Stop, don’t move! A broken voice came from outside the clinic, followed by a naughty boy with a face full of snot being dragged in like an airplane by a middle-aged man, “Doctor, can you give us a look first, this child is really making too much noise”. Seeing the pleading eyes of the parents, I felt compassionate, “The patient behind you please wait a moment, then you come first, please tell us the situation first”. The adult sat down and wrapped his arms around the boy, not even bothering to wipe his sweat, and hurriedly urged an elderly woman to bring out a pile of examination films, “Hello doctor, please give my child a good look, this child is now simply beyond our reach.” The child is called Xiaoming, just started first grade last September, but soon brought the family “disaster” trouble, the class teacher every now and then to Xiaoming’s mother “invited” to school, almost with ” Every day in class, Xiao Ming either talked to the students in the back row or poked the students sitting in front of him, and often took his pencil case apart and put it back together, making a crackling sound that made the class unable to listen at ease; or else he was quite “active” in class. The most outrageous time was when he stood up on the desk to “answer a question” for the teacher. …… Xiao Ming’s father was saying that Xiao Ming started to “relapse” again. “The first time, he stood up on the desk and gave the teacher an answer. After my preliminary diagnosis, Xiao Ming has a typical attention deficit hyperactivity disorder (ADHD) referred to as hyperactivity disorder. The prevalence of this disorder among children in China is about 3% to 5%, and it is one of the most common childhood developmental disorders. Although ADHD is often thought of as an unrelated “health” disorder, its specific symptoms and frequent performance can cause serious and unexpected “problems” for parents and children, as well as for people around them. First of all, children with ADHD usually have more behavioral actions, especially the small movements of hands and feet all the time: scratching their heads and shrugging their noses, running blindly, rubbing the corners of their clothes with their hands, playing with stationery, kicking the chair with their feet, and damaging random objects and appliances, which not only affect themselves, but also disrupt the learning environment in the classroom and are considered as “unstable factors”. Secondly, they often cannot concentrate and are easily distracted by unusual sounds, images and other stimuli from the outside world, showing that they often look around and make strange noises, but are deaf and blind to the sounds and contents they should pay attention to. Third, children with ADHD are easily excited and often behave impulsively. They have difficulty controlling themselves to do things that they should not do at the moment, such as grabbing game supplies and answering questions in class, which can easily cause tension with their partners. Even in the case of negligent supervision by guardians, they commit unimaginable behaviors with serious consequences. I also learned more about Ming’s situation through talking with his father. It is well known, the teacher’s “hate”, the classmates “dislike”, parents “no trick”, but also let Xiao Ming feel very painful. In just one year, Xiao Ming changed schools once because he “couldn’t stay any longer” at his original school, but within a few days at the new school, he was “back to his old ways” and now he has to face a second transfer. At home, even though Ming knew that some of his behavior might disappoint his parents, he was powerless to change himself, and sometimes the complaints and scolding from his parents made him feel deeply helpless. Gradually, Xiaoming began to worry that his parents would no longer love him, that he was not as popular as before, and that he was the abandoned child in the family. This psychological change made him gradually lose his self-confidence, and the originally lively and cheerful child became sullen, restrained, and behaved strangely, even sometimes crying and pulling his hair, tearing his clothes or textbooks hard… … So, I invited Xiao Ming into the child counseling room, and the professional staff assessed his attention tendency and emotional state according to his performance. The emotional assessment suggested that Xiao Ming had a significant anxiety state, and it seemed that the side effects of ADHD were starting to “work”. Therefore, I suggested to Ming’s father that ADHD intervention should be started immediately. In addition to medication, psychological interventions for Ming and his parents are also very important. For Ming’s parents, Ming’s hyperactive behavior and frustration require constant help to regain his lost confidence. For Ming’s parents, the year has been a painful experience, and most of the time they are immersed in self-blame, feeling that they are not “qualified” parents. On the one hand, they are under tremendous pressure from the school; on the other hand, they feel helpless about their child’s behavior, and whenever they are unable to relieve themselves, they vent their anger on their child, which adds to the child’s self-blame. Once the child begins to emotionally “internalize” these feelings and firmly believes that he or she is a “bad child”, self-esteem begins to decline, which will bring more negative factors for the child’s future growth. Therefore, I spent a lot of time teaching Ming’s parents about interventions that would help them better withstand the pressure to take on the role of a parent. Since then, I have also enrolled Xiaoming’s parents in a counseling class for family therapy for children with ADHD, and I also hope that more parents from similar families will have the opportunity to receive parent training where they can learn a lot of expertise about ADHD and learn strategies on how to cope with their children’s troublesome behaviors, which will improve parents’ emotions, enhance their coping skills, and ultimately improve their children’s situation and consciously control their behavior. After three months of this, Ming and his father walked into my office together again, and I greeted them warmly. Ming looked slightly uncomfortable, looked up and down at me with big eyes, and at his father’s urging, said timidly, “Thank you, doctor!” Seeing this situation, I was also sincerely happy that my efforts had paid off.