Clinical Assessment Psy 270

A psychologist or psychiatrist carries out interviews with the child and family and a review of the child’s past records, behavioural interventions, and developmental history are taken.

Lauren Smith is a five year old Caucasian girl who is demonstrating anxiety when separated from her mother. The family was referred to this service by their pediatrician. Over the past few months, Mr. and Mrs. Smith report Lauren has become increasingly troubled when being separated from her mother. She cries while clinging to her each morning before school and her father describes having to “pry her off” and carry her to the car. Lauren’s parents are also concerned with regressive behavior; she is speaking more often in third person when referring to herself, and she has also begun wetting the bed nearly every night. Mr. and Mrs. Smith had a conference with Lauren’s teacher two weeks ago at which time she told them Lauren was having difficulty concentrating and completing her work. The teacher also voiced concerns about her lack of interest in participating in group activities; she appears to prefer to play by herself. The parents report that Lauren is otherwise healthy and has been meeting age appropriate developmental milestones.

Ian is a 5 year old Caucasian male that exhibits average verbal skills, average cognitive skills, and appeared to be of average height and weight. When entering his assessment, it was noted that his clothing did not match, his hair was unkempt and his mother seemed frazzled at best.

No knowledge of child’s medical history which can cause problems in diagnosing illness or most appropriate medical treatment

The next year and a half he suffered from severe depression and attempted suicide twice by drug overdose. For the past six months he had been seeing a therapist at the university’s psychological services center regularly. Upon coming to see another therapist there was previous diagnoses made on Steven by a private therapist a little while back. Mr. and Mrs. V. felt the need that their son need to continue seeing a private therapist but he had stopped the therapy his junior year for unknown reasons. He had been seeing a psychotherapist since he attended kindergarten. He was very quiet, did not speak much and was unresponsive at times to the environment. His kindergarten school psychologist noted his actions and conditions to be autistic like. Mr. and Mrs. V. immediately hired a prominent child psychiatrist to work with him regularly and whom later denied him being autistic in any way but stated he would need intensive treatment for many years. Steven was

You are working in the internal medicine clinic of a large teaching hospital. Today your first patient is 70-year-old J.M, a man who has been coming to the clinic for several years for management of CAD and HTN. A cardiac catheterization done a year ago showed 50% stenosis of the circumflex coronary artery. He has had episodes of dizziness for the past 6 months and orthostatic hypotension, shoulder discomfort, and decreased exercise tolerance for the past 2 months. On his last clinic visit 3 weeks ago, a CXR showed cardiomegaly and a 12-lead ECG showed sinus tachycardia with left bundle branch block. You review his morning blood work and initial assessment.

Clinical Assessment=According to our book, the term Clinical assessment generally refers to applying assessment procedures to (a) diagnose a mental disorder, (b) develop a plan of intervention, (c)monitor progress in counseling, and (d) evaluate counseling outcome. (Drummond, 2010). Clinical assessment has been the method used when diagnosing and planning treatment for a patient. The first step is evaluating the individual in order to obtain information and figure out what is wrong. Counselors, conduct this assessment to develop and adhere a plan of intervention, monitor clients progress, and ensue all information are interpreted and understood.

She was described as short, plump, and homely, she had yet to gain the character that would render her face so interesting according to her parents and siblings. Clara’s mother also neglected the child’s thick lustrous dark brown hair which was noted to be her one good feature. Her hair was close cropped which only served to emphasize her broad forehead and sallow complexion. Along with this, Clara had a speech impediment which caused her to lisp and this lead to increasing her bashfulness. Due to all of these difficult things Clara had to deal with on a daily basis, her timidness grew to be excessive. Clara’s mother regarded her daughter as shy and troublesome as well as “difficult to manage” this attitude only reinforced Clara’s own sense of being a burden. As she began to grow older, Clara gained a particular interest in helping others that could not help themselves and directly alleviating sickness or trouble. Her brother David grew extremely ill and sought to his sister for help. She spent large amounts of time trying to nurse her brother back to health. Clara refused to leave his side for nearly two years and acquiescing to his demands that she alone administer his medicine. Despite all of her relief Clara sensed a

Freeman’s lobotomy procedure at only the age of 12. His stepmother is actually the person who took him to see Freeman simply because she wanted to “do away” with him. She told Freeman that her step son did not react to love or punishment, does a good deal of day dreaming and when asked says “I don’t know”, and objects going to bed but sleeps well. She took him to numerous doctors everyone told her the same thing except Dr. Freeman. Other doctors said he was just a typical young boy while Freeman said otherwise.

Ozonoff first states early detection assessments can lead to false positive and negative reports. In this particular discussion, false positives would occur when a child is officially diagnosed and discovers, later in the years, was incorrect. False negative assessments occur when the initial diagnosis would find nothing, yet there was indeed a developmental problem. In regard to ethical concerns, false positives and negatives can carry legal ramifications. There is no specific dilemma on a federal level but more within each state.

She immediately called Melissa’s pediatrician and he agreed to contact the court and advocate for genetic testing of Melissa’s skin in search of diagnosis of OI. In a bittersweet conclusion, a diagnosis of OI Type I was confirmed and Melissa was returned to her parents. Dr,Marion’s postscript follows Melisa until age ten. Between being returned to her parents’ custody and turning 10 years old, Melisa has not suffered another

Mr. Katz reported that the Blime therapist was changed to a psychiatrist Debbie Levant. He indicated that the child was started on Prozac and Ativan. The parents were advised to give the children the medication on Friday mornings as the transfers were stressful for her. Mr. Katz stated that the mother was not consist with giving the child the medication. He indicated that he maintained contact with Dr. Levant, she tried to work out a plan for the child’s safety.

Emily is a 6-year-old girl referred by her pediatric psychologist because of behavioral issues. Emily’s parents have informed the analyst that her problems first arose when she

Mr Johan experiences symptoms of panic attack when he feels self-conscious in front of other people when performing certain tasks. He reported feeling faint and had black out of thoughts during those episodes, whereby he was not able to think of anything. Both his hands would tremble and become numb. He would also be sweating but experienced no symptoms of pounding heart or choking

213 Safaa Khamis Hassan and Wafaa Yousif Abdelwahed: Unhealthy Habits of Rural Children in Fayoum Governorate, Egypt