case study

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Johnathan is a nine year, eight month old, Caucasian boy with a history of severe physical assault of his mother and peers, homicidal threats, self-abusive behaviors, firesetting, and psychotic symptoms, admitted to Perkins for a forty-five day, diagnostic evaluation, and possible long-term placement.

The first time I met john, he was in the time-out room. He appeared dissociated and possibly psychotic. He had glassy eyes, he alternated between staring in space, laughing loudly and jumping around, throwing himself against the walls or lying down, rolling, imitating being in restraint with his arms folded and his hands on his back. When questioned about what was going on, he did not respond.

The second time we met, we played a board game. John was constantly moving, distracted by minor stimuli joking. He cheated all the time, but denied it, and was irritated when confronted about it. He


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John was evaluated on two separate occasions at the perkins school. A well-nourished boy with brown hair, john appeared to be of average height for his age, and appropriately dressed and groomed. John appeared regressed in his behavior, with very labile mood and presentation. His language was frequently scatological. At times, he responded with long latencies to questions, and then would blurt out an answer; at other times, he appeared impulsive, reaching out to touch objects within reach. His general demeanor and emotional reactivity was that of a younger child. Although he found the testing to be difficult, he appeared to enjoy the one-to-one attention, and idd not want tot return to class.

John's receptive language appeared impaired-perhaps due to underlying distractibility-as he often needed questions repeated. Speech was normal in rate, prosody and volum

Some common words found in the essay are:
Mental Status, Data Johnathan, john appeared, domestic violence,

Approximate Word count = 638
Approximate Pages = 3 (250 words per page double spaced)

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