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1A Young Girl with Difficulties in School Walden University NURS 6660 - Child and Adolescent September 28, 2020
2Introduction The assignment requires an analysis of a Case Study: A Young Girl with Difficulties in School (Laureate Education (Producer), 2017). The case study involves an 8-year-old white female who came to the clinic as a result of poor school performance. The goal of this assignment is to have the PMHNP student identify the young girl’s differential diagnoses, work through three treatment decisions including medications based on the diagnosis, and to discuss the results. What is Decision 1: Differential Diagnoses? Katie’s clinical presentation and subjective questionnaire and discussion with mom lead to a diagnosis of Attention Deficit Hyperactivity Disorder (ADHD), (ICD 9 - 314.00) (ICD 10 - F900), with a predominant inattentive presentation. The DSM-5 criteria for children 16 or younger are characterized by symptoms of inattention with six or more symptoms which include making careless schoolwork mistakes, trouble holding attention, poor listening skills, not following instructions, trouble organizing their tasks, procrastination related to school work, losing or misplacing things, and being easily distracted for 6 or more months (Symptoms and diagnosis of ADHD, 2020). Katie meets 6 or more of the criteria. Differential diagnoses include: 1. Specific learning disorder (ICD 10 - F810); 2. Intellectual disability (ICD 10 - F70); Autism spectrum disorder (ICD F840). What is Decision 2: Psychotherapy Treatment Plan?
3Treatment plan: Katie was started on Adderall XR 10 mg orally daily is started. The other medications options included Wellbutrin and Strattera. Wellbutrin is an antidepressant in the norepinephrine dopamine reuptake inhibitor (NDRI) class.