Mary’s Case Study
March 4, 2012
Case Study Summary
Mary S. is a 17-year-old Latina High School Junior who is popular amongst her peers and performs academically in the top quarter of her class. One day, while at a party, she was dared by her friends to dive off a second floor balcony in the swimming pool. When she dove head first, she slipped and experienced a sharp blow to her head on the side of the pool. She was unconscious and had to be pulled out of the water by her friends. Once out of the water, her friends noticed that that she was bleeding freely on the side of her head where she struck the side of the pool.
Mary was rushed to a hospital ICU…show more content…
A history of head trauma that has caused significant cerebral concussion.
Note: The manifestations of concussion include loss of consciousness, posttraumatic amnesia, and less commonly, posttraumatic onset of seizures. The specific method of defining this criterion needs to be established by further research.
B. Evidence from neuropsychological testing or quantified cognitive assessment of difficulty in attention (concentrating, shifting focus of attention, performing simultaneous cognitive tasks) or memory (learning or recall of information).
C. Three (or more) of the following occur shortly after the trauma and last at least 3 months: 1. Becoming fatigued easily; 2. Disordered sleep; 3. Headache; 4. Vertigo or dizziness; 5. Irritability or aggression on little or no provocation; 6. Anxiety, depression, or affective instability; 7. Changes in personality (e.g., social or sexual inappropriateness); 8. Apathy or lack of spontaneity.
D. The symptoms in criteria B and C have their onset following head trauma or else represent a substantial worsening of preexisting symptoms.
E. The disturbance causes significant impairment in social or occupational functioning and represents a significant decline from a previous level of functioning. In school-age children, the impairment may be manifested by a significant worsening in school or academic performance dating from the trauma.