MEDORRHINUM - Dr ANITA BAJAJ

CASE OF BIHAVIOR PROBLEM OF CHILDREN
15 years old boy studying in tenth std.basically from Mumbai but from last 31/2 yrs settled in Surat as father's company shifted there.father doesn't like to stay alone hence he took his family there.in Surat they stay in industrial area, at the outskirts of city hence facilities are very poor.he has to travel long distance in hot sun on bike or rickshaw.again for tuition he has to travel almost the same distance to and fro.life in Mumbai was much easier . everything close to house and joint family with cousins and aunt who used to take his studies and guide him, discipline him .she is a teacher and her children are well settled in shipping line.after shifting he developed allergic rhinitis adenoids and finally asthma since 4months .due to climate there hot and dusty ,with travelling ,no time to play or rest. he gets itching watering eyes severe nose block with snoring breathlessness. his studies hv suffered . concentration poor ,forgets easily and becomes blank during exams .he also has skin dryness worse in winter. his behaviour too changed .doesn't listen to mom .grandparents pamper him .tell mom to leave him if she scolds. he back answers, throws things when angry .but sensitive if scolded weeps internally. his upbringing too not smooth his real mother left when he was 4months.aunt wanted to adopt him but grandparents wanted him back after he grew up hence aunt backed out .grandparents on one hand couldn't cope up .used to hit him .grandma would keep him in bathroom when she did her washing etc. sec mother came after 3-4 years. very caring .pt doesn't even know she is not his real mom but grandparents badmouth her and don't allow her to control him. hence he takes their shelter. mother is under social pressure too if he goes out of hands she will be blamed. but is helpless. he scored3/80 in english. does cheating clicks pic of answers to copy. will bribe younger sister to hide his wrongdoings .changes marks on report card ,lies. for the fear of scolding .if mistake keeps quiet if mother very angry.he listens to aunt so mother complaints to her. he will complete task given by her though won't complete school or tuition work. he is attached to father as he fulfillS his wish of giving him bike good clothes etc .he rides bike rash that too on highway .mother gets scared hides the keys yet grand parents tell her not to keep restrictions. he is like a loose bird as no traffic there he speeds .he likes animals goats etc. he has nail biting .is reserved has lot of fears dark, being alone, ghosts .used to do bed wetting but stopped suddenly. MOTHER said he learnt fast .when angry once came to raise hand on mom that time everybody scolded him .
EVERNOTE OF THE CASE -
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This is the case in detail to show role of environment and how to analyse and evaluate.read carefully and try to understand all shades.
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