Sign Up Now
Get instant access to over 1 million+ study documents
OR
Already registered? click here to login
By creating your account, you agree to our terms of service, privacy policy and student honor code.
It seems sound to recommend that Adam stop taking Concerta, because it might aggravate underlying bipolar symptoms.
Strattera not stimulating, but it can have side effects, like prolonged erections, and it is also a fairly new drug. It should be prescribed with caution. It is still uncertain whether Adam's conduct disorders are due to his unstable home environment, and not due to any biological factors. Prescribing Strattera seems like a normal course of therapeutic action, but should not be regarded as a panacea.
Question
If you were the clinician, counselor, or therapist, what would be the primary issue you would want to address?
To be diagnosed with ADHD, the individual should exhibit the symptoms in two environments, and Adam's behavior seems to primarily assert itself in the home. With support, he seems functional in school, and he is substantially less functional at home than at school or with his peers. The first question that should be addressed is what is the most appropriate environment for Adam -- a foster setting, or remaining at home.
Question
Are there any discrepancies, contradictions, or concerns that stand out for you?
In terms of evaluating Adam's personal strengths, to say that "Adam is a very personable young man," seems contradictory, given Adam's manipulative behavior and his sexually inappropriate displays via the young woman he met on the Internet. Also, to say that "Adam's family...
His mother is also observed to be very physically demonstrative with her child, and says that she loves him frequently. This is not in and of itself unusual were it not for the fact that she says Adam's sexuality makes her uncomfortable and the fact that she characterized it as 'molestation.'
One great concern is if Adam has been or is being sexually abused by his mother or another adult. When Adam was eleven and accused his mother of sexual abuse he was placed in a half-way house. Apparently, it was eventually concluded that his allegations were baseless, because he was once again released to his family. His mother has claimed that Adam, not she, is the initiator of the sexual displays, although it is characteristic of children who are sexually molested to show sexual behavior that is inappropriate for their age -- and it is even possible that Adam's mother is making such an allegation as a cover for her own behavior. Adam's mother has problems with her memory, which makes her an unreliable source of information about what may have happened to Adam in the past. Further investigation into possible abuse is required.
Forensic Psychological Evaluation Confidential Psychological Evaluation IDENTIFYING INFORMATION: Gender: Male Date of Report: 05/07/2012 Date of Birth: 10/01/1981 Age Marital Status: Single Occupation: Unemployed Race: Caucasian Education: GED Referred by: Dr., B. Wynter REASON FOR REFERRAL: A Psychiatric Evaluation on May 19, 2006 by Barbara Wynter, License psychologist who is Clinical administrator of Central Treatment Facility ward 1, 2, 3, was requested to further assist in diagnosis. LIMITS OF CONFIDENTIALITY: EVALUATION PROCEDURE: INSTRUMENT- DR, B. Wynters MMPI (Spell out the name Minnesota Multiphasic Personality Inventory) Is
Patient is a 69-year-Old male who is refusing treatment for cancer. The following is a description of the patient. Primary diagnosis: Malignant Neoplasm of Head, Face and Neck (C76.0) because this is the diagnosis that brought the patient into treatment (Hogston, 1997). Patient's past medical history: Hypertension, hyperlipidemia, stomatitis, anemia, neutropenia. Patient had right radical neck dissection in 2012. Current Medications: Carvedilol 12.5 mg. q.d.; Furosemide 40 mg q.d. Social History: Patient is a
Christian counseling has become an important treatment modality for a growing number of health care practitioners and patients across the country in recent years. Introduced during the early 1980s, Christian counseling advocates integrating religious practices and beliefs founded on religious traditions with psychotherapeutic techniques to provide an optimal approach to helping people cope with a wide range of personal problems and family issues. The purpose of this study is to
. Even when the child in a home where DV occurs is not physically harmed, most of the time, these children know about the violence. As a result, they may experience emotional and behavior problems (The Domestic Violence…, N.d.). A victim of DV needs to be reminded: She is not alone. She is not at fault. Help is available. In The physician's guide to domestic violence, P.R. Salber and E. Taliaferro (N.d.). about stress
Nursing Theory Analysis Theory-based nursing is the phenomenon that has been researched much during the past two decades. Nursing theory has become the foundation for nursing practice with its own knowledge base. The current paper is an analysis of King's theory of goal attainment. King acquired her goal attainment theory model from an interpersonal system and a behavioral science. The nurse and patient communicate to achieve a common goal of patient
, 2006). Soliciting client's self-report may be another helpful practice (Landry et al., 2009). To deal with both attrition and ethnicity factors in conjunction with an adolescent or school-aged client, the counselor may be well advised to consider the fact that the client may better benefit from a school counselor's intervention rather than from her own. Studies (for instance Cummings, 2009) have shown that "schools may be the best setting in