Hello doctors my son is 7 years old and he is diagnosed with moderate to sever adhd. Had few episodes of fits also for that lacosam has beed prescribed by neurologist. Problems which we are facing is his behaviour, speech is different from others, doesn't pay attention and doesn't concentrate on study or any other work. Only he wants to play or watch tv. He is unable to grasp in regular school. He doesn't answer to anyone except family members. We have arranged special education therapy as well home tuition also but improvement is very negligible. We shall appreciate your guidance so that we can bring him to at par with other children and can become self independent.

If the speech is different from others, then may be there is an additional problem other than adhd. It will require speech therapy if it is causing worry. Answering only his family members and no one else is also not explained by the diagnosis of adhd, so you will need to visit a paediatric neurologist to see what is causing that. Not paying attention and not being able to concentrate on his work are symptoms of his condition of adhd. They will be part of his behaviour always. The therapist may be able to teach him some techniques so that he can handle his adhd better. The family also needs guidance how to manage their expectations. These children need to have their environment tailored in such a way that they have minimal distractions. Also, their work needs to be broken into small manageable parts, rather than trying to get a lot done at once. If special education alone is not working, then he may need the support of medications. These too, the neurologist can prescribe. However, you should get his iq checked to see if there is co-existing issue with that.  

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