Psychiatrymiddle twist
A 3-year-old boy is brought by his mother, who says he never sits still, runs off in car parks and has been asked to leave two childcare centres. He was born at term, walks and talks normally, and his hearing test is normal. There is no developmental delay and he has never had a seizure. His growth is on the 50th centile and cardiac examination is normal. His mother has read about medication for attention deficit hyperactivity disorder and asks for it to be started today. Which one of the following should be recommended first?