Case Conceptualization

************Please complete the case conceptualization based upon the below synopsis. In order to answer all the questions on the template, if you need to provided additional insight/substance, that is fine. Please communicate with me any barriers. This is due to me 3/24 by 6:00 PM E/T.*************

History: Christian is an African-American 10-year-old boy. This evaluation was requested because the therapist at the school shared with mom that the client shared he wanted to kill/farm himself while at school. One of his friends informed the counselor that the client shared he wanted to kill himself. The client shared that the conversation with his peers was in relation to him wanting to be an animal. He used the phrase "kill himself" because he thought that if he killed himself, he would go to Heaven and be able to ask God about being reincarnated into another animal. He did not plan to hurt himself. Mom thinks he heard the term reincarnated on t.v. The client shared that before he said he wanted to kill himself, he shared that people were being mean to him, which prompted him to anger.

History:

Christian today denies any psychiatric symptoms. Hallucinations, delusions, and other symptoms of psychotic process are denied. Mood is described as euthymic and stable. No unusual anxiety is reported. Behavior has been stable and uneventful. He at times does experience some social isolation with peers and experience days of saddness.

Current Stressors:

Information Received From:

*Christian

*Family (mom)

Serious problems in school are described. Christian is reportedly being bullied. A number of symptoms stem from these interactions. At times he experiences bullying from other peers but it is mainly with the two little girls. Significant academic difficulties are present in relation to paying attention, and writing. Reports cards are good.

Significant social problems are present.

Symptom Review:

Information Received From:

*Family

Lack of energy stops the client from being happy, per mom.

He describes a depressed mood at present. Christian reports that he becomes easily fatigued. He reports having feelings of sadness. He reports that he no longer enjoys previously enjoyed activities, mainly going outside and playing with toys.

The client shared that at times he hears voices, he believes it is the ghost of his grandmother on Dec. 2, 2022. The voices are good voices, that he hears in his mind.

Past Psychiatric History:

Entirely negative. Christian has never been treated, counseled or hospitalized for a psychiatric condition. There is no history of emotional dyscontrol, unusual anxiety, or behavioral disturbance.

Social/Developmental History:

School History:

Christian is currently in fourth grade.

Current School Behavior:

*Has a peer group, likes specials

*Takes responsibility for behavior

School Satisfaction:

*Good , he likes PE and music and science

Intellectual Functioning:

* Intellectual performance is average.

ADHD Problems:

*Attentional problems, without hyperactivity, are reported present in the classroom.

Abuse/Neglect:

There is no known history of physical, sexual or emotional abuse.

There is no known history of physical, emotional, sexual, or monetary exploitation.

There is no known history of physical, medical, or emotional neglect.

Activities of Daily Living: Sometimes will complete his chores. He is responsible in completing chores, he takes care of himself well and can make sandwiches,

Childhood History:

Christian was born in Washington, D.C. He was raised by his mother, as a single parent. His father was absent and non supportive. He is the youngest child

Quality of childhood was:

*Not associated with physical or emotional abuse. Stable home with family. He likes his life "sometimes," because sometimes he gets into trouble if he does not complete his tasks.

Currently lives with:

*Mother

*Brother

Indicators of emotional problems include the following;

Family History of Separation/Divorce: irregular visitation since Dec 2021

Gestational & Developmental Histories:

Christian’s gestational and developmental histories were normal.

Family History:

Christian's family psychiatric history is negative. There is no history of psychiatric disorders, psychiatric treatment or hospitalization, suicidal behaviors or substance abuse in closely related family members.

Medical History:

Client has asthma, he uses a pump when needed.

Adjustment disorder, unspecified, F43.20 (ICD-10) (Active)

Encopresis not due to a substance or known physiological condition, F98.1 (ICD-10) (Active)