colleagues
Respond to at least two of your colleagues who were assigned to a different case than you. Explain how you might apply knowledge gained from your colleagues’ case studies to you own practice in clinical settings.
NOTE: Positive Comment
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Case #13 the 8-year-old girl who was naughty
This case study will examine an 8-year-old girl who initially presents to the pediatrician’s office with complaints of a fever and sore throat. After further examination, the client is diagnosed with attention deficit hyperactivity disorder (ADHD) and oppositional defiant disorder (ODD). According to Ghosh, Ray, & Basu (2017), characteristics of ODD include persistent anger or irritable mood, argumentativeness, defiance, and vindictiveness for at least 6 months. ADHD is characterized by a pattern of inattention, hyperactivity, and impulsivity that interferes with daily functioning or development (American Psychiatric Association, 2013).
3 Additional Assessment Questions for the Client:
1. I would ask the client and her mother how often her daughter displays symptoms that are congruent with ODD and? According to the authors Ghosh, Ray, & Basu (2017), the occurrence of ODD symptoms must be disproportionate to the child’s developmental stage and age.
2. I would ask the client if she had trouble learning in class when she was younger. The onset of ADHD symptoms usually occurs before a child reaches age 12, and in some children, these symptoms are noticeable at age 3 (Sibley, Rohde, & Swanson, 2017).
3. A final question that I would ask the client is if she interrupts her classmates when they are speaking. Children suffering from ADHD feel the need to be constantly active and struggle with controlling impulsive behaviors (American Psychiatric Association, 2013).
Feedback From the Client’s Loved Ones
The first person in this client’s life that I would like to further interview is the client’s mother. According to Stahl (2019), the client’s mother is 26 years old and is a single parent of two children, ages 8 and 6. I would want to ask the client’s mother more about her daughter’s academic performance in earlier grades. Identifying the precise onset of the client’s ADHD symptoms will assist the provider in creating the most appropriate treatment for the client (Stahl, 2014). I would also like to interview the client’s teacher in order to gain another perspective on the client’s behavior in the classroom. The client’s teacher did use an ADHD rating scale, but scales of that nature are very broad and do not elaborate on the child’s specific classroom behaviors. A third person that I would interview is the client’s 6-year-old sister. According to Stahl (2019), the client began displaying signs of anger and resentfulness when her sister was born. I would ask the client’s sister if she felt safe at home and if she and her sister fought often, in order to determine if the home environment is safe for both children.
Physical Exams and Diagnostic Tests
