Case: A 10-year-old boy presented to the Department of Psychiatry with mild global developmental delay and behavioral problems for evaluation. Patient was the second of the two siblings born out of consanguineous marriage. He also had temper tantrums which started from early childhood continuing till date. For two months prior to presentation, parents noticed increasing temper tantrums, demanding money, tobacco habit, ideas of buying more cattle, abusive and assaultive behavior , over familiarity , intrusive behavior , and increased appetite, which were new symptoms in addition to earlier existing symptoms.
Patient was operated for tongue tie eight years back. There was a family history of mental retardation in one maternal uncle. Patient’s older brother had same phenotype without the accompanying behavioral or scholastic problems. There was no family history of bipolar disorder or ADHD…
