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(e) Discussion and Advice.—Often the mother is as hopeless about the
condition as the child, and on her attitude a great deal depends. She
can make a rather trying task easy or almost impossible. The child
is told he will be all right but that he may be attending for some
time, getting a little better between visits, and the mother's support
of this attitude is required. If the child is already having some dry
nights he is asked to keep a chart, being a daily record of his success
and improvement, and of considerable therapeutic value in itself.
(f) Medicinal Treatment.—Cases are of course considered for drug
therapy on their merits. As in past years a supply of amphetamine
sulphate was available for direct issue, other drugs being supplied by
the patient's own doctor on request, e.g. Disipidin Snuff and Phenobarbitone
and some supplies of Dexten were kindly provided by
Clinical Products Ltd.
Amphetamine Sulphate 63
Phenobarbitone 3
Disipidin Snuff 2
Dexten (Long acting Dex-amphetamine sulphate) 2
Chart keeping—without drugs 9
Analysis of Results.
A. Cases first attending in 1957.
1957 1956
(1) Discharged—completely dry 18 33
(2) Ceased to attend 23
(14 of these were much improved when last
seen—but failed to attend the final follow-up
appointment; 9 appeared unchanged when last
seen)
(3) Improved—still attending 17 27
(4) Unchanged 2
(5) Worse 3
(all these had become worse after birth of
younger sibling)
(6) Sent elsewhere—Paediatrician 2
Child Guidance Clinic 1
(7) Not yet re-attended 10 9
(8) Under 3 years old 3
Total 79 71
B. Cases still attending from previous year.
(1) Discharged during 1957 18
(2) Ceased to attend 5
(3) Improving 4
(4) Unchanged 1
(5) Referred to Paediatrician
Child Guidance Clinic 1