J. Behaviour modification: This is developed in cooperation with school, special service personnel or a psychologist. Parent groups and reading materials can also help.
K. Special educational needs. Some schools offer training in social skills and impulse control.
L.Family therapy and/or individual psychotherapy: Indicated in children who have been abused or neglected which contribute to or exaggerate a primary ADD.
M.A change in the living circumstance or teacher can affect the child.

SUMMARY
a. Diagnosis of ADHD includes impulsive behaviour that is present before the age of 7, with symptoms observed for at least 6 months in at least 2 settings.
b. The role of family physician is to identify treatable causes for hyperactivity (eg. Hyperthyroidism) and to diagnose ADHD as per the guidelines.
c. A complete assessment of educational background and programme is mandatory in children with suspected behavioural problems before making the final assessment and conclusion.
d. A Psychologist reference is indicated in all children with suspected ADHD to avoid overlooking associated emotional problems.
e. The family physician should be thoroughly aware of the drugs used in ADHD, their interactions and adverse effects.