0:16
I'm going to leave my clothes on when we go
0:35
I'm Dr. Arias. Thank you. I'm Sarah, and this is
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my son, Andrés. Thank you for coming
0:41
today, Sara. Hi, Andrés.
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Hi, how can I help you? Andrés
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started school this year. I've been
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called several times because he's
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causing problems in class. He spends all his time
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talking to other children when
0:54
the teacher is speaking, and when he's asked to
0:57
behave, he doesn't seem to listen. I
1:00
was worried he was going to have
1:01
problems at school. He
1:05
has so much energy; it seems like nothing
1:08
catches his attention for more than a few minutes, and it's been like this
1:10
since he was 2 or 3 years old.
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I thought this behavior was
1:16
normal, but my sister's children behave the same way.
1:17
Andrés, it's true that you
1:20
spend all your time talking in class, even though you should
1:23
be listening to your teacher. Yes, but
1:25
sometimes I start talking and I forget about
1:27
the teacher. I see. You have problems with
1:30
your teacher. Yes, but I don't want to. Well, let's see
1:33
if we can understand what's
1:34
happening at school. Andrés, do you want to
1:36
draw while I talk to your mom? Yes. Andrés, thank you. Excuse me, you should
1:42
n't behave like this. He
1:45
does everything. He takes too long to do things, he
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runs, he interrupts others when they
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speak as if they are not thinking.
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What are the symptoms that Andrés
1:57
Andrés's symptoms so far
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are: excessive hyperactivity,
2:03
serious difficulty sitting still,
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excessive impulsivity, frequently doing things
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without thinking, and a reference to
2:15
Before asking about the
2:18
behavioral problem in more detail, what should you ask?
2:22
Ask about the child's school performance and
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daily routines. Are they
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affected by hyperactivity and
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understand that you feel frustrated.
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It seems that Andrés has had this
2:36
behavior for some time.
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Tell me, has he been able to finish his homework? I
2:40
thought he did, but the
2:42
teachers told me that it is never
2:44
completed. He is very intelligent, but they told me that he
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may not have achieved the
2:48
necessary grades to pass the
2:50
year. Mom, today at school he drew
2:53
our family and the teacher said it
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was very good. Andrés, I'm talking to you
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because you can't finish your drawing. I ca
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n't sit still for more than five
3:05
minutes. I get distracted easily and always
3:08
have to go see what is happening.
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It seems that he draws very well. What else do you do well? He
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is very active and good at
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sports. Andrés, what sport do you like to
3:17
play? He likes soccer and wants to play it.
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Everything is excellent, and how does he behave at
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home? Normally, my husband and I are
3:25
tired at the end of the day. I feel like we're
3:28
nagging him all the time. Every morning I
3:30
have to remind him to get dressed, to eat
3:32
breakfast, to finish his work, to have his
3:35
backpack, to brush his teeth.
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What else should we explore?
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Explore the impact of
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environmental factors, including fear or trauma,
3:49
medical problems, and rule out other
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priority disorders. Have there been any
3:56
recent changes at home or in the
3:59
family? No, not really. What do
4:04
you and your husband do when he doesn't listen to you?
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Sometimes my husband and I don't
4:08
agree on how to discipline Andrés. My
4:11
husband says I scold him too much, that's why he does
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n't listen to me anymore. He thinks I should
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punish him for misbehaving and give him more
4:17
things to do. Sometimes he can barely
4:19
finish one thing because I
4:21
should give him more chores. We try to
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talk to him and explain what he shouldn't
4:25
We exhaust all resources until we
4:28
hit him. Andrés, Andrés,
4:30
please stop moving around. Look
4:33
in my bag. Come on, pick up your
4:46
And we go outside. We do this a lot because I just do
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n't know what to do. I don't know if we
4:52
can really be... Quiet, Andrés, you were
4:53
drawing very well. Can you finish your
4:55
drawing and then write your name?
4:59
I see it keeps you very busy. Can I
5:02
ask you a few questions? Of course. How has
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your son's development been? Does he have a
5:06
health card? Yes. Have
5:14
you ruled out any medical conditions or other
5:17
priority disorders? Does he have
5:21
a complete health record? Is he
5:24
growing well and has he reached all
5:27
developmental milestones? Is he walking
5:29
very early today? Has he ever had
5:31
seizures or lost consciousness for
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any reason? No. In general, he is
5:40
and is always smiling. He is playful,
5:42
very playful. I would say, "
5:46
Andrés, don't touch that!" "Carry the pot!" "Excuse me." Okay,
5:53
Anyway, I'm glad you brought him. It's
5:56
helpful to be able to observe his behavior, such as
5:59
his behavior with other children. Does he fight
6:01
with them? Do you get the impression that he is
6:03
cruel or that he lies? Does he have
6:05
difficulty getting along with other children? But he
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is not selfish and doesn't fight, and he
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never actually tells lies, even knowing that he will get
6:16
is not a bad child, but I think that's what
6:19
others think when he causes so much
6:25
Based on the symptoms presented
6:27
by Andrés, what behavioral disorder
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should you consider? Symptoms
6:36
persist in multiple settings (home,
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school, doctor's office, etc.),
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exceed those of other children of the
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intelligence level, began before age 6, lasted for at
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least 6 months, and caused
6:58
significant impairment in the child's functioning.
7:05
attention deficit hyperactivity disorder (ADHD).
