Identifying Information:
Jane is a 13-year-old, half Hispanic, half Caucasian, heterosexual female. She lives with her biological mother, her mother’s boyfriend, and her three half-sisters. This is the second boyfriend of Jane’s mother who became close with Jane. The previous boyfriend was greatly admired by Jane and was in her life for about 5 years. Jane’s biological father died shortly after Jane was born. Jane was referred to therapy for a psychological evaluation and treatment by her mother.
Presenting Problems:
Jane has a history of impulsivity and problems with authority dating back to 5-years-old. As Jane has aged, her symptoms have been increasing in frequency and severity. Janes intelligence helped her maintain good grades in
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Jane’s hyperactivity and impulsivity, along with her tendency to be irritable, argumentative, and rude has caused significant distress on those who she lives with. Janes mother reports that jane will snap at her sisters for no clear reason. Jane reports that she just thinks of things and says them with ought thinking about if she should say it or not. Jane has also got in trouble for setting a mall fire in her house. While it does not seem that she set the fire with the intent to hurt others or to burn the house, the behavior still troubles Janes mother and the mother’s boyfriend. Jane’s mother fears that Jane’s behavior will either make home life miserable for the three other girls, or cause the family to be split up in the …show more content…
As she has aged, the symptoms have only intensified. Previously her symptoms were not causing considerable dysfunction to her at school, home, or with peers, but now they are. Janes impulsivity and hyperactivity are apparent without much analysis as well as Jane’s tendency to be rude, argumentative, and irritable.
Jane was put on medication for ADHD when she was seven-years-old, but her mother reports discontinuing the medication when she seen that Jane would become zombie-like on the medication. Jane also reports being teased about having to take medication by two teachers at the time, which lead to a negative perspective of medication. Jane still has a prescription for the ADHD medication, but she only regularly takes them leading up to and during STAR testing.
Suicidal/Homicidal Risk Assessment:
Currently, Jane reports not ever having suicidal or homicidal thoughts or intent. While this is what she reported, further analysis is required to ensure she is not hiding her thoughts or