PCN 605 Case Study: Johnny is a 9 year old boy brought to the emergency room where you are employed as a crisis therapist
PCN 605 Case Study: Johnny is a 9 year old boy brought to the emergency room where you are employed as a crisis therapist
PCN 605 Case Study: Johnny is a 9 year old boy brought to the emergency room where you are employed as a crisis therapist
Johnny is a 9-year-old boy who has been brought to the emergency room where you work as a crisis therapist. The patient was transported by a crisis mobile team that the school had requested. The ER physician’s evaluation, as well as the urine drug screen, are unremarkable: there are no acute or chronic issues with this patient. The DSM-5 Parent/Guardian-Rated Level 1 Cross-Cutting Symptom Measure—Child Age 6–17 form completed by the mother is shown in the chart (attached). According to his admission paperwork, Johnny has been to the principal’s office several times in the last year, all of which have been triggered by various disruptive behaviors.
Today’s crisis began when Johnny refused to follow instructions for an in-class assignment. When the teacher tried to redirect his behavior, Johnny yelled at him, cursed at him in vulgar language, and when the teacher grabbed his shoulders to take him to the principal’s office, Johnny stabbed the teacher in the arm with a pencil he was clenching in his hand. Johnny was escorted to the principal’s office, where the police and Johnny’s parents were immediately called. The officer was forced to call the county crisis hotline, which dispatched a crisis mobile team. The crisis clinicians determined that Johnny is a danger to others and that he should be taken to the nearest emergency room for immediate psychiatric evaluation. Johnny has refused to speak with either the ER doctor or his nurse.
Johnny, a 9-year-old boy, is the subject of PCN 605 Case Study.
You get the majority of your clinical information from his mother, who is by his side at the bedside. Johnny’s mother claims that he has always been a bright, charming, and amusing young man. She stated that for the past year, Johnny has become increasingly defiant, repeatedly questioning his mother’s and teacher’s authority when compliance with home and/or classroom rules is required. Johnny was an A+ student in the past. However, over the last year, he has been averaging Bs in most subjects, grades that he has easily earned.
Johnny, a 9-year-old boy, is the subject of PCN 605 Case Study.
His mother assures you over and over that his drop in grades is not due to a lack of intellectual ability, but rather to Johnny’s preference for playing over any type of work. His mother denies any changes in his sleep, appetite, or mood. Furthermore, his mother reports that Johnny is a healthy and happy boy who enjoys sports, the outdoors, and video games and aspires to be a software engineer when he grows up. She claims that Johnny’s school counselor has suggested that he may have ADHD or even bipolar disorder. The thought of these diagnoses appears to be very upsetting to Johnny’s mother. She quickly assures you that she has never seen Johnny suffer from depression or distractibility, and that he has always been a good sleeper. She claims Johnny has never expressed any thoughts or impulses to harm himself or others.
Johnny, a 9-year-old boy, is the subject of PCN 605 Case Study.
Johnny’s mother appears shaken by the events of the day, but she assures you that she will seek any treatment you recommend. At the moment,
Case Study PCN 605 Johnny is a 9-year-old boy who has been brought to the emergency room where you work as a crisis therapist.
Johnny looks up at you, tears in his eyes, and says he didn’t mean to stab his teacher, explaining that he was just angry when he grabbed him. Johnny’s mother listens and then says that while he usually obeys her, he has always been obedient to his father, a traveling salesman. In fact, Johnny has never challenged his father, and when he is present on weekends, Johnny manages to complete his schoolwork in record time and enjoys spending the majority of his time with his father.
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To distinguish between issues associated with typical childhood behaviors and clinically significant psychiatric phenomena, use the DSM-5 Parent/Guardian-Rated Level 1 Cross-Cutting Symptom Measure—Child Age 6–17. (psychopathology). When distinguishing between the issues, keep the following in mind:
Do you believe “Johnny” requires a formal referral to a pediatric psychiatrist/psychologist/counselor based on your findings?
Assign the appropriate DSM diagnoses to “Johnny” in descending order, beginning with the most dominant and ending with the least dominant. When assigning the DSM diagnosis, keep the following in mind:
Based on the information you have gathered about Johnny, what diagnostic impression do you form? What is your reasoning for excluding other diagnoses?
Write a paper of 500-750 words about Johnny and your findings. Include the following information in your paper:
The appropriate DSM diagnoses for “Johnny” are listed in descending order, beginning with the most dominant and ending with the least dominant and rationale.
An explanation and rationale for why other diagnoses were ruled out.
A discussion about whether you believe “Johnny” requires a formal referral to a pediatric psychiatrist/psychologist/counselor, as well as your reasoning for your decision.
In addition to the textbook, your paper should include at least five scholarly references to back up your findings.