Introduction Education is one of the most important aspects of human resource development and Poor school performance not only results in the child having a low self-esteem, but also causes significant stress to the parents so that , early school success is clearly related to later success and health Promoting optimal child health and development increases the likelihood of school success and is therefore important not only for children's immediate outcomes, but also for their future. Academic underachievement is a final common pathway that may result from multiple etiologies. It is a symptom that takes many different forms. It may be confined to a single area of function or it may affect many functions. It may have multiple forms of expression and may be associated with behavioral disturbances. The clinical picture results from the interplay of multiple diagnoses of different severity, characteristics of the child, the nature of the school, and the abilities of the family. Often ,the full picture is not obvious after a single visit. Multiple visits across time may be required to understand the interactions and diagnoses that underlie the academic underachievement.
There are many reasons for