal.
Addressing this growing issue, Dr. Sonam Kothari, pediatric neurologist and co-founder of Butterfly Learnings, recently shared five practical strategies to help parents effectively manage screen time for children with ADHD and autism. His advice was published in Hindustan Times (Aug 31, 2025) and is backed by global pediatric health experts.
1. Use Visual Schedules to Create Structure
Children with ADHD and autism thrive in predictable environments. Dr. Kothari recommends implementing visual schedules to set clear screen-time boundaries. For example: “Homework → 30 minutes of video games → outdoor play.”
Such structured routines reduce stress during transitions, help children mentally prepare for screen-time breaks, and avoid unexpected meltdowns. Visual aids—like charts with pictures or icons—act as reminders and give children a sense of control.
2. Make Screen Time a Reward
Instead of unrestricted use, screen time should be treated as a reward for completing tasks such as schoolwork, chores, or practicing a hobby. This not only limits digital exposure but also instills discipline and responsibility.
According to child behavior specialists, using screen time as positive reinforcement is more effective than imposing strict bans, which often backfire. Parents can gradually teach children the value of balance by linking entertainment to productivity.
3. Be the “Content Curator” and Co-Pilot
Parents are advised to act as content curators and co-pilots rather than passive observers. This means actively monitoring what children are watching or playing, and encouraging educational, calming, and age-appropriate material.
Discussing on-screen activities with children can strengthen bonds and help them develop critical thinking. Experts at the Child Mind Institute highlight that screens, when used purposefully—such as for interactive learning apps or virtual communities—can even offer social and academic benefits to neurodivergent kids. The key is guided engagement, not isolation.
4. Establish Screen-Free Zones and Times
Another effective strategy is designating screen-free spaces and hours at home. Bedrooms and dining areas should remain gadget-free, encouraging healthier sleep routines and family conversations.
Doctors at King George’s Medical University (Lucknow) recently raised alarms about health risks from prolonged device use, urging families to adopt “digital hygiene.” Their advice includes daily screen limits, “device-free zones,” and prioritizing outdoor activities to balance children’s physical and mental health.
5. Keep Fun, Screen-Free Alternatives Ready
Managing screen time is easier when attractive alternatives are readily available. Dr. Kothari suggests preparing a list of fun, non-digital activities—like building blocks, music, sensory play, drawing, or board games.
This way, when children ask for more screen time, parents can gently redirect them toward engaging offline activities. Experts emphasize that these activities are not just substitutes but also crucial for improving creativity, sensory development, and social interaction.
Broader Health Concerns Around Excessive Screen Time
Impact on Vision and Behavior
A New York Post report (June 2025) highlighted research by optometrist Dr. Bryce Appelbaum, who warned that children spending 7–8 hours daily on screens are at risk of developing “convergence insufficiency”—a condition where the eyes struggle to focus together. Shockingly, its symptoms often mimic ADHD, such as restlessness and poor concentration. Vision therapy, digital eye breaks, and reduced screen exposure are recommended solutions.
The Rise of “Virtual Autism”
Doctors in Hyderabad, India, recently reported cases of “virtual autism”, where excessive screen exposure causes autism-like symptoms in children, such as delayed speech, lack of social engagement, and repetitive behaviors. According to experts, while technology itself isn’t the direct cause of autism, unregulated screen time during crucial developmental years can delay social and communication milestones. Active parental interaction and outdoor play are strongly advised as countermeasures.
Mental Health Risks Confirmed by New Study
A recent ArXiv study (August 2025) revealed that children using screens for over 4 hours daily face higher risks of anxiety, depression, ADHD symptoms, and behavioral issues. The research stressed that the damage isn’t just from screens alone but from related habits like poor sleep (18–25% affected), reduced physical activity (30–39%), and irregular routines. This reinforces the idea that managing screen time must go hand-in-hand with ensuring physical activity and proper rest.
Conclusion
Supporting children with ADHD and autism in today’s technology-driven world requires more than simply cutting screen time—it demands balance, structure, and mindful engagement.
Dr. Kothari’s five tips—visual schedules, reward-based screen use, parental co-piloting, screen-free zones, and alternative activities—offer parents a practical roadmap to tackle this challenge. At the same time, growing medical evidence around vision damage, virtual autism, and mental health risks makes it clear that this is not just about behavior but overall child well-being.
Ultimately, parents must approach screen time not as an enemy but as a tool—when managed wisely, it can support learning and growth, but when unchecked, it can harm both mind and body. The balance lies in guided exposure, family involvement, and healthy lifestyle habits.
Also Read: Allu Arjun’s Emotional Tribute to Grandmother Goes Viral.
