U8d1-Diagnosing and Treating Child Mental Health Problems.docx

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u8d1- Diagnosing and Treating Child Mental Health Problems Andrew is referred for counseling. He is a 9-year-old child. Problem His mother reports the following symptoms. Andrew has an inability to concentrate and maintain focus. For example in school, he will hear someone tapping their foot, or a pencil, and it will completely throw off his concentration. Even without any distraction, he has problems reading or doing his homework more than five minutes without having something else take his attention away. This results in him being unable to finish his reading assignments and homework. His mother says that he is very fidgety. She notices Andrew tapping his hands and/or feet when he should be sitting quietly. He can’t seem to sit still for more than a couple of minutes. Andrew’s teacher advises that he fidgets and bangs his feet in class. This is distracting to the teacher and class. He also blurts out answers in class, even when he is not being called on. Andrew’s mother says that he seems not to know when to be quiet. He doesn’t stop talking, even when asked. It is difficult for him to making and keeping friends because he can’t seem to stay with one game or activity without switching on to something new. Andrew’s problems affect him at home and at school. The problems were first noticed when Andrew was 5 years-old, and have continued to the present. Andrew does not disagree with any of the statements from his mother. He also adds that he can’t organize anything well. When he tries, he quickly loses it. Problem Definition The problems detailed in Andrew’s case point to issues sustaining attention and effort, and issues maintaining inhibitory controls resulting in hyperactivity and impulsivity. Goals The goals to be achieved would work best from the theoretical orientation of cognitive behavioral therapy (CBT). CBT is a sound theoretical orientation for children. It is well suited for their neurocognitive development level because it does not require advanced cognitive skills. Instead it can be applied with simple, action- oriented, measures ( Henderson, & Thompson, 2016). Children Andrew’s age would

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