Sofia Martinez: A Case Against Methylphenidate

Elvis Mofor

Sofia is a 10-year-old girl brought in by her parents due to concerns about hyperactivity, emotional outbursts, and difficulty paying attention both at school and home. Her parents are especially concerned about her sleep, noting that she often lies awake for hours and has trouble waking up in the morning. They describe evenings as “a struggle,” with escalating behavior as bedtime approaches.

Clinical Details:

· ADHD diagnosis supported by school and parent reports

· Significant insomnia and poor sleep hygiene

· Emotional dysregulation

· No prior treatment

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