Write a Biopsychosocial Assessmen on the case below: Identifying Information resenting Problem Background History Assessment Mental status assessment/Exam Summary impression Diagnosis and rationale Recommendations/Proposed Intervention Brandon was a 12 year old boy brought in by his mother for psychiatric evaluation for temper tantrums that seemed to be contributing to declining school performance. The mother became emotional as she reported that things had always been difficult but had become worse after Brandon entered middle school. Brandon’s sixth grade teachers reported that he was academically capable but that he had little ability to make friends. He seemed to mistrust the intentions of classmates who tried to be nice to him, and then trusted others who laughingly feigned interest in the toy cars and trucks that he brought to school. The teachers noted that he often cried and rarely spoke in class. In recent months, multiple teachers had heard him screaming at other boys, generally in the hallway but sometimes in the middle of class. The teachers had not identified a cause but generally had not disciplined Brandon because they assumed he was responding to provocation. When interviewed alone, Brandon 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, Brandon 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, Brandon pulled out his cell phone and showed a string of text messages: “Dumbo!!!! Mr stutter, LoSeR, freak!, EVERYBODY HATES YOU.” While the examiner read the long string of texts that Brandon had saved but apparently not previously revealed, Brandon 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.” He said he had considered running away, but then had decided that maybe he should just run away to his own bedroom. Developmentally, Brandon spoke his first word at age 11 months and began to use short sentences by age 3. He had always been very focused on trucks, cars, and trains. 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.” Brandon’s mother had long seen this behavior as a “little odd” but added that it was not much different from that of Brandon’s father, a successful attorney, who had similarly focused interests. Both of them were “sticklers for routine” who “lacked a sense of humor.” On examination, Brandon was shy and generally nonspontaneous. He made below-average eye contact. His speech was coherent and goal directed. At times, Brandon stumbled over his words, paused excessively and sometimes rapidly repeated words or parts of words. Brandon said he felt okay but added he was scared of school. He appeared sad, brightening only when discussing his toy cars. He denied suicidality and homicidality. He denied psychotic symptoms. He was cognitively intact.

Write a Biopsychosocial Assessmen on the case below: Identifying Information resenting Problem Background History Assessment Mental status assessment/Exam Summary impression Diagnosis and rationale Recommendations/Proposed Intervention Brandon was a 12 year old boy brought in by his mother for psychiatric evaluation for temper tantrums that seemed to be contributing to declining school performance. The mother became emotional as she reported that things had always been difficult but had become worse after Brandon entered middle school. Brandon’s sixth grade teachers reported that he was academically capable but that he had little ability to make friends. He seemed to mistrust the intentions of classmates who tried to be nice to him, and then trusted others who laughingly feigned interest in the toy cars and trucks that he brought to school. The teachers noted that he often cried and rarely spoke in class. In recent months, multiple teachers had heard him screaming at other boys, generally in the hallway but sometimes in the middle of class. The teachers had not identified a cause but generally had not disciplined Brandon because they assumed he was responding to provocation. When interviewed alone, Brandon 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, Brandon 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, Brandon pulled out his cell phone and showed a string of text messages: “Dumbo!!!! Mr stutter, LoSeR, freak!, EVERYBODY HATES YOU.” While the examiner read the long string of texts that Brandon had saved but apparently not previously revealed, Brandon 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.” He said he had considered running away, but then had decided that maybe he should just run away to his own bedroom. Developmentally, Brandon spoke his first word at age 11 months and began to use short sentences by age 3. He had always been very focused on trucks, cars, and trains. 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.” Brandon’s mother had long seen this behavior as a “little odd” but added that it was not much different from that of Brandon’s father, a successful attorney, who had similarly focused interests. Both of them were “sticklers for routine” who “lacked a sense of humor.” On examination, Brandon was shy and generally nonspontaneous. He made below-average eye contact. His speech was coherent and goal directed. At times, Brandon stumbled over his words, paused excessively and sometimes rapidly repeated words or parts of words. Brandon said he felt okay but added he was scared of school. He appeared sad, brightening only when discussing his toy cars. He denied suicidality and homicidality. He denied psychotic symptoms. He was cognitively intact.

Phlebotomy Essentials

6th Edition

ISBN:9781451194524

Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Chapter1: Phlebotomy: Past And Present And The Healthcare Setting

Section: Chapter Questions

Problem 1SRQ

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Question

Write a Biopsychosocial Assessmen on the case below:

Identifying Information

resenting Problem

Background History

Assessment

Mental status assessment/Exam

Summary impression

Diagnosis and rationale

Recommendations/Proposed Intervention

Brandon was a 12 year old boy brought in by his mother for psychiatric evaluation for temper tantrums
that seemed to be contributing to declining school performance. The mother became emotional as she
reported that things had always been difficult but had become worse after Brandon entered middle
school.
Brandon’s sixth grade teachers reported that he was academically capable but that he had little ability
to make friends. He seemed to mistrust the intentions of classmates who tried to be nice to him, and
then trusted others who laughingly feigned interest in the toy cars and trucks that he brought to school.
The teachers noted that he often cried and rarely spoke in class. In recent months, multiple teachers had
heard him screaming at other boys, generally in the hallway but sometimes in the middle of class. The
teachers had not identified a cause but generally had not disciplined Brandon because they assumed he
was responding to provocation.
When interviewed alone, Brandon 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, Brandon 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, Brandon pulled out his cell phone and
showed a string of text messages: “Dumbo!!!! Mr stutter, LoSeR, freak!, EVERYBODY HATES YOU.” While
the examiner read the long string of texts that Brandon had saved but apparently not previously
revealed, Brandon 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.” He said he had considered running away, but then had
decided that maybe he should just run away to his own bedroom.
Developmentally, Brandon spoke his first word at age 11 months and began to use short sentences by
age 3. He had always been very focused on trucks, cars, and trains. 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.” Brandon’s mother had long seen this behavior as a “little
odd” but added that it was not much different from that of Brandon’s father, a successful attorney, who
had similarly focused interests. Both of them were “sticklers for routine” who “lacked a sense of
humor.”
On examination, Brandon was shy and generally nonspontaneous. He made below-average eye contact.
His speech was coherent and goal directed. At times, Brandon stumbled over his words, paused
excessively and sometimes rapidly repeated words or parts of words. Brandon said he felt okay but
added he was scared of school. He appeared sad, brightening only when discussing his toy cars. He
denied suicidality and homicidality. He denied psychotic symptoms. He was cognitively intact.

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