Hyperactivity disorder without treatment, scholar failure and future non-integrated children? The role of the Primary Care doctor: in relation to one case
Reference of this article.:
Blanco-Ons Fernández MP, Sánchez Santos L, Domínguez MD. Hiperactivos sin tratamiento, ¿fracaso escolar y futuros inadaptados? Papel del médico de Atención Primaria: a propósito de un caso. Rev Pediatr Aten Primaria. 2006;8:251-6.
Published in Internet: 30/06/2006
Attention deficit/hyperactivity disorder (ADHD) is the most common psychiatric disease
in childhood and the first cause of scholar failure. It is the cause or coexist with other severe
conditions like oppositional-deafiant disorder (ODD) and conduct disorder (CD). The last
one appears in adolescents and in children younger than 10 years and provokes lack of school
integration, rupture of social norms and even commission of criminal acts. Case report: a
10 year-old boy with scholar failure, home and school disturbances in behaviour that included
physic violence directed to mates and teachers. A preliminary diagnosis of disruptive behaviour disorder was made and the patient was referred for specialized psychiatric evaluation.
The final diagnosis was dissocial behavior disorder in an unsocialized child. Metylphenidate
treatment resulted in an evident improvement of behaviour and academic performance.
When faced with a possible ADHD case, the Primary Care pediatrician?s role should be
early detection, starting of treatment when indicated and assessment of therapeutic results.
Early diagnosis is of paramount importance in this disorder because it can drives to a normal
development of the patient avoiding an eventual evolution to a more severe condition.
Keywords: Comorbidity. Scholar failure. Conduct disorder. Attention-deficit hyperactivity disorder.
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