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Child started behaving strangely. Should I consult a psychiatrist?

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Dr. Gourav Monga

Psychiatrist

Practicing since :2006

Answered : 295 Questions

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Posted on Thu, 28 Mar 2013 in Mental Health
Question: TMy son is 7 years old. He is very smart and intelligent, but shows some abnormal behaviour at school. He irritates other children and sometimes even the teachers. So when my wife goes to school to pick him up many children surround her complaining about my son. This even frustrates my wife. Would like to know whether my son needs to be taken to a psychiatrist for consultation since we do not know the reason for such behaiour.
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Answered by Dr. Gourav Monga 19 hours later
Hello XXXXXXX

Welcome to health care magic and thanks for your query.

I appreciate your concern regarding your son’s behavior. As a psychiatrist, I can easily empathize with you.
First of all, relax and don’t worry.
The points of concern are-
1)     Abnormal behaviour at school
2)     Irritates other children and sometimes even the teachers
3)     Other children complaining about him.

As per your details, your son might be suffering from “Attention deficit Hyperactive disorder” (ADHD). ADHD is a behavioral and neurocognitive condition characterized by developmentally inappropriate and impairing levels of gross motor over activity, inattention, and impulsivity with onset before age 7 years (Age of your son is 7 years).

Its main causes are genetic (If a parent has ADHD, 50 percent of his or her offspring are likely to have that condition) and neurochemical (dopamine, noradrenaline, serotonin etc). It is more common in males.
Main features are
1)     Hyperactivity- e.g. often squirms in seat, talks excessively, runs about driven by a motor, leaves seat in classroom etc.
2)     Inattention- e.g. fails to give attention, difficulty sustaining attention, does not follow instructions etc
3)     Impulsivity- e.g. interrupts other, difficulty awaiting turn etc

In case your son is having the above kind of symptoms, it might be likely that he is having ADHD.
Do not worry as various kinds of treatment modalities are available these days which when timely implemented controls the behavior effectively.

Choices of treatment are
1)     Stimulant drugs like amphetamines and methylphenidate. These drugs have side effects also. So these should be started in close work up with a psychiatrist only.
2)     Non stimulant drugs like Atomoxetine, TCAs etc
3)     Psychosocial treatments like psycho-education, parent training, behavior modification, cognitive–behavioral therapy (CBT), social skills training, and individual therapy.

There are also certain associated conditions like tic disorder, anxiety disorder, conduct disorder, aggression, oppositional defiant disorder etc. Sometimes in children younger than 6 years, it is difficult to distinguish age appropriate overactivity.

For appropriate diagnosis and management, psychiatric consultation is definitely required and do consult as soon as possible as these conditions, if not addressed timely can persist into adolescence and adulthood.

Wish you Good Luck.

Hope I have answered your query. If you have any further questions, I will be happy to help.
If you do not have any clarifications, you can close the discussion, rate the answer and leave a review.

Regards
Dr. Gourav Monga
Consultant Psychiatrist


Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
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Follow up: Dr. Gourav Monga 6 days later
Thank you for the detailed response. Could you please suggest a Psychiatric consultant in Bangalore who can help me by providing proper treatment for my child's behaviour.
doctor
Answered by Dr. Gourav Monga 14 minutes later
Welcome XXXXXXX

I do not have much information about a specific one in bangalore. However, you can search on the health care magic website as there is a detailed list of doctors, speciality and location wise & choose according to the reviews given to them.

If you have any further questions, I will be happy to help.
If you do not have any clarifications, you can close the discussion, rate the answer and leave a review.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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