Question

A 6-year-old boy, in the first grade, frequently fidgets and cannot control himself during class, causing his mother concern. She inquires about treatment suggestions.

Answer

Doctors recommend that if behavioral issues are identified early, timely behavioral guidance and treatment should be provided, as the prognosis is usually good. Treatment methods include behavioral therapy, dietary therapy, and medication therapy. Behavioral therapy aims to train children to focus and reduce hyperactive behaviors, while also enhancing self-confidence through rewards. Dietary therapy suggests avoiding the use of artificial colors and preservatives and appropriately increasing caffeine intake. Medication therapy may involve stimulants such as dextroamphetamine and Ritalin, or sedatives like chlorpromazine and thioridazine, along with a high dose of vitamins to improve symptoms. A detailed physical and neurological examination is required before initiating medication therapy.