WISC-IV Test

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K. L. is a 10-year-old female child that was referred to the pediatrician at the request of school for school failure. Although she does not like to study, she has a good intellectual capacity. The doctor, after checking her and finding no particularly concern, nor impulsive behavior, discharged attention deficit / hyperactivity disorder. She was referred to psychiatry for evaluation of possible emotional problems that justify her low school grades.
At the doctor’s office, K. L. behaved quietly and remained seated throughout the consultation. No objective difficulties in empathy or other psychopathological alterations.
Their parents think she knows a lot more than actually shows. Although she doesn’t like, she is really involved in the school
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She is a girl who does not give problems, "unnoticed". She is very clueless and forgets the books in class. In the last 2 years, her academic performance was low. Her self-esteem is low, always refers not feeling able to study as her peers and that it requires a lot effort. She shows no relationship problems with peers, has not been a rejected child, but not a popular girl either.
The school counselor administered a test to measure her intellectual ability, getting a normal result (CI: 105, with no significant differences in subtests that make up the WISC-IV test, Wechsler Intelligence Scale for Children).
As regards to her history, no perinatal problems, her birth weight and length were also normal. Neurodevelopmental normal. At 7-8 years of age she began with some eye tic function and soon motor tics associated neck. In little more than a year her tics ceased without any therapeutic intervention. There has never presented vocal tics. There was no relevant medical
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It doesn’t seem that the attention problems have to do with her character (both parents and teachers insist she is an obedient child without problems in her behavior).
So it's a girl with major attention problems encountered both at home and at school. Her attention difficulties are not accompanied by symptoms of motor hyperactivity or high impulsivity. The existence of attention disorder along with the presence of symptoms of hyperactivity and impulsiveness would lead to a quickly diagnostic of attention deficit / hyperactivity disorder (ADHD). So, why is so hard to come up with a diagnostic? Probably the answer lies in the emphasis they have received about the symptoms of motor hyperactivity and impulsivity in the concept of