They report that katies teacher has reported that

This preview shows page 4 - 6 out of 6 pages.

the afternoon. They report that Katie’s teacher has reported that Katie is able to maintain herattention throughout the morning classes but come afternoon, she “daydreams.” Katie’s parentsare also concerned about her decrease in appetite since starting the medication. Based on thesereports, my decision at this point would be to add a small dose of immediate release (IR)Adderall in the early afternoon. This would still be considered a safe intervention as thismedication can therapeutically be increased among children within Katie’s age range between 5–40 mg/day in divided doses for IR tablet, once daily morning dose for XR tablet(Stahl 2014b).Moreover, Adderall IR has a short half-life of 4–6 hours and may be considered as a second-lineagent to supplement the Adderall XR for children with ADHD who suffer with inattention as theeffectiveness of the Adderall XR wanes towards the afternoon (Kolar et al., 2008). Katie’s parentshould be advised that appetite suppression is a common side effect of children with ADHD whoare prescribed stimulants (Sadock, Sadock & Ruiz, 2014). Katie’s parent should be assured thatthe practitioner would put her body mass index (BMI) into consideration, and if needed, Katiecan be referred to a registered dietitian for more specialized care. The other option given in thisscenario at this phase which I would decline is to or augment Katie’s medication with familytherapy. Augmentation with family therapy is also a good idea as it can help Katie with hersymptoms and further help her parents to understand the unique challenges that Katieexperiences, as well as ways that they can help her with symptoms, however at this point, thisoption does not address the return of inattentive symptoms in the afternoon (Laureate 2017b).Although this case study provided no information or result about Katie’s response to these4
A YOUNG GIRL WITH DIFFICULTIES IN SCHOOL therapeutic decisions and approaches, I would expect a marked improvement in Katie’sinattention in the afternoon and an improvement in her Connor’s Teacher Rating Scale report. SummaryWhen a child presents with symptoms of a disorder such as ADHD, this condition mightoften be challenging for both the child and their parents. Essentially, we as practitioners mustcarefully assess and diagnose these symptoms to ensure we would be providing the right care

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture