Brief Answer:
MUlti - facet management approach.

Detailed Answer:
Hi and thanks for the query,

The family setting, the school teachers and the health care facility/doctors all have their roles to play in the management process.

Normal vision and hearing are the fast aspects to be verified by the doctor. Specific stimulants and tricyclic anti depressants are available and effective for the management of this condition. Confirming the diagnosis is a key component in the management process. Hearing or visual disorders, history any noted past abnormal behavior or psychiatric behavior, or any learning disability as might have been noted by the school teacher or parents are all important.

At family level, you must make the child comfortable. Playing with the child, with other children, engaging the child in social activities, could be useful. You might have to use other techniques to raise self esteem in the child. For instance, rewarding the child at the least thing he does so he actually believes in himself, and feels worthy.

Many classes of drugs as earlier mentioned can be used. he choice shall depend on availability and clinical impression of the treating physician. Even if the diagnosis and management are made by the general physician or family/primary care doctor, biannual evaluations by a psychiatrist could be most helpful in my humble opinion.

Diet, food supplements have not been very effective or have not shown any remarkable improvements in the management of these children. You should therefore consider and comply to the drugs that shall be prescribed and monitored by your doctors

Thanks and kind regards. Get the diagnosis confirmed first, and then, a team approach, with various partner responsibilities engaged to help the child.

Bain LE, MD

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