Problem: Patient is a 7-year-old who was referred by the pediatrician due to problems with inattention, hyperactivity, and impulsivity. The pediatrician has not started any medication, has completed a physical exam, and describes patient as healthy and developmentally on track. The following symptoms have been reported by the family: difficulty staying seated for meals and in school has a hard time staying in his seat, talking, and joking with peers during class time, difficulty waiting for his turn, mom describes patient as "running like a motor." Behaviors sometimes lead to safety concerns. These behaviors are causing problems at home and at school and is impairing his ability to make friends. Parents brought in a report card from school, the teacher included the following notation: he stands at his desk during class, go to sharpen their pencil repeatedly. He touches children as he passes them in the hall, struggles to listen, follow directions and talks excessively. Grades are good, which surprises the teacher, she says he must be focusing more than it appears. Need Assignment Help?