Environmental Factors and Disorder

Psychopharmacology The practice of talking about and prescribing medicine is very much about asking the right questions, setting the right mood and otherwise creating and maintaining an environment that is conducive to assuring the best outcomes for the patient. While there are standard questions and approaches that should be used, things can be a lot different when a young minor child is involved.

The first thing to answer to is the main and first three questions that could or should be asked in light of the case study details about the eight-year-old patient in question. The basic situation is that the girl is in the doctor's office with a cold or other respiratory issue but that is far from her only medical issue. Indeed, she is also diagnosed ADD and/or oppositional defiant disorder.

Given that the child is so long and there is obviously a mental issue at hand, regardless of what it actually is, the parent should be the subject of the questions. not the child. The first question the author would ask the mother is how much involvement the father has in the child's life. Second, the author would ask what resources and other things that are being used to offset the fact that she is completely and obviously overwhelmed and it is creating (or aggravating) issues with the child.

Third, the author would ask what, if any, problems are present with the other child. As far as the proper physical exams and diagnostic tests that could or should be used in this situation, there are the usual examples such as bloodwork, the proper screening questions and quizzes for the child (and the mother) with a laser focus on getting answers that are complete, honest and otherwise accurate.

As for a major question that could be asked that has not already been addressed is whether the child had issues before the father left. Of course, it is clear that the presence of a sibling is a pain point for the child. Even so, the primary and major catalysts need to be fettered out and it is fairly clear here that the father's absence is a major cause of the problems.

His distance and lack of involvement with the child needs to be addressed and changed if at all possible. As for differential diagnoses, it is clear ADD and/or ODD are the main suspects (Antunez, Osa, Granero & Ezpeleta, 2016; Harazni & Alkaissi, 2016). However, there are other suggestions the author would suggest. One big one would be borderline personality disorder.

While it is not common for this disorder to be so prevalent in a child, all of the common precursors are there including a history of unstable family or other relationships, impulsive behaviors and improper emotional reactions. If BDP is the culprit (or one of them), then this problem needs to be reined in as soon as possible as it will only get worse. As far as treatments, therapy will be much more productive than medicine every could be (Yeh et al., 2017).

However, the fact that comorbidity is almost certain here, at least some pharmacological intervention will be necessary and most likely beneficial. What is clear from the initial impressions and diagnostics as well as the follow-ups and milestones to follow is that there are some issues going on that are not entirely mental and biological in nature. Indeed, environmental factors in the past and present are certainly enhancing and aggravating the situation.

Conclusion In terms of the biological agents that could be beneficial, an anti-depressant may come into play for issues above and.