BILLY JOHNSON iHuman Case Study. Complete Solution

BILLY JOHNSON iHuman Case Study. Complete Solution
Billy Johnson
13 yo
“I hate school”
With his mother
Observations
● Fidgeting
● Warm, dry skin
Last Visit
One year ago, billy was seen for his well check. He was noted to be a little hyperactive at times;
his parents had recently divorced and he was a little irritable and frustrated with having to go
between his mother’s and father’s house. Had difficulty following his coach’s directions. Father
has a history of cocaine abuse.
History
1. How can I help you today?
a. My mom made me come here. I don't have any problems -- I'm fine, i'm normal, I
just don't want to go to school, okay??
2. What has been happening since your last visit?
a. This is my first visit??? HOW I HAVE RECORDS FROM ONE YEAR AGO
3. Mother: How can I help him today?
a. His grades are dropping and he is refusing to go to school. He’s always had
difficulties at school but things have been getting worse over the past year. And
theres so much more going on
4. Mother: Any other symptoms or concerns we should discuss?
a. Yes - both as school and home. His teachers all say he is very disrupt and has
problems following directions, remembering things, and waiting his turn. His
teachers report that he spends more time paying attention to his neighbors or
looking out the window than focusing on class instructions and discussion. They
say that his desk, locker and backpack are messy. He procrastinates when
assigned homework and snaps at me when I ask him or remind him about
homework. His teachers have also told me that he is constantly ill-prepared for
class, including not having pencils or misplacing completed homework
assignments. At home he doesn't listen to directions or follow through on his
chores -- especially if i give him more than one task at a time.
5. Clicked twice
6. Mother: what symptom is most distressing for him?
a. He says he feels fine, but I know he’s feeling singled out as a problem kid.
7. Mother: how does this affect his life?
a. I guess he's not wanting to go to school.
8. How are your grades in school?
a. Not good

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