A 6-year-old boy presents to the OPD with his foster carer. The boy immediately approaches you and is over-familiar. He is keen to engage with you in rough and tumble-type play and wants to sit on your knee. After being removed from his family because of ongoing child protection concerns, he has been with his foster carer for six weeks.
The foster carer reports that he is a straightforward child to manage in some ways as he seems to take things in his stride, but his poor concentration and attention may make it difficult for him to learn basic skills. Mental state examination Overactive lad and struggles to sit still Cannot focus on anything for more than a few minutes Physically inappropriate demand to hug you and other staff and patients that he has only just met Cheerful and joins in other people’s activities without waiting for an invitation. He fidgets during his physical…
