SH is a premenarchal 12-year-old female who has a 6-week complaint of difficulty concentrating, loss of appetite, and insomnia

    November 3, 2024

SH is a premenarchal 12-year-old female who has a 6-week complaint of difficulty concentrating, loss of appetite, and insomnia. Her mother notes that SH has stopped talking to her friends and seems “very withdrawn.” There are no recent changes in the family and no history of trauma. What do you believe this patient’s diagnosis is? What are the appropriate steps to screen and evaluate this patient? What management will you recommend?
You receive a phone call from the parent of a 3-year-old child who was asked to leave his preschool because of fighting with the children and teachers, biting his classmates, and “dramatic” temper tantrums that often result in his throwing objects at others. His mother reports that he has “always been a difficult child” and does not respond to verbal redirection and timeouts “like his older brother does.” In addition, he has always been a “physical child” and will often hit and push older children when angered. What disorders do you suspect? What are the appropriate steps to screen and evaluate this patient? What will be your management of this child?
Please be sure to validate your opinions and ideas with citations and references in APA format.
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