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ADHD

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My grandson is 10 year old and has ADHD. He also has 2 other brothers. One is 11 and the other is 4. My daughter refused to put him on medication which is her and her husbands choice of course. The problem is with the 4 year old. He fights with his younger brother and is cruel and mean to him. We try to talk to him and find out why he is so mean to his younger brother, but he cant answer. Is anyone familiar with children with ADHD. Is this a part of his problem? I just worry for the 4 year old an how all this is affecting him.

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