Hyperactive child case study | NURS 6640 – Psychotherapy With Individuals | Walden University

I need a response to this assignment 

3 references 

zero plagiarism

The hyperactive child is an adolescent, African American, Female client.  Her speech is rapid, pressured, and tangential.  Her thought process is disorganized with flights of ideas.  She appears impulsive with poor boundaries as evidenced by grabbing items that do not belong to her.  She presents with psychomotor agitation evidenced by constant fidgeting in her seat, grabbing objects, and manipulating them continuously in her hands.  The client expresses an aversion to doing homework and reports that her parents are always “on my back about video games” (Laureate Education, 2013).  While this video file does not provide the ability to ask important follow-up questions for determining diagnostic criteria, the data that can be extrapolated is highly suggestive of ADHD.  The client’s observed behaviors are consistent with the following DSM criteria for ADHD: Distracted by external stimuli, frequent fidgeting, constantly on the go, talking excessively, and frequent intrusive or interruptive behavior. Follow-up questions regarding her dislike for homework might meet DSM criteria for inattention to detail in homework, difficulty organizing tasks, and reluctance to engage in activities requiring prolonged mental effort.  Together, these inattentive, impulsive, and hyperactive symptoms exceed the six required for a diagnosis of ADHD (American Psychiatric Association, 2013).

The client would be initiated on Methylphenidate SR 18 mg each morning. Stimulant medications are first-line pharmacologic agents for the treatment of ADHD in adolescents, as they display the highest efficacy for both impulsive and inattentive symptoms and improve long term outcomes in those with ADHD (Stahl, 2013).  The most evidenced therapy for ADHD is behavioral therapy, in which the therapist works with parents to modify the child’s environment and help improve behaviors.  This is done via behavioral parent training in which strategies such as operant conditioning are taught in order to modify dysfunctional behaviors and reinforce positive behaviors (Nathan & Gorman, 2015). The intended outcome for both pharmacologic and nonpharmacologic interventions is to reduce symptoms in order to improve goal-directed behavior.  This will ultimately result in improved scholastic achievement, better interpersonal relationships, and will thereby improve long-term functioning overall.

References

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: Author.

Laureate Education (Producer). (2013). Disruptive behaviors-Part 1 [Multimedia file]. Baltimore, MD: Author.

Nathan, P. E., & Gorman, J. M. (2015). Nonpharmacologic treatments for childhood attention-deficit/hyperactivity disorder and their combination with medication. In Pfiffner, L. J. & Haack L. M., (Eds.), A guide to treatments that work (pp. 55-84). Retrieved from https://ebookcentral.proquest.com

Stahl, S. M. (2013). Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications (4th ed.). New York, NY: Cambridge University Press.

Calculate Your Essay Price
(550 words)

Approximate price: $22

Calculate the price of your order

550 words
We'll send you the first draft for approval by September 11, 2018 at 10:52 AM
Total price:
$26
The price is based on these factors:
Academic level
Number of pages
Urgency
Basic features
  • Free title page and bibliography
  • Unlimited revisions
  • Plagiarism-free guarantee
  • Money-back guarantee
  • 24/7 support
On-demand options
  • Writer’s samples
  • Part-by-part delivery
  • Overnight delivery
  • Copies of used sources
  • Expert Proofreading
Paper format
  • 275 words per page
  • 12 pt Arial/Times New Roman
  • Double line spacing
  • Any citation style (APA, MLA, Chicago/Turabian, Harvard)

Our guarantees

Delivering a high-quality product at a reasonable price is not enough anymore.
That’s why we have developed 5 beneficial guarantees that will make your experience with our service enjoyable, easy, and safe.

Money-back guarantee

You have to be 100% sure of the quality of your product to give a money-back guarantee. This describes us perfectly. Make sure that this guarantee is totally transparent.

Read more

Zero-plagiarism guarantee

Each paper is composed from scratch, according to your instructions. It is then checked by our plagiarism-detection software. There is no gap where plagiarism could squeeze in.

Read more

Free-revision policy

Thanks to our free revisions, there is no way for you to be unsatisfied. We will work on your paper until you are completely happy with the result.

Read more

Privacy policy

Your email is safe, as we store it according to international data protection rules. Your bank details are secure, as we use only reliable payment systems.

Read more

Fair-cooperation guarantee

By sending us your money, you buy the service we provide. Check out our terms and conditions if you prefer business talks to be laid out in official language.

Read more