IDENTIFYING INFORMATION: Raven Wright is a 13-year-old adolescent female seen today with her mother for a 90-minute outpatient psychiatric assessment. CHIEF COMPLAINT: "Depression and hearing voices". IDENTIFYING INFORMATION: Raven Wright is a 13-year-old eighth-grader who was initially scheduled to be seen at the Psychiatric Consultation clinic at the outpatient pediatrics. The clinic staff was contacted by patient 's the therapist, who brought up a number of concerns. Per review of the chart, Dr. Sandra Shocket was concerned that the child is having thoughts of harming self and others without a plan and that child hears a voice telling her to do things. Raven was described as, anxious and depressed. At the time of appointment …show more content…
She describes that she worries a lot about many things. She has difficulties in social situation, occasionally has intrusive thoughts. She does like things to be in order. She likes routine. Describes having superstitious compulsive behavior, describes panic attack, has frequent headaches, change in appetite and reduced energy. She has difficulty going to places with many people and social situations are mainly problems when she needs to speak in front of others, but can go to big groups. She does report hearing voices, occasionally seeing shadows. She reports hearing voices throught the day , both during the day and falling asleep and waking up. She report that the voice is telling her to hurt herself and others. There is no specific person that is identified. She did act on that by scratching and she never acts on hurting others or trying to kill herself. Does hear voices who are command type and has more than 1 voice and does not recognize them. Is not re-experiencing events that happened in the past, does occasionally feel paranoid and have visions of things that others do not see. No changes in appetite, comfortable with her grades. Grades are okay, but she feels that hearing things is now interfering with her school. Never used pot, alcohol, cigarettes, drugs, heroin, cocaine, or any other drugs. Reports that she was never sexually abused. She was bullied when she was in third grade. She is not in a relationship. Not sexually active.She identifies as as pansexual, "I like everyone" and is active in LGBTQ clubs in school and would like to be involve more in clubs outside the schoo. Has no confusion about sexuality. Likes to listen to music, riding her bike, hanging out with
Morgan, R. K. (1999). Case Study of Amanda: Case Studies in Child and Adolescent Psychopathology. Saddle River: Prentice Hall.
On June 8, 2016, a child welfare agency conducted a parent/child observation with Ms. Sophia Mendez and her three children. Ashley M. Mosgrove, social work intern, did the intake and completed the biopsychosocial assessment.
Studies done by researchers have shown that at least one out of five students here in the United States of America experience or suffer from mental health disorders or illnesses. The attention these youths receive is very wanting. I was more than shocked to find that only 21% of the American youth with diagnosable mental disorders receive medical care and I had to emphasize this point in my letter. The remaining 80% are ignored. The increased numbers of untreated mental illnesses have turned out to be very tragic. The end results have been increased rates of suicides among children who fall between the ages of ten and fourteen. In fact suicide is now among one of the leading causes of deaths for young youths between ages of 15 and 24. Cases of homicide and school bullying have also increased as a result. In my letter to the senator, I sensitized that many students usually dr...
One that was immediately noticed she may have is a dissociative disorder. When traumatic events are happening to her she dissociates to protect herself. She becomes a famous singer everyone loves and admires. Although it may not be dissociative identity disorder as she does not dissociate into more than one person when it happens. She becomes a famous star all the times she dissociates so this may rule out that disorder. Dissociative amnesia may be a possibility. I believe there would be enough evidence to show she has a dissociative disorder. Another mental disorder she may have is depression. It is very noticeable how unhappy she is due to the abuse and bullying of others. She believe’s them when they say awful things about them and thinks very negatively of herself. She wishes she was dead and always keeps to herself. All her traumatic life events including rape and abuse could most definitely bring on depression. I feel there is enough evidence to diagnose her with
If the patient is showing any of these sign/ symptoms then they would be diagnosed with generalized anxiety disorder (Comer, 2013, pp.115).
The psychiatrist recommended that she be admitted to a mental hospital for women, where she can rest and recover. Another sign of the Borderline Personality Disorder is c...
VR is a vibrant, beautiful, fun loving 17 year old. She is witty, creative and has a deep passion for dance. Over the last couple of years however, there are many times when she becomes so sad that it is difficult for her to function. She will go to sleep immediately after school and still have a hard time getting up in the morning. My parents have received numerous phone calls from her teachers advising us that she will fall asleep in class and this is after having slept 12 hours the prior night. During these times of sadness, VR refuses to talk with her friends. In fact, she refuses to talk to anyone or do any of the activities she so thoroughly enjoys. VR also has times when she is extremely full of energy and nothing stops her. Although this doesn’t happen as often, this excess energy is much more extreme than normal adolescent behavior. When she experiences these bouts of excess energy, VR talks non-stop. She talks so fast that people have a hard time comprehending what she is saying. It is during these episodes that she will go nights without any sleep and still function normally. In addition to days of complete sadness or excessive energy she also has to deal with erratic menstrual cycles. During these times, she gets extremely bad headaches, throws up, and bleeds qui...
While taking data, I have worked with this child to increase behaviors with reinforcement, teach new skills, and to reduce interfering behaviors, which can include self-injury. During the past year, I completed an online suicide talk session, which explores suicide prevention as well as becoming a Certified Mental Health First Aider. I also became a suicide and crisis line volunteer, giving emotional support for individuals experiencing emotional or situational distress, various forms of mental illness and in need of general information or referrals. The callers varied from transgender individuals to youth to other ethnic minority groups. I learned to not minimize grief or experiences because everyone is entitled to their feelings and every individual grieves and experiences trauma in various
Stagman, Shannon, and Janice L. Cooper. "Children's Mental Health." WWW.nccp.org. Ed. Columbia University. Columbia University, n.d. Web. 14 Mar. 2014. .
Waters, Rob. “Antidepressants May Cause Suicide and Violent Behavior in Children and Teenagers.” Treating the Mentally Ill. Ed. Kyla Stinnett, San Diego: Greenhaven Press, 2004. Web. 28 Jan. 2014
Wilens, Timothy E. Straight Talk about Psychiatric Medications for Kids New York: The Guilford Press, 1999.
Mental Health is a common topic in all agenda’s in the United States. It is currently looked at broadly across all segments of health; in fact, over the years there have been multiple approaches to addressing the needs of the population affected by lack of mental health or that have prominent mental health disorders. Over the past century the United States has been especially concerned about the mental health problems of our children and youth (Tuma, 1989). Worldwide 10-20% of children and adolescents experience mental disorders (World Health Organization [WHO], 2014). This topic has been so important to the extent that as early as 1909, the white house conference on children recommended new programs to care for mentally disturbed children (Tuma, 1989), but the process seems to continue to be in planning phases with some advancement in mental health policies for children. One hundred years later, the surgeon general national agenda for children’s health, the president’s new freedom commission on mental health and the American Psychological Association are all pushing efforts to address children’s mental health issues (Odar et al, 2013). More so, the stakeholders mentioned above agree on the fact that there is a large gap between the mental health needs of children and the supports and services that are available to meet those needs (Tolan and Dodge, 2005). However, in spite of many different approaches Tolan and Dodge (2005) state that “Children’s mental health continues to be neglected even with growing scientific evidence of the importance of mental health in children’s development” this is occurring specially within the primary developmental systems such as pediatric care and school, and of efficacy of interventions for chil...
In any case before a teenager is prescribed an antidepressant .both the parent s and the psychiatrist need to understand the risks of suicide associate with the specification of the ant...
Stuart, G. W. (2009). Principles and Practice of Psychiatric Nursing (9th ed. pp 561). St. Louis, MO: Elsevier Mosby.
The emotional health and wellbeing for our children should be the greatest importance to a parent. Four million children and adolescents in the United States live with serious mental disorders (Hamburg, 2006). Some conditions include depression, anxiety disorders, which are the most frequent that may later on lead to drug abuse. Some develop eating disorders that include bulimia and anorexia, others develop attention deficits, become hyperactive or antisocial behavioral responses that may limit the ability to think and learn and form social attachments or communicate with others. According to the World Health Organization (WHO), mental health disorders are one of the leading causes of disability worldwide. Three of the ten leading causes of disability in people between the ages of 15 and 44 are mental disorders and the other cases are often associated with mental disorders and research has shown that most mental disorders begin in childhood and in adolescence (2009). Poor mental health can have an effect on wider health and development of adolescents in associations with social outcomes such as higher alcohol, tobacco and illicit substances, pregnancy, school dropout and even the act of wrong behaviors of a child.