A practical approach to children failing in school

Pediatr Clin North Am. 1992 Aug;39(4):895-928. doi: 10.1016/s0031-3955(16)38380-8.


The most likely causes of failure in school in otherwise capable children who come from homes in which they are loved and cared for are learning disabilities, affective illness, primary disorder of vigilance and, on occasion, narcolepsy. The various learning disabilities are often accompanied by problems of attention, concentration, organization, mood and feelings, and social interaction. These latter problems are reflections of biochemical disorders that respond effectively to judicious pharmacologic intervention. When this type of medical management is combined with constructive counseling and suitable curriculum adjustments, the child can attain his or her maximum education potential and become a productive and contributing adult member of society.

Publication types

  • Review

MeSH terms

  • Attention Deficit Disorder with Hyperactivity / diagnosis
  • Attention Deficit Disorder with Hyperactivity / therapy
  • Child
  • Education
  • Humans
  • Learning Disabilities / diagnosis*
  • Learning Disabilities / etiology
  • Learning Disabilities / therapy
  • Mood Disorders / complications
  • Mood Disorders / diagnosis
  • Mood Disorders / therapy*
  • Narcolepsy / diagnosis
  • Narcolepsy / drug therapy