Abstract
A 12-year-old girl was urgently sent by her paediatrician to the Child and Adolescent Neuropsychi-atry ward for behavioural disorders and suicide threat. At the time of the visit the suicide risk was low. Nevertheless, considering a possible underlying psychopathology, a short Day Hospital admis-sion for appropriate diagnostic investigations was warranted. Developmental trajectory showed several symptoms of inattention, hyperactivity, impulsivity, poor tolerance to frustrations, emotional lability, irritability, emotional dysregulation, rule breaking be-haviours and impaired socialization with her coevals from early childhood. The diagnostic delay may have led to demoralization and then to depressive feelings. This led to the diagnoses of Attention - Deficit Hyperactivity Disorder and Oppositional-Defiant Disorder. Pharmacological therapy with Methylphenidate was prescribed as well as cognitive-behavioural therapy and parent training intervention.
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