Child and Adolescent Behavioral Health

• Read Chapters 7 and 8 of Child and Adolescent Behavioral Health and Chapter 31.6, 31.13, and 31.14 of Kaplan & Sadock’s Synopsis of Psychiatry.
• Consider the following case scenario.

  David, an 11-year-old boy in fifth grade, was brought for evaluation by his parents who expressed concerns over his anxious behavior regarding developing Acquired Immunodeficiency Syndrome (AIDS). David was a well-adjusted boy and who was doing well, but suddenly began to exhibit extremely disruptive behaviors related to his fears of AIDS. This began about four to five months ago. He also began to express concerns about getting sick, to wash his hands frequently, to seek reassurance continually, and to demonstrate rituals and avoidance.

  David expressed concern many times that he can get AIDS from looking at a stranger with AIDS. Despite his parents’ reassurance, David insisted on washing or bathing for approximately one hour each time he gets home after being outside. He also began to have difficulty focusing on schoolwork. When reading assigned materials for school, David frequently experienced severe anxiety over possibly missing a word or misunderstanding a sentence, and he would reread the material many times. Eventually, he was not able to complete assignments and his grades began to deteriorate.

• In your initial post, respond to the following prompt, supporting your response with at least three sources (at least one source from your own research on this topic). 
  • Discuss assessment methods for this patient.
  • What is a possible diagnosis and the differential diagnoses for this patient?
  • What are the treatment approaches and prognosis for this patient?
• Cite your sources in APA format.
• Review your peers’ posts and respond to two individual peers. Note that you are expected to be active in the discussion forums throughout the course of the unit and that responses to your peers must occur on separate days.

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