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Social And Biological That Have Affected Tommy 's Development And Care

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Introduction In the vignette provided Tommy, an 11 yr.-old male Hispanic male is suffering from numerous symptoms such as compulsive behavior, extreme mood swings, difficulty engaging in meaningful conversations and problems with concentration, to name a few. Tommy first started showing signs of disruptive and hyper behavior as early as 18 months. There are numerous factors both environmental and biological that have affected Tommy’s development and care. His mother and maternal grandmother both suffer from bipolar disorder. While pregnant with Tommy his mother had adequate prenatal care however, she may have exposed her son to various harmful substances. Also, prior to becoming pregnant Tommy’s mother had been on numerous medications for substance abuse, severe depression and suicidal ideation. At 18 months Tommy displayed hyper and difficult to discipline behavior. He lived with both of his parents as well as his paternal grandparents up until his parents’ divorce when he was five. Prior to the divorce the relationship between his parents was very strained. While Tommy was living with his parents his mother refused to take her medication, experienced extreme mood swings and often engaged in inappropriate behavior. Tommy mimicker her inappropriate behavior and often exposed his genitals to other children, which resulted in him being placed in a school for children with behavior problems. At the age of three Tommy was diagnosed with Oppositional Defiant Disorder

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