Playful
Behavioral Health
0
{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/Y1_F1.jpg"}},{"insert":"\n\n"},{"insert":"You find yourself in a buoyant mood. Jason, whose parents have come in for a follow-up, says that he has responded extremely well to your treatment and is now at the top of his class.\n\nAs they leave your office, you hope to stay in high spirits through the rest of the day.\n"}]}
1
{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/Y1_F2.jpg"}},{"insert":"\n\n"},{"insert":"The nurse announces your next patient. A young couple walks in with a little girl.\n\nMaria introduces herself, her husband, Joseph, and their 11-year old, Sofia.\n\nSofia has been referred to you by her pediatrician for suspected attention deficit behavior.\n\nYou proceed to take a detailed history, which Maria is more than willing to provide.\n"}]}
2
{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/Y1_F3.jpg"}},{"insert":"\n\n"},{"insert":"Maria is a clerk at a local clothing store, and Joseph is an accountant.\n\nAt a recent parents\u0027 evening, Maria and Joseph were concerned to hear that Sofia has been struggling with her schoolwork and has fallen significantly behind her peers in school.\n\nShe has also been having trouble getting along with other children, and is often involved in fights on the playground.\n\nOn a positive note, her teacher is pleased to report that she is doing quite well at sports.\n"}]}
3
{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/Y1_F4.jpg"}},{"insert":"\n\n"},{"insert":"After getting back home from the meeting, and discussing things further, the worried couple realized that their daughter has indeed become quite disorganized over the past year and a half.\n\nMaria says that Sofia has been misplacing her school things a lot, takes a long while to get ready, and so is often late for school.\n\nShe is restless and finds it difficult to concentrate, even on things that she enjoys; she hasn\u0027t been able to sit through her favorite Disney movies for a while now.\n\nIn fact, now that they think of it, it has always been difficult to sustain Sofia\u0027s attention for more than around 10 minutes at a stretch.\n"}]}
4
{"ops":[{"insert":"Recalling that she was very much like this as a child, Maria didn\u0027t give it much thought until now.\n\nBoth she and Joseph are especially concerned that Sofia is struggling academically.\n"}]}
5
{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/Y1_F6.jpg"}},{"insert":"\n\n"},{"insert":"They first consulted their pediatrician, who obtained a detailed developmental history.\n\nShe noted that Sofia did not sleep particularly well as a baby, and still finds it difficult to settle down at bedtime.\n\nThroughout the pediatric consultation, Sofia struggled to sit still; the toys and storybooks in the room had limited success in keeping her occupied. There were no remarkable findings on a physical.\n\nThe pediatrician concludes her report by saying that although Sofia is experiencing some emotional distress as a result of her difficulties, she doesn\u0027t seem to suffer from depression, or an anxiety disorder.\n"}]}
6
{"ops":[{"insert":"You suspect attention deficit hyperactivity disorder (ADHD), but would like to rate Sofia\u0027s condition on an objective scale first.\n"}]}
7
{"ops":[{"insert":"What questionnaire will you ask Maria and Joseph to complete in order to rate Sofia\u0027s condition?\n"}]}
1. The Strengths and Difficulties Questionnaire (SDQ)
2. Conners' Rating Scales
3. The Screen for Child Anxiety Related Emotional Disorders (SCARED) scale
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