The mom presented with complains that his 13 year old son Michael Cole refused to come for the appointment. She is here requesting advice on what she needs to do. As per the mom, has become increasingly defiant, oppositional and challenging towards her. She reports he has been hyper and does not follow her rules. She reports he has been diagnosed with ADHD. He took ADHD medication at age 9 for only two months and the mother decided to stop them as she was in denial. Michael was then taken back to Nigeria where he was staying with relatives. As per mom, the relatives were unable to manage him and he was sent back here in America to be with his mother. Mom reports his father is out of his life. As per mother she has contacted the teachers at school and the teachers have described the child as average with no major behavioral problems at school. Academically, he scores grade B's and C' s. Due to the fact that Mr. Michael refused to come for appointment, the mother was advised to engage uncles, aunts, pastors or a respected family friend to talk with the kid about the need of mental health care. Due to the gravity of the case?