<s>[INST] Hi. About a year ago, my 12 year old son told us that he was hearing voices in his head. He described the voices as a lot of people talking but he could not understand what they were saying. We contributed it to a song that he heard on wrestling and did not follow-up with his peditrician. However, his has been displaying signs of attentiveness at home and school. His inability to pay attention and to stay on task at school has caused his grades to decline drastically. In addition, he has become unorganized and forgrtful. Is it possible that the voices are still in his head and he is focusing on those and not at the task at hand? What are some options that we as parents can do to help him without placing him on medication? We would like for the medication to be the last option. [/INST] your son is showing symptoms of attention deficit and hyperactivity disorder  ( ADHD ) but the type is inattentive type , because unlike the name ADHD there is one type of hyperactivity and the other type is inattentive type .careful history taking and physical exam will confirm the diagnosis a lot of behavioural disorders can be Delt with without medications through psychotherapy, but the first step is to take him to the pediatrician and assess his case .I hope this helps </s>