1. Child psychiatry

2. School refusal Presentation: Peak 5 years Refusal Physical symptoms Anxiety symptoms

3. School refusal Causes Separation anxiety, Neurotic, family School phobia

4. School refusal Similar condition Truancy Management Early return School family counseling

5. Conduct disorder Presentation Aggression, lying, stealing, arson, truancy Emotional symptoms Hyperactivity

6. Conduct disorder Prevalence Most common, more males Causes Genetic factors Social factors Reading difficulty

7. Conduct disorder Prognosis Poor, antisocial personality Delinquency, criminality Management Emotional aspect Behavioral measures

8. Functional enuresis Involuntary voiding of urine day or night twice per month at 5-6 years old Prevalence 10 % 5 years 5% 10 years 2% 15 years

9. Functional enuresis Types Day night Primary secondary Causes Developmental, familial Emotional, social

10. Functional enuresis Management Reassurance, training Behavioral, star charts pads and bell Drugs, imipramine, amitryptylline, Desmopressine

11. Hyperkinetic disorder ADHD Presentation Pervasive poorly organized extreme overactivity with poor attention span Impulsivity School difficulties Comorbid conduct problems

12. Hyperkinetic disorder ADHD Etiology neurodevelopmental Social and emotional factors Management Counseling Remedial teaching Behavioral Stimulants

13. Autism Communication difficulty Verbal and nonverbal Social difficulty Since infancy Stereotyped behavior, rigidity resistance to change

14. Autism also Impaired capacity for empathy Excellent visiospacial skills, mathematical ability And mechanics Behavioral problems

15. Autism Etiology Neurodevelopmental Management Team