Assessment for Seven-Year-Old Cousin
The seven-year-old cousin of Tina Jones is experiencing difficulties in school, with teachers reporting behavior problems and poor concentration. To establish a differential diagnosis for the child, several assessments are recommended. These assessments include evaluating the child’s behavioral history, verbal, motor, social, and learning capabilities. Additionally, a hearing test should be conducted to rule out any hearing impairment, and the Denver II test can help determine if there are any developmental delays. The DSM-IV criteria should be used to diagnose any potential psychological disorders in the child.
Possible diagnoses for the seven-year-old include hearing impairment, ADHD, autism, and other pervasive developmental disorders. To reach a conclusive psychological diagnosis, a thorough assessment of behavioral, social, verbal, motor, and learning aspects is necessary. Furthermore, a hearing test and the Denver II test should be performed to rule out specific conditions. Referring to the DSM-IV guidelines will aid in identifying any psychological disorder.
Concerns and Treatment for Tina’s 80-Year-Old Great Aunt
Tina’s 80-year-old great aunt has expressed difficulties sleeping and resorts to drinking alcohol before bedtime. Her recent loss of her husband and subsequent feelings of loneliness pose various risks. The use of alcohol as a sleep aid increases the likelihood of alcohol dependence. Moreover, her social isolation and widowhood elevate the risk of developing suicidal thoughts. Considering her age, there is also a concern about potential falls and injuries. The recommended treatment plan should include a counseling referral, sleep-aid medication, an antidepressant prescription, and education on the consequences of alcohol use and the importance of proper sleep hygiene.
Tina’s great aunt is likely experiencing depression, with insomnia and alcohol use being indicators of this condition, likely triggered by her husband’s recent death. Using alcohol as a sleep aid raises the risk of alcohol dependence, a significant concern due to her living alone. Moreover, her age, social isolation, alcohol use, and widowhood increase the risk of suicidal thoughts and accidents. To address her situation, the treatment plan should involve a counseling referral, antidepressant medication, sleep-aid prescription, and discussions about alcohol use and sleep hygiene.
Tina’s seven-year-old cousin is having trouble in school. His teachers complain of behavior problems and he has difficulty concentrating. List your differential diagnosis. What assessments would you perform?
The differential diagnosis includes hearing impairment, ADHD, autism, and other pervasive developmental disorders. Further assessments should include a history of behavioral, social, verbal, motor, and learning problems to guide a psychological diagnosis, a hearing test to rule out hearing impairment, and Denver II test to rule out developmental delay. The DSM-IV should be consulted for diagnosis of a psychological disorder.
Tina’s 80-year-old great aunt complains that she can’t sleep unless she drinks alcohol before bed. She mentions that her husband died last month. Her children visited for the funeral, but recently returned to their homes out-of-state, leaving Tina’s great aunt alone in her home. What risks might you be concerned about? What would you include in your treatment plan?
Her insomnia and alcohol use suggest that she is struggling with depression, most likely related to the death of her husband. Her use of alcohol as a sleep-aid puts her at risk of alcohol-dependence, which is especially unsafe given that she lives alone. Tina’s great aunt’s age, social isolation, alcohol use, and widowed status puts her at a high risk for suicide. She is also at increased risk for falls and injuries. Treatment plans should include a counseling referral, antidepressant medication, a sleep-aid, and a discussion about alcohol use and sleep hygiene.