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Pediatric Case Study

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Instructions

This case study consists of one hypothetical patient situation. After watching the video, you should answer several questions about patient care. You can use outside materials to help you.

In your answers, you should make specific reference to relevant guidelines and other clinical information. The national guidelines also should be considered with treatment plans.

You can access an informative video and other details about the patient using the tabs. When you are done viewing the patient information, download the Case Study Questions document from the assignment page in Moodle. Use this document to complete the assignment and then submit it in the course assignment page.

Patient 1: Katy

Katy Video Transcript
Patient Facts

Family mental health history

  • Mother has a history of panic disorder
  • Father has a history of treatment with medications for ADHD as a child
  • Cousin diagnosed with Asperger’s syndrome
Questions
  1. What is your provisional diagnosis, as well as the possible differentials?
  2. Justify your answer with DSM-5 criteria (be short, brief and to the point).
  3. Is Katy too young to diagnose, or is there a basis for early identification and intervention?
  4. What psychiatric scales or assessment tools might you use with this patient? With the parents? List and describe briefly.
  5. How would the typical symptom patterns and phases be manifested in children this age? In adolescents?
  6. What would be your treatment plan for medications, if any? If you do choose to offer medication as part of the treatment plan, please address the following medications issues:
    1. Target symptoms
    2. Receptors affected
    3. Psychiatric and system effects
    4. Possible parental concerns
  7. What would be your school-based treatment plan, if any?
  8. What would be the implications for the families of children and adolescents with these diagnostic pictures?
  9. How does the mother’s health play into the picture of Katy’s diagnosis? What type of therapy would you recommend for Katy (and her family) to work through her issues?
  10. Identify resources for patients/families with this diagnosis in the form of community groups, web-sites, advocacy, as well as treatment resources available in your service area.
  11. What are you worried about (if anything)? Consider this question in terms of treatment, assessment, alliance, compliance, effectiveness, safety, and other factors.
Activity is complete.