Therapy for Patients with ADHD

Therapy for Patients with ADHD/ODD Attention Deficit Hyperactivity Disorder. A Young Girl with ADHD BACKGROUND Katie is an 8 year old Caucasian female. She is brought to your office today by her mother & father. They report that they were referred to you by their primary care provider. This is after seeking her advice because Katie’s teacher suggested that she may have ADHD. Katie’s parents reported that their PCP felt that she should be evaluated by psychiatry. This is  to determine whether or not she has this condition. The parents give you a copy of a form titled “Conner’s Teacher Rating Scale-Revised”. Katie’s teacher was the one who files the scale. Who then sent home to the parents so that they could share it with their family primary care provider.

According to the scoring provided by her teacher, Katie is inattentive, easily distracted. She also forgets things she already learned, is poor in spelling, reading, and also arithmetic. Her attention span is short. She is noted to only pay attention to things she is interested in. The teacher opined that she lacks interest in school work and is easily distracted. Katie is also noted to start things but never finish them. In addition she seldom follows through on instructions and fails to finish her school work. Katie’s parents actively deny that Katie has ADHD. “She would be running around like a wild person if she had ADHD” reports her mother. “She is never defiant or has temper outburst” adds her father. SUBJECTIVE Katie  further reports that she doesn’t know what the “big deal” is.

Further Description

She states that school is “OK”- her favorite subjects are “art” and “recess”. Further she states that she finds her other subjects boring, and sometimes hard because she feels “lost”. She further admits that her mind does wander during class to things that she thinks of as more fun. “Sometimes” Katie reports “I will just be thinking about nothing. In addition the teacher will call my name and I don’t know what they were talking about. “Katie reports that her home life is just fine. She also reports that she loves her parents and that they are very good and kind to her. Denies any abuse, denies bullying at school. Offers no other concerns at this time. MENTAL STATUS EXAM The client is an 8 year old Caucasian female who appears appropriately developed for her age.

Her speech is clear, coherent, and logical. Firstly she is appropriately oriented to person, place, time, and event. Secondly she is dressed appropriately for the weather and time of year. Thirdly she demonstrates no noteworthy mannerisms, gestures, or tics. In addition self-reported mood is euthymic. Affect is bright. Katie denies visual or auditory hallucinations, no delusional or paranoid thought processes readily appreciated. Attention and concentration are grossly intact based on Katie’s attending to the clinical interview. Also  her ability to count backwards from 100 by serial 2’s and 5’s. Insight and judgment appear age appropriate. Katie denies any suicidal or also homicidal ideation. Diagnosis: Attention deficit hyperactivity disorder, predominantly inattentive presentation

RESOURCES§ Conners, C. K., Sitarenios, G., Parker, J. D. A., & Epstein, J. N. (1998). Revision and restandardization of the Conners’ Teacher Rating Scale (CTRS-R): Factors, structure, reliability, and criterion validity. Journal of Abnormal Child Psychology, 26, 279-291.

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