Provisional Diagnosis
Client, Devon, is a 10 years old male who has been referred to this clinician for a clinical assessment due to his ongoing disruptive behaviors in the home of each parent and in the school. Per report from Devon’s mother, these behaviors have been ongoing since the beginning of the summer. It is noteworthy to state that Devon’s parents have separated the summer before the last school year started. It was also reported that since he could walk, he has been strong-willed and it took major redirection for him to comply. This assessment is being conducted in the late month of March. The following diagnosis was obtained by a one time, in-person assessment with collaborative reports from teacher and parents and school reports.
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Steiner and Remsting (2007) suggest that usually children are not in agreement with their parents and lack insight into their behavioral issues. Devon was willing to meet with the clinician but ended the assessment early due to him become irritable with the line of questioning and thinking the interview was “stupid”. This behavior is expected with children who have ODD. The American Academy of Child and Adolescent Psychiatry (2009) also support the provisional diagnosis as they advise that children with ODD often are going through a transition, under stress, or in the midst of a crisis. This clinician believes that a pressing factor of Devon’s behavioral issues may have come from the separation of his parents and the new living arrangements. Devon may have not handled the stressor correctly and may be reacting to it, which was a deciding factor in the diagnosis of ODD. Lastly, this clinician was concerned about the parenting style continuity between both homes of each parent. Although no exclusive parenting style was reported, the father stated that they never spanked Devon and if they had maybe there would not be any behavioral issues arising. That statement was key to this clinician because Portes, Dunham, and Williams (2007), allude to the fact that some children become oppositional when parents have excessive or unrealistic demands and may be overly punitive or overly passive. The fact that there may be overly punitive demands at dads home and overly passive demands at moms home may suggest a confusion of what is expected of Devon, which in turn could be causing him to exhibit oppositional defiant
One of the cases assigned to me by Eggleston Family Services was of 12 year old boy that was having a difficult time adjusting to his new placement. He had difficulty controlling his
The purpose of this visit was to initiate therapy to resolve the cycle of conflict between the child and mother. My client is very hyper and instigates conflict with her mother. Because of her low self esteem she does not want to attend school so she is excessively absent. She hits and kicks her mom when she tries to wake her u...
For a diagnosis of ODD to be made, the disturbance in behavior must be causing significant problems in school, in relationships with family and friends, and in the workplace. ODD will not be diagnosed if the the therapist suspects that the teen's behaviors are being directly caused by another psychotic or mood disorder, such as bipolar disorder.
Most parents realize that their children have the disorder once the child starts attending school. Most of the time teachers are the ones who point out the child’s symptoms. The parent then takes the child to a social worker, psychologist, or psychiatrist for answers. “The American Psychiatric Association lists fourteen signs, of which at least eight must be present for a child to be officially classified as ADD.”(Passwater 1) Out of these fourteen signs are normal actions of children. Some of these signs include fidgeting with hands or feet, easily distracted by extraneous stimuli, having difficulty following instructions and blurting out answers before questions are completed. (Passwater 2) It would seem by these signs that when a child doesn’t seem to be adapting to our system, we label them as having ADD and prescribe them Ritalin. With the new increase in prescriptions being filled around country, more and more children are on Ritalin, so much that the nega...
My rationale for writing this paper is to know what oppositional defiant disorder (ODD) is and its effect on age, gender, and concurring behaviors (comorbidity) like attention deficit hyperactivity disorder (ADHD) and conduct disorder (CD). How these conditions are affected in getting the proper diagnosis and treatment for ODD. Loeber, Burke, and Pardini reported in clinical groups among children, ODD is listed as one of the most commonly known behavioral disorders (as cited in Kazdin, 1995). Stringaris and Goodman (2009) found ODD is apparently very important among adolescents because of its strong connection with a large assortment of fully developed mental health disorders such as (as cited by Kim-Cohen et all., 2003, Nock, Kazdin, Hiripi, & Kessler, 2007) conduct disorder (CD) and an introverted disorder (as cited by Burke, Loeber, Lahey, & Rathouz, 2005; Costello, Mustillo, Erkanli, Keeler, & Angold, 2003; Ford, Goodman, & Meltzer, 2003).
The physician will question the patient about any stressors she may be contending with at home or work prior to her entering the hospital. The physician will order lab tests and speak with the patient to understand the psychological factors; a referral will be made for making a final diagnosis. After the physician reviews both lab tests and the psychological factors, a referral will be made for the patient to see a clinician. The referral will focus on obtaining support and stabilization. The clinical assessment will gather information using written forms as a first step, including releases to speak with family members. The second step would be to invite the family along with the client in an effort to obtain a better understanding of existing medical conditions along with any past mental disorders. Abuse as a child or abuse as an adult will be determined. The clinician will evaluate if the client is portraying any signs due to alcoholism or a drug addictions. An example of one question her clin...
Regina Geis is a ten-year old female who is diagnosed with celiac disease. No one in her immediate family has been diagnosed, including her parents and her younger sister. Celiac disease is an autoimmune disease of the digestive system that is usually indicated by long-lasting inflammation in the small intestine that occurs when a protein from the plant called gluten, which is usually found in grains such as wheat, barley, and rye, is consumed, resulting in an interference of absorption of nutrients from food (Calvo, Soriano del Castillo, & Vinuesa, 2012.) Regina was diagnosed with celiac disease when she was five. After she was diagnosed, she was put on a gluten-free diet.
Weis, R. (2008). Introduction to abnormal child and adolescent psychology. Thousand Oaks, CA: Sage Publications, Inc.
Federal and state laws, including Public Law 94-142 and the Individuals with Disabilities Act (IDEA), require that children with emotional, behavioral, and learning disorders be given a diagnosis in order to receive the needed services and accommodations (Neukrug & Fawcett, 2015). An clinical diagnosis is also necessary when requesting reimbursement from managed care organizations and insurance companies, as they will base the number of authorized therapy sessions on the diagnosis and treatment plan goals. The DSM -5 is an important tool in determining a client’s diagnosis and should be used in combination with clinical interviews, family assessments, and standardized assessment instruments when developing a treatment plan (Neukrug & Fawcett, 2015).
Who knew that something that looks normal for a child, it will be consider as a disorder. Knowing that they like to explore, some of them have gone over the limit with their energy and capability of being active. Now that they are diagnosed, they have to go under a treatment or medical assistance to reduce their behavior. "I was trying to daydream but my mind kept wandering."
Though it may be easy to solely focus on one or the other, human behavior is complex and it is hard to separate the two and their impacts from each other. In regards to Owen and his at risk status, the psychoeducational assessment revealed many individual factors which may impact his academic performance and social relationships. Not only is he diagnosed with ADHD, but he also has difficulties with reading, spelling and processing verbal information. Despite this, his environmental factors are ignored if the psychoeducational assessment is the sole focus. Owen cannot control his family or the fact that he has been abused and neglected as a child or the fact that he moves from one foster home to another. As a result, drugs and alcohol entered his life. It was not until Owen’s environmental factors were addressed that he could better manage the internal factors impeding his
Parker’s teacher, teacher aides and mother are most concerned about his aggressive behaviour such as screaming, spitting and biting as it usually results in injuring others who are near him. This often occurs when transitioning from one place to another, eg. from car to class, and playing outside during lunchtime to going back in
Over diagnosis is described as “what happens when people are given a diagnosis for a disease that will never harm them.” Many people are over diagnosed with osteoporosis. Osteoporosis is mentioned as “an over diagnosed disease that many healthy people are diagnosed with”. While osteoporosis can help with preventative matter it can also cause issues. I can bring fear, which may cause the patient to limit or no longer do activities that may increase the chance of an accident.
As a counselor, one may come to the conclusion that Antwone was only displaying behaviors that he saw has a child. Bandura confirmed that children who experien...
After discovering my 6 year old daughter was diagnose with ADHD I decided to educate myself with everything that is to know about ADHD. Being a parent doesn’t come with a manual so I know that if I can better myself for my child well-being I will. The first thing I did was talk to a psychiatrist who specialize in children with ADHD. Ms. Robertson ask me if my daughter Diana has shown these symptoms such as being inattention, impulsivity and over activity over the past 6 months. She made me realize how well I didn’t pay attention or just did not want to face the fact something was wrong with my child. Ms. Robertson assured me that there is nothing wrong with my child. ADHD is a common disorder in child between the ages of 4-7 years older. Ms. Robertson ask me do me and Diana father argue in front of Diana. Come to think about we sometimes do. Ms.