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Child with inattentiveness - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: ADHD
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1776 Questions
User :   My daughter aged 10 does not take interest in any field. She is reasonably good in studies and scores good marks. But we need to be after her everytime. Only if we tell her what to read she reads the same. Same is the problem with every thing else like vocal music, sports. she has a very good voice and we have been taking her to a classical music teacher. But here again she does not practice.How to motivate my child and make her self reliant. Please help                                                                 
Doctor :   hi
Doctor :   Dr. XXXXXXXX here.let me read what you have typed
User :   ok
Doctor :   what other symptoms does she have?
Doctor :   i will need to ask you few more questions to be able to understand her problem. Can I proceed?
User :   she is very lazy and gets irritated when we repeatedly ask to do something. And then frustratedly she does the things to show us that she has done what we have asked her to do.
Doctor :   does she get easily distracted, miss details, forget things, or frequently switch from one activity to another activity?
User :   Yes, very much. Her attention period is very very less. She is not able to concentrate on things. She is addicted to Televion so much that she cannot take her eyes of if the TV is on.
Doctor :   does she have difficulty focusing on any one thing or activity?
Doctor :   does she become bored with any task after only a few minutes, unless she is doing something enjoyable?
Doctor :   does she have difficulty in focusing attention on organizing and completing a task or learning something new given to her unless it is something that she enjoys?
User :   I think so. When i try talking to her, her eyes are always trying to avoid my straight look and looks else where. She gets bored very quickly. But she likes painting and does the same if left to her for long time. But if you try to tell her to learn painting properly she again hates the same.
User :   Yes, she is a very slow learner and does not grasp things very quickly.
Doctor :   does she have trouble in completing or turning in homework assignments, does she often lose things (e.g., pencils, toys, assignments) needed to complete tasks or activities?
User :   But she is very hard worker. She sits and studies for hours together and does not complain.
Doctor :   ok
User :   As i said she is very slow. So she is not able to complete here class work is offen taking books from her friends to complete the same. She loses things at frequent intervals.
Doctor :   Does she not seem to listen when spoken to? does she daydream, become easily confused, and move slowly or have difficulty processing information as quickly and accurately as others of her age? does she struggle to follow instructions.
User :   Yes she has the difficulty in processing information and grasping.
Doctor :   does she fidget and squirm in her seat, become restless, talk nonstop?
User :   No she is not talketive. she is a calm and reserved person
Doctor :   does she dash around, touching or playing with anything and everything in sight? does she have trouble in sitting still during dinner, school, and story time?
User :   One more thing i need to share.
Doctor :   does she have difficulty doing quiet tasks or activities?
Doctor :   yes please proceed
User :   My wife is bit tempermental and gets irritated at his attitude of my child and gets frustrated very easily. This has been there when my daughter was in 2nd or 3rd standard. In her fit of anger she often gives corporal punishment like slapping and beating. When my wife gets into this mood, i have observed that my child is so afraid that she runs around the house to avoid my wife. i have tried to counsel my wife against this also.
Doctor :   Ok, let me read what you have typed.
Doctor :   your wifes behavior wil make the child go worse
User :   Is this attitude of my wife slowing down my daughter's responses and making her repel the things.
Doctor :   she has to stop it and help her mentally and emotionally to come out of this
Doctor :   let me continue with my questions, then i will come to the recommendations
User :   ok
Doctor :   does she become very impatient at times? does she blurt out inappropriate comments, show their emotions without restraint, and act without regard for consequences or have difficulty waiting for things she wants or waiting for her turns in games?
User :   my wife?
Doctor :   no, not your wife. the question is regarding your child
Doctor :   i will first finish discussing about your child and give recommendations, then come to your wife's problem
Doctor :   please provide answers to the questions asked.
User :   Yes she becomes very impatient at frequent intervals and talks in approprately to my wife. Yes even when playing with my younger daughter she does not give chance to her and she wants all for herself.
User :   One more important thing about my child
Doctor :   yes please proceed
User :   From childhood she has not been able to make friends at any school. In these 5 to 6 years she has only one or two friends with whom she talks her heart out.
Doctor :   ok. it is common for these children to be reserved
Doctor :   and open up to people they trust
User :   Exactly
Doctor :   your child seems to be suffering from ADHD (Attention Deficit Hyperactivity Disorder). it is of 3 types, and the child seems to be suffering from the type called as Predominantly inattentive type ADHD.
Doctor :   the treatment consists of 1)proper evaluation by a child psychologist, 2) medications as apropriate, 3) behavour modification therapy, 4) diet changes
Doctor :   4) emotional and mental support
Doctor :   5) diet supplementation with omega3 fatty acids or fish oil
Doctor :   the child should feel she is wanted, and that she has all the support from parents better than her friends
Doctor :   with time and these measures in place, she will improve and be fine
Doctor :   have you followed what I have said?
User :   yes.
Doctor :   shall we proceed with the problem your wife is facing?
User :   Before that what is the emotional and mental support. Can you please elaborate
Doctor :   this means to be patient and understanding with the child. understand her side of psychology in why she is reacting in such a way
Doctor :   and help her not to do it or modify it gently
Doctor :   in a persuasive firm but friendly way, if anger is shown, she will never correct herself, but with love and affection, she will be ready to do anything
Doctor :   have you followed now?
User :   yes.
Doctor :   ok
User :   What do you want to know about my wife
Doctor :   you have to tell what is bothering you regarding her? what abnormalities you have noted in her since the time you got married and now.
Doctor :   it will help in analyzing what could be happening and what can be possibly done for her.
User :   ok
User :   My wife is from a small town. She has had a problem with her education also. She is also a very slow learner and has not been very good at studies. she has been learning music and has been participating in competetions in her small way and standing first all time.
Doctor :   ok
User :   But when she got married to me she has come over to a very large city and found that her learning and ability did not match with the requirment here. So she has become very evasive in my family circles where most of them are very educated and learned in music. She has lost her complete self confidence.
Doctor :   ok
User :   She is a bit short tempered not that is she looses temperment for each and every thing. She realises as to what she is losing because of here lack of confidence and not being good at school ( she has remained as a house wife) and music. From this is arising all her frustration and anger that my daughter is not doing things as my wife visualises.
User :   She repeatedly says that my daughter should not become like me and should lead and independent and good life.
Doctor :   ok.
Doctor :   your wife has suffered a lot of loss from self confidence.
Doctor :   she will definitely have better things too, and talents that others will not have
Doctor :   try to get her focussed on those things
Doctor :   she should be counseled to have realistic expectations and not make things worse.
Doctor :   she needs psychiatric/psychologic help too to overcome her lack of self confidence and to cope up with realities of life and your childs condition.
Doctor :   as she has to play a major role in getting your child treated and lead a normal life
User :   Thanks doctor.
Doctor :   you can opt to take second opinion for your child's and wifes problem with this specialist from our panel
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Doctor :   visit this link for the same
Doctor :   is there anything else I can help you with?
User :   No thank you very much doctor
Doctor :   thanks for consulting me. bye for now.
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