Brief Answer:
It could be due to poor self esteem
Detailed Answer:
Hello,
Thanks for choosing health care magic for posting your query.
I have gone through your question in detail and I can understand what you are going through.
One common possibility I have noticed in my clinical practise is that the patients of eneuresis have a low self esteem and low confidence. Sometimes the things can get further worse to develop
depression as well. He should meet a
psychiatrist who can assess him for depression.
Imipramine or escitalopram should he agood drug to treat depression.
The second possibility is that many patients of eneuresis have comorbid
adhd as well with predominant symptom of inattention. This may persist in adult oife as well. A trial of
methylphenidate in improving concentration should be good.
Regarding the
enuresis problem, behavioural therapy is the therapy of choice for his age. Imipramine can give a headstart to behavioural therapy.
Hope I am able to answer your concerns.
If you have any further query, I would be glad to help you.
If not, you may close the discussion and if possible you may rate the answer for me, so that I get a good feedback.
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Wish you good health,
Kind regards
Dr. Srikanth Reddy M.D.