Use childhood onset, symptom timing, and augmentation risk to decide whether restless legs syndrome is the right diagnosis and whether dopamine-directed treatment needs to change. Document the dominant clinical clue and the next bedside decision.

Restless legs syndrome often starts in childhood and can overlap with ADHD; Nonpharmacologic treatment begins with trigger avoidance and regular sleep scheduling; Dopamine agonists, levodopa, gabapentin, and clonazepam are treatment options; Augmentation and rebound mean dopaminergic treatment needs close monitoring; Periodic limb movements commonly accompany restless legs syndrome