The term learning disorders alludes to problems in reading, calculate, writing and spelling. The prevalence of these disorders ranges from 5 to 15 percent of all the children in school age. As for sex distribution, men tend to have these problems often than women.

This summary is about a 9-year-old male with multiple eye tics and suspected of having ADHD. He was referred by her general pediatrician. The patient did not have a history of mental illness, although he had a diagnosis of migraines.

J. is an only child, who lives with his parents in a district of the city of Huelva, where he was born. His psychomotor and social developments are within normal limits. His parents define him as an introverted child, sensitive, with low self-esteem and very attached to his mother.

The patient has a history of underperforming at school since he was in third grade, without being associated with external factors. He is going to support classes since then. He was evaluated by the guidance team from his school and they decided to do a curricular adaptation for him. Currently, he is repeating 4th year and he is going to educational support.

The patient's assessment consisted in clinical interviews with the patient and their parents and the implementation of additional tests like WISC-IV, D2, CDI, TALE, SNAP IV and a review of his clinical report.

The results showed us a specific development disorder comorbid with a deficit of attention so we decided to start with the psychopharmacological treatment and psychotherapy.