Hello Toluwanimi. I completely agree with you. ADHD is underdiagnosed in Nigeria. The diagnosis has very specific criteria which include hyperactivity, inattention and impulsivity of a certain duration. A lot of healthcare workers are unaware of the criteria. Parents may also seek help late or not at all. When the diagnosis is made, there is little consensus on what management methods work best. This lack ofuniformity of therapy makes management challenging. Coping for families involves support groups, a Multispecialist approach to care including the paediatrician , paediatric nurse, paediatric psychologist, child psychiatrist and the occupational therapist. Children with ADHD may have other issues like oppositional behavior which need to be addressed. Building capacity to diagnose and treat ADHD as well as creating public awareness will go a long way to help children with this condition