### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Good Day! I have a 5 year old nephew. Since he was 2 years old, he used to throw things that he handles everytime he is mad and everytime we don t follow whatever he wants. And when he does, we beat his hands. But still, he keeps on doing so. I even used a hot spoon once and tap it on his hands just to let him feel the pain but it didn t even work! And now, he even gets worst. If you scold him he will just cry and respond I don t love you anymore and sometimes he ll shout You are ugly! while throwing things! And when we tell them to stop doing something, he ll just stop for a while and do it again! I am thinking if he lacks attention because most of the time, his mother which is my siste, is not taking care of him and is not putting attention to him. By the way, his parents are already separated. I just need your help so badly. Please advise on how can we discipline this kind of kid and what should we do in order for him to change that kind of attention. Because his attitude is too much! What I am trying to say is that, we don t know already how to handle his attitude, even his nanny is giving up! Thank you so much and PLEASE help us!

### output:

DearWelcome to ChatDoctorWe understand your concerns went through your details.  From the given information it seems that the child is suffering from Attention Deficit Hyperactivity Disorder spectrum disorder and related aggressive hyperactive behavior. I strongly suggest the child to be examined and assessed by a psychiatrist for further treatment and advises. Please consult a psychiatrist ASAP. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query.  Further clarifications are welcome. Good luck. Take care.