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Attention-Deficit/Hyperactivity Disorder (ADHD) in Children in Sub-Saharan Africa.

Discussion
Discussion

A 9-year-old boy from a rural village in Kenya is brought to a local clinic by his mother, who is concerned about his behaviour at school and home. She reports that he has trouble focusing on tasks, frequently interrupts his classmates, and often forgets to complete his homework. His teachers have expressed frustration, noting that he is easily distracted and has difficulty sitting still during lessons.

At home, the boy exhibits impulsive behaviors, such as running into the street without looking and climbing on furniture when asked to sit down. His mother describes feeling overwhelmed, as she struggles to manage his behaviour and maintain a routine. The family is concerned that his behaviour may impact his education and social relationships.

After a thorough assessment by a healthcare provider, including interviews with the mother and teachers, the child is diagnosed with Attention-Deficit/Hyperactivity Disorder (ADHD). The provider explains that this condition is characterized by inattention, hyperactivity, and impulsivity, and emphasizes that it is a recognized disorder that can be effectively managed.

The treatment plan includes behavioural therapy to help the child develop coping strategies, along with guidance for the mother on creating structured routines at home. The provider also discusses the potential benefits of medication, should behavioural interventions alone be insufficient.

With support from both home and school, the child begins to show improvement in his ability to focus and control impulsive behaviours, and his mother feels more empowered to help him succeed. Regular follow-up appointments are scheduled to monitor his progress and adjust the treatment plan as needed.

Questions
1. What primary behaviours led the mother to seek help for her son?

A). Frequent tantrums and defiance

B). Trouble focusing, impulsivity, and hyperactivity

C). Excessive shyness and withdrawal

D). Poor academic performance due to low intelligence

2. How did the teachers describe the child's behaviour in the classroom?

A). He was a model student who rarely caused issues.

B). He frequently interrupts classmates and is easily distracted.

C). He excels academically but struggles socially.

D). He often helps others and shows leadership.

3. What was the eventual diagnosis given to the child by the healthcare provider?

A). Generalized Anxiety Disorder

B). Attention-Deficit/Hyperactivity Disorder (ADHD)

C). Oppositional Defiant Disorder

D). Learning Disability

4. What components were included in the treatment plan for managing the child's ADHD?

A). Strict discipline and punishment

B). Behavioural therapy and structured routines

C). Only medication

D). Alternative medicine and herbal remedies

Reveal answers

Answers

  1. B) Trouble focusing, impulsivity, and hyperactivity
  2. B) He frequently interrupts classmates and is easily distracted.
  3. B) Attention-Deficit/Hyperactivity Disorder (ADHD)
  4. B) Behavioural therapy and structured routines