University of Phoenix
I would start by gather as much information as possible concerning every aspect of Clara’s life. Only through a detailed interview with her and the parents could we begin to narrow possibilities of treatment.
I would ask Clara to describe her day and home time. Is she happy at school or sad? What is it that happens just before her tantrums start? Did you like preschool at first? Did something change at school to make you not like to go there? How does she feel just before she misbehaves? Are you lonely?
I would ask her parents when she started acting this way. How do you get her to stop? How has her sleeping patterns changed? What has ...view middle of the document...
I would have a meeting with her teacher to find out how she is doing in school. Clinical observation should always be used first, because it is the most used assessment tool.
Before designing an effective intervention for this family I would want to do an extensive at home study. This would help me to understand what approach I need to take for an intervention.
If Clara seemed depressed this would fall under Axis 1 general depression (NOS) this could be determined through personal interviews and testing. Axis 2 would be personality disorders (NOS) you would be able to interview her and see if there are any other personalities present. Axis 3 may or may not apply to this case a health background would need to be done. You could get all her medical records from her primary doctor. Axis 4 educational problems av gaf 55(NOS). In this Axis you would be able to order tests that start from easy to hard to see how far she gets and psychology tests can be ordered if needed.
I think at the age of four could be more harmful to Clara than helpful. Her behavior could be a normal part of development. Being adopted she may be testing her parents to see at what point they will react to her behavior. Clara may be bored with school, thus making her act out. By having Clara tested to see what her IQ is could on cover that she is not being challenged at school. I do not feel that Clara would benefit from medication at this time. If this is a normal part of maturation, misdiagnoses would be more harmful in Clara’s development and impede her normal mental process.