WK 3 Assignment

Decision Point One

Attention Deficit Hyperactivity Disorder, predominantly inattentive presentationsentation

RESULTS OF DECISION POINT ONE

·  Client returns to clinic in four weeks

·  You selected Attention deficit hyperactivity disorder, predominantly inattentive presentation. Based on this choice, outline the remainder of the diagnostic evaluation that you will conduct on this child and their parents. Be sure to include standardized assessment instruments that you would administer

Decision Point Two

Begin Strattera 25mg orally daily

RESULTS OF DECISION POINT TWO

·  Client returns to clinic in four weeks

·  Katie’s parents seem absolutely delighted upon their return stating that Katie is paying more attention in school, but note that there is still room for improvement

·  They are somewhat concerned however about some sedation that she experiences following the medication. They report that Katie has been becoming more uncooperative with medications as she feels ‘sleepy’ after taking them

· Her parents are also concerned about her decrease in appetite since starting the medication

Decision Point Three

Discontinue Strattera and begin Adderall XR 10mg orally daily

Guidance to Student

In response to the first choice, although decreased appetite is a side effect of Strattera, it does not address the parents’ concerns about Katie’s sedation, which can occur with Strattera use. It may help with residual inattention symptoms, however, if the medication is creating such negative side effects, compliance may become an issue.

CBT has some evidence of efficacy in treating ADHD symptoms, however, augmenting the medication is not going to effectively address the concerns that Katie’s parents have raised regarding side effects.

Discontinuing Strattera and beginning Adderall XR would be the most appropriate strategy in this case as changing agents may alleviate the unfavorable side effects, and may treat symptoms more effectively.