Dhd Case Studies

Terr, L. C. (1991). Childhood traumas: an outline and overview. Am J Psychiatry, 1, 48.

The last of the characteristics of childhood trauma are changed attitudes about life, people, and future possibilities (Terr, 1999). The traumatized child may lose hope of a fruitful future, may despise a particular gender due to abuse, or may even desire close contact with the same gender of the perpetrator. A last example demonstrating a traumatic characteristic is through a 16-year-old female client. A male family member sexually and physically abused this client as a child. Although most sexual assault victims may avoid persons of the same gender of the perpetrator, as described above, there are also victims that try to gain the attention of persons with the same gender of the perpetrator. This client demonstrates just that. The client is exceedingly flirtatious with male peers and staff of her residential facility. She has been caught several times attempting to perform sexual acts with her male peers and at times becomes very angry when she is not given the attention she desires from a male peer.

Cultural competency and sensitivity are essential factors to effective mental health treatment. ‘Cultural competency is defined as an ability to understand and be aware of cultural factors in the

Being sexually abused is a very traumatizing experience, and this form of victimization at a young age only amplifies the situation. The mortifying nature of child sexual abuse often brings along with it changes in the victim's life. Some of the numerous short term effects (problems that impact them while they are still at a young

Mental health illnesses affect everyone. It is highly prevalent affecting people of all ages, gender, cultures, and social groups. Attitudes towards mental health illnesses vary among individuals and often are highly influenced by the various cultures that the individuals identify with. Culture as a social concept can be defined as a set of norms, values, behaviours, and beliefs that are common and shared amongst a group of individuals (U.S. Department of Health and Human Services, 1999). Culture can be applicable to groups like Asians and Americans but also to groups of shared norms, beliefs, and values established within professions such as the culture of patients and practitioners. Culture provides these groups with structure and context to understanding their society and the world as a whole. Culture influence a wide range of aspects of mental health, including how mental health is perceived by the patient, how the patient will experience mental health stigma, and how they cope with symptoms of mental health illness. Additionally, these cultural influences impact the relationship between the patient and the practitioner in a number of ways.

19). A great majority of children that are sexually abused will show moderate to severe symptoms at some point in their life (Hornor, 2010). The degree of symptomatic behavior depends on the type and severity of sexual abuse, the age and gender of the child, the age and gender of the perpetrator, the relationship between the child and the perpetrator, accompanying physical abuse, and the number, frequency, and duration of abuse (Bahali et al., 2010). Short-term effects of CSA include: impulsive behavior (aggressiveness, hostility), emotional distress (anxiety, fear, and somatic complaints), low self-esteem, dissociative symptoms (amnesia, forgetfulness, dreaming, multiple personality disorder, and fainting), and conversion disorder (Bahali et al., 2010). Long-term effects include: post-traumatic stress disorder, depressive disorder, sexual dysfunction, borderline personality disorder, somatization, eating disorders, self-destructive or suicidal behavior, repeated victimization, criminal behavior, substance abuse and prostitution (Bahali et al., 2010). In agreement, Ozbaran et al., (2008) reported that sexually abused children have a high incidence of behavior problems including anxiety, depression, attention problems, aggression, social problems, social withdrawal, and somatization. Genital CSA is

Another patient, whose story affected me on a deep level, was molested as a child. As an adult she was married, and after a year of marriage her husband began to physically abuse her. She came to my program after a suicide attempt. It was a struggle for her to get out of bed every morning and come to the program. She would wear a

d. A nurse gives a PRN dose of an antipsychotic drug to a patient to prevent violent acting out because

In an attempt to better understand depression in today’s youth, I have chosen to explore the depths of Major Depressive Disorder and how it affects the young people in our society. Depression amongst school age children and adolescents are the primary focus. The prevalence, adversities, and treatment of the depression are discussed as well. After exploring these few facets of the disorder, I will talk briefly about the Ecological Model developed by Urie Bronfenbrenner and Morris in 1998 that is used by counselors to help evaluate and assess the children who are referred by teachers or medical

Depression is a clinical condition associated with the normal emotions of bereavement and sadness. However, this condition does not pass on when the external causes of these emotions dissolve and is usually inconsistent to their cause. In essence, the classic severe conditions of depression have not been attributed to external precipitating cause. One of the most common conditions of depression is Major Depressive Disorder (MDD), which is a psychiatric condition that impairs moods, behavioral patterns, and thoughts for a protracted duration. This psychiatric illness tends to impair the patient’s social functioning and quality of life due to its impacts on cognitive functioning. Some of the most common symptoms of the condition include difficulty in concentration, weight change, minimal interest in pleasure, high rate of suicide, and physical impairment. The severity of this disease was evident in the year 2000 when the World Health Organization ranked it as the fourth cause of disability and premature death across the globe.

Rationale: Jennifer has been presenting with symptoms for unspecified amount of time. Jennifer meets six of the criteria for symptoms being present during the same 2-week period and represents a change from previous functioning. Jennifer is depressed most of the day, nearly every day, has diminished interest in all or almost all activities most of the days, nearly every day, has fatigue or loss of energy nearly every day, feelings of worthlessness, and diminished ability to think or concentrate, is having recurrent thoughts of death, recurrent suicidal ideation without a specific plan. The symptoms have cause clinically significant distress or impairment in social, occupational, and other functioning areas. There is no know substance or medical condition and occurrence is not better explained by Schizophrenia Spectrum or Psychotic Disorders. Jennifer has never had a manic episode or a hypomanic episode. Possible family history of depression - mother.

When asked to describe her childhood, Ms. A reported she has "blocked out most of her childhood" due to extensive sexual and physical abuse. She disclosed being sexually molested from 5 to 12 years old. She also disclosed being raped several times by her father’s friends while under the influence of alcohol or drugs. Ms. A statedaid she left home at age 16 and began supporting herself. She indicated that her parents remarried other partners, and she gained 5 stepsiblings with whom she currently maintains a "good" relationships. The patient reported having a close bond with her biological mother during childhood. She described

296.32 (F33.1) Major Depressive Disorder, recurrent episode, moderate severity, with anxious distress. Ms. Client meets eight of the nine diagnostic criteria for Major Depressive Disorder (MDD). Specifically, during several periods of time she experienced depressed mood, diminished interest in things she enjoyed to do, hypersomnia, psychomotor agitation, fatigue, feelings of worthlessness, decreased concentration, and suicidal thoughts without intent. Additionally, as Ms. Client expressed, these symptoms are source of continuing distress and interfere with her academics and social functioning. Also, her symptoms started four years prior to the psychological assessment and persisted intermittently since then, lasting for several weeks to several months, with the most recent period of extended length (enduring two weeks) approximately one year ago. Since the last episode she has experienced these symptoms for two to three days at a time. Although the last episode that met the criterion of two weeks duration occurred approximately a year ago, the symptoms have not disappeared, but they occur periodically since then and when they do, they cause considerable distress and impairment in functioning. Thus, the disorder cannot be coded as ‘in partial or full remission’. The specifier ‘with anxious distress’ was given, because Ms. Client reports feelings of difficulty in concentration because of worry and restlessness.

Culture has a great effect on attitudes toward therapy. According to the National Institution of Mental Health each individual or groups of people bring a variation of beliefs to the therapeutic setting such as communicating what issues to report, types of coping styles, social support, and cultural stigma towards mental health. More often it is culture that bears on whether or not an individual will seek help. For example there is a widespread tendency to stigmatize mental illness in Asian countries. People with mental illness are considered dangerous and create social distance and

Child sexual abuse has been reported up to 80,000 times a year, but the number of unreported instances is far greater, because the children are afraid to tell anyone what has happened (American Academy of Child & Adolescent Psychiatry). Childhood sexual abuse is a traumatic experience affecting the lives of not only the victim, but those close to the victim as well. Many think there is only one person truly traumatized, but in fact, everyone involved is affected. The victim has to deal with their experience the rest of their lives. They may be more at risk for other mental issues as well, including depression. The family involved has to deal with its pain, often causing hardship and discord within the family. This is especially true