Clt's Case Summary

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Per the previous therapist, referral form states, "Clt was hospitalized on 3/30/16 for panic attacks and suicidal ideations associated with ongoing bullying." Clt meets medical necessity as evidenced by the following impairments: Clt showed impairment at school as evidenced by making statements daily (i.e. 5x/week) to Mother that no one at school liked her and stating that she did not want to go to school. Clt developed symptoms in response to being bullied at school. Mother reports that Clt seems hesitant to engage with peers at her new school. Mother reports impairment in Clt at home in that Clt frequently seems sad and irritable and cannot get certain thoughts out of her mind (~4x/week) and is hesitant to speak with her about the bullying for fear that Mother will go speak with the school. …show more content…

Clt meets criteria for the following DSM-V diagnosis: Adjustment Disorder, With mixed anxiety and depressed mood. Clt was a victim of bullying at school in March of 2016 and her depressive symptoms (suicidal ideation, sadness, irritability) and her anxiety symptoms (looking out for danger, hesitation to engage with peers at her new school) arose subsequent to being bullied at school. Clt does not meet full criteria for Acute Stress Disorder due to insufficient symptoms. Therapist used to check in with Cl and elicited information about her week while providing active and supportive listening skills every

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