Psychotherapy For Individual
Select a child or adolescent client whom you observed or counseled this week. Then, address the following in your Practicum Journal:
- Describe the client (without violating HIPAA regulations) and identify any pertinent history or medical information, including prescribed medications.
- Using the DSM-5, explain and justify your diagnosis for this client.
- Explain any legal and/or ethical implications related to counseling this client.
- Support your position with evidence-based literature.Select a child or adolescent client whom you observed or counseled this week. Then, address the following in your Practicum Journal:
· Describe the client (without violating HIPAA regulations) and identify any pertinent history or medical information, including prescribed medications.
Vincent is a 9-year-old adolescent. When he was initially diagnosed and began psychotropic medication and psychotherapy, he was aggressive and violent at school, hitting other students. He now is very calm, cooperative, and pleasant. His father was incarcerated last night for drug use. The father had been living at his parent’s house in a trailer on the street, where his mother and father were helping him rehabilitate off methamphetamine. The grandparents had bought him a car last week with their Federal Stimulus Check. The son then used the car to go to work and unfortunately obtain more methamphetamine, subsequently leading to his arrest for possession of a controlled substance. Vincent lives with his father’s parents. Vincent’s mother is also a methamphetamine user who visits sporadically. Vincent’s grandmother is his primary care giver. She schedules and ensures he attends all tele psych psychotherapy and gives feedback on his medication management. Vincent is continuing to progress in his grounding techniques. This week was challenging for him due to the loss of his father. Treatment primarily focused on reality-based therapy, identifying the way society helps addicts rehabilitate utilizing the incarceration system to give addicts a chance to become clean and sober, Vincent was encouraged to write to his father. He liked the idea and promised and committed to staying in touch with him, given he knows where he is. He also is doing well in school from home with his grandmother. Grandmother was given information about a treatment facility that accepts state funded healthcare for rehabilitation that provides learning life skills in AZ for her son when he is released from jail.
Abilify 20mg ½ tablet by mouth BID
Clonidine HCI 0.2mg Two Pills at Bedtime
Methephylidate HCI 10mg Take one tablet daily
Sertraline 100 mg once daily.
· Using the DSM-5, explain and justify your diagnosis for this client.
· Autistic Disorder (F84.0)
· ADHD Disorder/ Combined Type (F90.2)
· Disruptive Mood Dysregulation Disorder (DMDD)(F34.81)
· Explain any legal and/or ethical implications related to counseling this client.
· Pt. lives with his grandmother that is not court appointed because he is part Native American, and the tribe will not give guardianship. Grandmother refuses to take funds from the tribe for fear that their child protective services will take custody of Vincent and place him with a Native American family on the reservation in their foster system. This office and his grandmother do not feel this would be in Vincent’s best interest given the lack of social support, resources, and disruption in his supportive family system he currently has with his grandparents.
· Support your position with evidence-based literature.
· Growing numbers of children in the United States are living with a grandparent. In 2010, about one in 14 U.S. children (7 percent) lived in a household headed by a grandparent—for a total of 5.4 million children, up from 4.7 million in 2005.
· Studies show that boys presented many more difficulties than girls. “Boys are more likely than girls to have externalizing behavior problems—their emotional and behavioral difficulties are expressed outwardly in the form of misconduct or acting out.” (Smith G. and Palmieri, P., 2007).
By Day 7 of Week 10
Submit your Assignment.
Smith G. and Palmieri, P. (2007), “Risk of Psychological Difficulties Among
Children Raised by Custodial Grandparents,” Psychiatric Services 58, no. 10 1303–10.
U.S. Census Bureau, American Community Survey (2012) 2010 1-Year Estimates: table S1001
and 2005: table B10001, Retrieved from: http://factfinder2.census.gov.