PRAC 6665 Week 9 Assignment 2

PRAC 6665 Week 9 Assignment 2

Subjective: CC: Parents are seeking a second opinion for a possible misdiagnosis of ADHD and OCD, and a possible diagnosis of Autism. HPI:This is a 10-year-old Caucasian male who presents with his parents for being easily distracted, inability to wait his turn in lines, very fidgety, and always wanting to get out of his seat. The parents explain that he has had these compulsive and rigid behaviors since a young child, but they have become more worse as he has gotten older. He likes the same routine always, and does not like changes, and gets very upset if his mother makes any change in his daily routine. Specific changes include, if his mother takes a different route to school, or if rules are not followed exactly as they should be at school. His parents endorse that instead of playing with toys, he takes them apart. He does not interact well with other kids at school and does not know how to act when they try to talk or play with him. He has issues with sharing or taking turns. They endorse that during his first year of life he would not smile at them or babble, or even make eye contact with them, and had limited expressions. They stated that he was different from his siblings in the fact that he was harder to read because he did not express his emotions like the other two children. He was not interested in normal games and activities like his siblings, such as dress-up or imagination games. They said he has never been one to seek praise when he has an accomplishment. And he shows no empathy or effort to comfort his friends when they would get hurt or seem upset. At the age of five, they said he became more aggressive toward people if they would try to invade his space, and he has not interested in engaging in play, or conversation, or even games with kids his age, and that he usually stays to himself. His parents endorse his behavioral symptoms of aggression and agitation have become worse as he gets older, and he frequently gets suspended. His behaviors seem to be worse when he is in a loud environment, such as the playground or places where there are a lot of people. He has been noted to have an average IQ with superior to gifted abilities in information and block design. He greets people by asking them questions about cars and provides them with detailed information about specific makes and models, however, he has issues responding to people or making eye contact. Because of his high cognitive abilities and behavior issues, he was placed in an alternative program, however, he is not succeeding because he is being treated as if he has ADHD with disruptive behaviors