Case 4 Brad was a 12-year-old boy brought in by his mother for psychiatric evaluation for temper tantrums. Even Brad's teachers noted that he often cried and rarely spoke in class. They said he was academically capable but that he had little ability to make friends. In recent months, multiple teachers heard him screaming at other boys, generally in the hallway, but sometimes in the middle of class. The teachers assumed he was responding to a provocation. When interviewed alone, Brad responded with nonspontaneous mumbles when asked questions about school, classmates, and his family. When the examiner asked if he was interested in toy cars, however, Brad lit up. He pulled several cars, trucks, and airplanes from his backpack and, while not making good eye contact, did talk at length about vehicles, using their apparently accurate names (e.g., front-end loader, B-52, Jaguar). When asked again about school, Brad pulled out his cell phone and showed a strong of test messages: "dumbo!!!!, mr stutter, LoSeR, freak!, EVERYBODY HATES YOU." Brad added that other boys would whisper "bad words" to him in class and then scream in his ears in the hall. "And I hate loud noises." According to his mother, he had always been "very shy" and had never had a best friend. He struggled with jokes and typical childhood banter because "he takes things so literally." On examination, Brad stumbled over his words, paused excessively, and sometimes rapidly repeated words or parts of words. Brad said he felt okay but added he was scared of school. COMORBIDITY - there are 2 potential diagnoses that co-occur or present simultaneous
Case 4 Brad was a 12-year-old boy brought in by his mother for psychiatric evaluation for temper tantrums. Even Brad's teachers noted that he often cried and rarely spoke in class. They said he was academically capable but that he had little ability to make friends. In recent months, multiple teachers heard him screaming at other boys, generally in the hallway, but sometimes in the middle of class. The teachers assumed he was responding to a provocation. When interviewed alone, Brad responded with nonspontaneous mumbles when asked questions about school, classmates, and his family. When the examiner asked if he was interested in toy cars, however, Brad lit up. He pulled several cars, trucks, and airplanes from his backpack and, while not making good eye contact, did talk at length about vehicles, using their apparently accurate names (e.g., front-end loader, B-52, Jaguar). When asked again about school, Brad pulled out his cell phone and showed a strong of test messages: "dumbo!!!!, mr stutter, LoSeR, freak!, EVERYBODY HATES YOU." Brad added that other boys would whisper "bad words" to him in class and then scream in his ears in the hall. "And I hate loud noises." According to his mother, he had always been "very shy" and had never had a best friend. He struggled with jokes and typical childhood banter because "he takes things so literally." On examination, Brad stumbled over his words, paused excessively, and sometimes rapidly repeated words or parts of words. Brad said he felt okay but added he was scared of school. COMORBIDITY - there are 2 potential diagnoses that co-occur or present simultaneous
Ciccarelli: Psychology_5 (5th Edition)
5th Edition
ISBN:9780134477961
Author:Saundra K. Ciccarelli, J. Noland White
Publisher:Saundra K. Ciccarelli, J. Noland White
Chapter1: The Science Of Psychology
Section: Chapter Questions
Problem 1TY
Related questions
Question
- What is your Diagnosis?
- What led you to that diagnosis? (Don’t forget to highlight/underline)
Transcribed Image Text:Case 4
Brad was a 12-year-old boy brought in by his mother for psychiatric evaluation for temper tantrums.
Even Brad's teachers noted that he often cried and rarely spoke in class. They said he was
academically capable but that he had little ability to make friends. In recent months, multiple
teachers heard him screaming at other boys, generally in the hallway, but sometimes in the middle
of class. The teachers assumed he was responding to a provocation.
When interviewed alone, Brad responded with nonspontaneous mumbles when asked questions
about school, classmates, and his family. When the examiner asked if he was interested in toy cars,
however, Brad lit up. He pulled several cars, trucks, and airplanes from his backpack and, while
not making good eye contact, did talk at length about vehicles, using their apparently accurate
names (e.g., front-end loader, B-52, Jaguar).
When asked again about school, Brad pulled out his cell phone and showed a strong of test
messages: "dumbo!!!!, mr stutter, LoSeR, freak!, EVERYBODY HATES YOU." Brad added that other
boys would whisper "bad words" to him in class and then scream in his ears in the hall. "And I hate
loud noises."
According to his mother, he had always been "very shy" and had never had a best friend. He
struggled with jokes and typical childhood banter because "he takes things so literally."
On examination, Brad stumbled over his words, paused excessively, and sometimes rapidly
repeated words or parts of words. Brad said he felt okay but added he was scared of school.
COMORBIDITY - there are 2 potential diagnoses that co-occur or present simultaneous
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