The patient is an 11-year-old girl referred by her therapist The…
Question Answered step-by-step The patient is an 11-year-old girl referred by her therapist The… The patient is an 11-year-old girl referred by her therapistThe patient reports thinking of “10 different things” during class when she tries to listen; she ends up doodling instead of taking class notes and forgets to use her plannerShe gets in trouble for talking too much at schoolSchool has observed blurting out, easy reactivity, and falling out of her seatTeachers have witnessed her self-injurious behavior, such as scratching herself and appearing nervous and uptightThe patient’s grades have started to decline and her therapist is noticing lower self-esteemParents are worried about overmedicating and think medications are overused in childrenBoth parents and the patient deny anxiety and/or any changes in mood Patient History The patient was born full term but had meconium due to fetal distressThe patient’s developmental milestones are all within normal limitsShe is in sixth grade at a charter school that does project-based learningShe has been getting teased and excluded by her peers over the last 2 years, resulting in change from regular public school to the current charter schoolShe has no documented history of struggling in school; there is no individualized education program (IEP) plan or 504 plan, which is a formal plan that schools develop to give kids with disabilities the supports they needThe patient has been in individual psychotherapy and behavioral modificationShe has no history of use of psychiatric medicationThe patient’s parents are still married and they are both mutually concerned about her; she is bonded to both mother and fatherThere is no relevant medical historyFamily historyFather was “energetic” as a childMother has been off antidepressants for two yearsUncle was on methylphenidate (Ritalin) as a childGreat-aunt was on lithium Questions: Please answer the following questions, citing sources. Please reference your sources at the bottom after the questions. What are diagnoses for this patient based on information above? Provide Diagnostic reasoning. What psychometric screening, labs, diagnostics would you consider? Why? Would you recommend medication despite parents ambivalence? If so, what medication?What other treatment recommendations/ follow up would you recommend? Social Science Psychology PSYC 511 Share QuestionEmailCopy link Comments (0)
