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Summary Clinical Decisions

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Summary study book Clinical Decision Support of Robert A. Greenes - ISBN: 9780080467696 (Clinical Decisions)

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  • June 26, 2021
  • 8
  • 2020/2021
  • Summary
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A Young Girl with Difficulties in School

ADHD is a mental disorder where a patient develops trouble in concentrating as well as

exhibiting impulsive behaviors (American Psychiatric Association, 2013). Individuals suffering

from ADHD can be observed to be in constant movement. The onset of manifestations can be

observed in early childhood as it develops gradually into older developmental stages. The

hyperactive nature of these individuals increases as they grow older. They are observed to

become disorganized in their work ad are seen to be inattentive and often depicted to be

impulsive (American Psychiatric Association, 2013). This write-up is focusing on three decisions

made concerning the diagnosis and treatment process of Katie, who is an 8-year-old Caucasian

female that reported to the health care facility for a psychiatric assessment.

Katie’s Background Information

The client is identified as an elementary school child that has been reported to be easily

distracted and often inattentive in class. She is reported to be making careless mistakes in school

and has a poor memory retention capability on her schoolwork. Her concentration span is

identified to be quite short and is observed to focus more on the thing that she regards to be

interesting to her. He is reported to be having problems relating to her classmates and is often

observed to be isolated while playing. The report was identified based on a Conner’s Teacher

Rating Scale that she was subjected to, while in school. Their private doctor requested that she

undertakes a psychiatric assessment to identify a treatment process based on the diagnosis she

will be described with. Her parents mentioned that she has not been responding to the medication

that she was prescribed. The client was observed to be restless during the assessment but again

showed appropriate development which is consistent with her age, with a neutral effect and clear

speech. I will consider several disorders to identify her specific diagnosis and treatment process.

, Decision One

The suitable diagnosis for the client is identified to be Attention Deficit Hyperactivity

Disorder that is described with a predominant inattentive presentation (ADHD). This diagnosis is

identified entirely based on the information that was obtained from Katie’s report. With regards

to the diagnostic criteria of ADHD as identified by the American Psychiatric Association (2013),

it is indicated that a client is suffering from ADHD if they identify with a prolonged period of

hyperactive and impulsive characters which is observed for a period that is not less than 6

months and that should be unusual for the age group of the client and also affects their cognitive

and social functioning. The manifestations of ADHD are inclusive of, lack of concentration when

an individual is performing important tasks which may end up not being completed, wandering

mind, having difficulty in identifying with instructions, and not being keen to details (American

Psychiatric Association, 2013). According to research conducted by Cordier et al. (2018), it is

indicated that ADHD is observed to be the most predominant mental disorder that is affecting

children and adolescents and causes degeneration in the cognitive and social functioning of the

individual. Such patients have trouble in their executive functions such as critical thinking and

problem solving, planning, orientation, irritability, sustained attention, and memory retention.

They are often observed to be having a flat affect and motivation delay. The symptoms described

above attribute to the social dysfunctioning exhibited by these clients (Cordier et al., 2018)

Additional indications of ADHD include consistent interruption of other people in

conversations, restlessness, and inability to be calm when performing leisure activities, excessive

talking, and observation of shouting answers even before questions are completely asked

(American Psychiatric Association, 2013). During the assessment, the client depicted a couple of

these manifestations while others were indicated in her baseline session by her parents. By this, it

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