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Yamagata Med J（ISSN 0288-030X）2020；38
安孫子，中村，本間，白幡，清和，伊東，佐藤，三井
（1）
：63-68
DOI 00.00000/00000000
DOI 10.15022/00004776
Early treatment for neurodevelopmental disorder by a primary
physician before the first visit to an advanced institute
Takahiro Abiko＊，＊＊＊＊, Kazuyuki Nakamura＊, Tomomi Honma＊＊, Emi Shirahata＊＊＊,
Chizuru Seiwa＊＊＊, Aiko Ito＊＊＊, Toshihiro Sato＊＊＊＊, Tetsuo Mitsui＊
Pediatrics, Faculty of Medicine, Yamagata
＊＊
Pediatrics, Yamagata Prefectural Shinjo Hospital
＊＊＊
Pediatrics, Yamagata Prefectural Rehabilitation Center for Children with Disabilities
＊＊＊＊
Internal Medicine of Mogami Municipal Hospital
ABSTRACT
Introduction: The number of patients suspected to have neurodevelopmental disorders and who
visited advanced institutes has been increasing in recent years. Here, we report on the early
treatment provided by a primary physician to a boy with a neurodevelopmental disorder and
implemented more adaptive behaviors to him.
Case Report: A seven-year-old boy had behavioral problems, such as violence and scribbling. His
parents brought him to their family physician. According to the psychological examinations, he was
diagnosed with autism spectrum disorder and attention deficit/hyperactivity disorder based on his
symptoms. The family physician provided early treatment including simple psychological therapy
such as finger coloring and social skills training with picture cards. Extended-release tablets of
methylphenidate（18 mg/day）were administered. His behavioral and learning problems improved
immediately. Then, interinstitutional cooperation with a specialized institution was efficiently
conducted.
Discussion: Early treatments for patients with neurodevelopmental disorder can easily be
provided by a primary doctor before referral to a specialized institution to facilitate efficient medical
management. Here, as primary doctors, we want to emphasize the importance of early treatments for
neurodevelopmental disorder.
Keywords: Neurodevelopmental disorder, Primary physician, Interinstitutional cooperation
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