What should I do if a four-year-old child refuses to listen to anything I say?

A 4-year-old child who refuses to listen to anything may require different management approaches depending on the underlying causes, which mainly include non-medical and medical factors. Common medical factors include depression and congenital deafness.

I. Non-Medical Factors

If the behavior stems from childish mischief, young age, or lack of understanding, it is generally considered normal and does not require treatment. Gradual teaching and guidance will lead to improvement over time.

II. Medical Factors

1. Depression

If language development delays or rigid behavioral patterns are caused by depression, treatment under a doctor's supervision with sertraline hydrochloride tablets may help control symptoms. Additionally, physical therapies such as vagus nerve stimulation or transcranial magnetic stimulation administered by qualified professionals can improve brain function.

2. Congenital Deafness

If hearing impairment results from congenital deafness, improvement may be achieved through cochlear implant surgery or wearing hearing aids, as recommended by a physician.

Furthermore, manic disorders could also be a potential cause. It is advisable to seek timely medical evaluation and follow prescribed treatments.