Mental Health Shadow Health Tina Jones Lifespan
Activity Time: 23 min
1. Tina’s seven-year-old cousin is having problems in school. His teachers report behavior issues, and he struggles to pay attention. What could be the possible reasons for his difficulties, and what assessments would you do?
– Student Response:
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There could be several reasons for the seven-year-old’s troubles. To understand better, we would assess his history of behavior, speech, motor skills, social interactions, and learning abilities. Additionally, a hearing test would be done to make sure hearing problems aren’t contributing. The Denver II test can help check for any developmental delays. Finally, the DSM-IV criteria would be consulted for diagnosing any psychological disorders.
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– Model Note:
The potential causes for the child’s issues could include hearing problems, ADHD, autism, or other developmental disorders. To pinpoint the problem, it’s essential to examine his history of behavior, social interactions, speech, motor skills, and learning abilities. A hearing test can rule out hearing issues, and the Denver II test can check for developmental delays. To make a psychological diagnosis, we’d refer to the DSM-IV criteria.
2. Tina’s 80-year-old great aunt has trouble sleeping unless she drinks alcohol before bedtime. She mentions that her husband passed away last month, and her children, who visited for the funeral, have now returned to their out-of-state homes, leaving her alone. What concerns might you have, and what would you include in her treatment plan?
– Student Response:
It’s worrisome that Tina’s great aunt relies on alcohol to sleep, especially after her husband’s recent death. Living alone and using alcohol as a sleep aid puts her at risk of developing alcohol dependence. Her alcohol use, combined with social isolation and being widowed, increases her risk of having suicidal thoughts. Additionally, due to her age, she’s at risk of falls and injuries. To address her situation, a treatment plan should include counseling, sleep-aid medication, antidepressant medication, and education about the effects of alcohol use and the importance of good sleep habits.
– Model Note:
Tina’s great aunt’s insomnia and alcohol use are likely linked to her grief over her husband’s passing. Depending on alcohol for sleep can lead to alcohol dependence, which is risky since she lives alone. Her age, isolation, alcohol use, and widowhood increase her risk of suicidal thoughts and falls. Treatment options should involve counseling, antidepressant medication, a sleep-aid, and discussions about alcohol use and improving her sleep habits.
Mental Health Shadow Health Tina Jones Lifespan
Lifespan Activity Time: 23 min
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.
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