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The patient had symptoms that met the criteria for attention-deficit hyperactivity disorder, predominantly inactive type and learning disability as evidenced by, Poor grade in school due to his inability to focus and concentrate on a single event (DSM-5, 2013). His mother reported poor social cues and socializing skills as well as difficulty remembering instructions. He is not arrogant or hyper active, but slow to learn. He has poor fine motor skills as he has difficulties cutting a straight line with scissors. His handwriting was reported to be very poor and difficult to understand (DSM-5, 2013). Assessing for ADHD in children this young and withdrawn requires in-depth evaluation of the patient and family members. …show more content…

His mother states that he would cry and refuse to sleep at night when in order to stay home and avoid school. He continues to sleep in his mother’s room as a result of his fear of being alone. On observation, he continued throughout the interview to run to his mother and hug her, before returning to play with his sister. The patient gets scared of being a lone and needs constant reminder that his mother is okay. His anxiety has been ongoing for about 3 years now according to his mother. The patients mother believes that his anxiety may be the reason why he appears shy at school and friendly with family. According to DSM-5 (2013), he meets the criteria for separation anxiety.
Furthermore, this patient meets the criteria for Social Anxiety Disorder (F40.10) as evidenced by poor relationship with people, inability to make or keep friends, fear of panicking or doing something wrong as well as inability to communicate or associate with people who are not members of his family. His symptoms have persisted for over a period of 6 months and causes impairment in his social and school live (DSM-5, …show more content…

According to The American Occupational Therapy Association (2016), occupational therapy could help the child develop better coping skills and provide guidance to family members on how to help the child. More so, this therapy will aid in the evaluation of the child’s home, school and performance skills to make recommendations and provide resources to help the patient (AOTA, 2016). This type of therapy is good for children with delayed development, copying strategies as well as coping skills. This therapy may be beneficial in improving his fine motor skills and age appropriate

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