Assessment Of Behavioral And Emotional Disorders Discussion

Assessment Of Behavioral And Emotional Disorders Discussion

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Week 1 Response

Hi Zeshan,

Great post! You showed empathy and used an appropriate tone during the clinical interview. You also asked relevant questions about the patient’s mood, including sadness, depression, anger, and energy levels. However, you could improve by asking about the patient’s past psychiatric history and following up with leading questions (Ogundele, 2018)Assessment Of Behavioral And Emotional Disorders Discussion . It is important for the practitioner to investigate the patient’s past medical and psychiatric history, as well as their family, social, and legal history, to understand the factors that may affect their condition. Implementing a Mental Status Exam to assess the patient’s mental functioning is also crucial.

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After inquiring about thoughts of self-harm, the next question should be about any active plans of suicide and previous suicide attempts (Giannopoulou, et, al, 2018). A thorough psychiatric assessment of a child/adolescent is vital because they may be reluctant to share their thoughts and feelings, and they may struggle to accurately describe their issues. Gathering information from multiple sources, including the child, parents, teachers, and caregivers, is necessary for an accurate diagnosis and appropriate treatment.

The Spence Children’s Anxiety Scale (SCAS) and the Children’s Depression Rating Scale-Revised (CDRS-R) are suitable rating scales for assessing anxiety and depression symptoms, respectively (Zeighami, et, al, 2022)Assessment Of Behavioral And Emotional Disorders Discussion. Parent-Child Interaction Therapy (PCIT) and play therapy are two treatment options for children and adolescents that may not be commonly used with adults. Parents/guardians play a crucial role in the assessment process by providing information about the child’s behavior and functioning, while involving the youth helps in understanding their emotional well-being

References

Giannopoulou, I., Pasalari, E., Bali, P., Grammatikaki, D., & Ferentinos, P. (2022). Psychometric properties of the revised child anxiety and depression scale in Greek adolescents. Clinical child psychology and psychiatry, 27(2), 424-438.

Ogundele, M. O. (2018). Behavioural and emotional disorders in childhood: A brief overview for paediatricians. World journal of clinical pediatrics, 7(1), 9.

Zeighami, R., Sarichloo, M. E., Hosseinkhani, Z., & Zeynalzadeh, S. (2022). The Effect of Parent-child Interaction Therapy on Separation Anxiety in 3-6-Year-old Children of Nurses. Iranian Journal of Psychiatry and Behavioral Sciences, 16(2)Assessment Of Behavioral And Emotional Disorders Discussion.

Respond to at least two of your colleagues

Zeshan Mehmood

What did the practitioner do well? In what areas can the practitioner improve?
The practitioner was very empathetic and had the appropriate tone. She asked the right questions such as how has his mood been lately or has, he been feeling sad or depressed? Has he been crying? Have you been feeling hopeless? Have you been feeling edgy or angry? Do you feel like you don’t have much energy or not interested in things? How are you doing in school? Why are you not doing your homework anymore? Do you use drugs or alcohol? How long have you been having these feelings? Have you had thoughts about hurting yourself? Assessment Of Behavioral And Emotional Disorders Discussion

The practitioner can improve by asking his past psychiatric history questions. She could also improve by following up and asking the leading questions. For example when she asks him about if he has been feeling edgy or angry and the patient responds that he feels like fighting, the practitioner could ask what makes him feel like want to fight?

At this point in the clinical interview, do you have any compelling concerns? If so, what are they?
Yes, she should investigate any past medical and psychiatric history that may include any past diagnoses, medications, hospitalizations. Any pertaining to family, social and legal history that may be associated or may affect the patient’s condition. The practitioner should also implement a Mental Status Exam to assess patient’s mental functional level Assessment Of Behavioral And Emotional Disorders Discussion.

What would be your nextquestion, and why?
After the practitioner asks the patient that has he thought about hurting himself would be to lead further related to that question and ask if you have any active plans of suicide? Then I would lead further and ask about how and by what method he would attempt to hurt himself? I would also ask about if has ever attempted in to hurt himself in the past? All these questions would allow to elicit information and plan for patient safety.

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Explain why a thorough psychiatric assessment of a child/adolescent is important.
A thorough psychiatric assessment of a child/adolescent is very important because they may be reluctant to share their thoughts and feelings with adults. Children might be able to describe the symptoms themselves, but they could struggle to describe when and how long their issues lasted. If the issues are humiliating or paint them in a negative light, they might not report them. The complexity of clinical examinations for children and adolescents necessitates the clinician’s intelligence and diligence in gathering data from many places and sources, including the child, parents, teachers, and other caregivers. There will undoubtedly be inconsistencies in the report, but multi-source data is still necessary for diagnosis and treatment. In general, assessment and therapy include many disciplines. In order to avoid overwhelming the kid and family, information may also be acquired in stages. The experts that are involved in the care of the kid and family must communicate the information that has been gathered (Srinath et al., 2019)Assessment Of Behavioral And Emotional Disorders Discussion.

Describe two different symptom rating scales that would be appropriate to use during the psychiatric assessment of a child/adolescent.
The Spence Children’s Anxiety Scale (SCAS) is an extensively used and evaluated 44-item questionnaire developed to assess anxiety symptoms in children and provides a sound base for the development of an abbreviated anxiety symptoms questionnaire (Ahlen et al., 2017).

The Children’s Depression Rating Scale–Revised (CDRS-R) has become the most widely used rating scale for assessing severity of depression and change in depressive symptoms for clinical research trials in children and adolescents with depression (Mayes et al., 2010)Assessment Of Behavioral And Emotional Disorders Discussion.

Describe two psychiatric treatment options for children and adolescents that may not be used when treating adults.
Parent–Child Interaction Therapy (PCIT) is an empirically supported intervention originally developed to treat disruptive behavior problems in children between the ages of 2 and 7 years. Since its creation over 40 years ago, PCIT has been studied internationally with various populations and has been found to be an effective intervention for numerous behavioral and emotional issues (Lieneman et al., 2017).

Play therapy is widely used to treat emotional problems and behavioral disorders of children because it fully meets their unique developmental needs. In most children under 11 years the capacity of abstract thinking, which is a prerequisite in order to express a word with meaning and understand complex issues, motivation and emotions, is not fully developed (Koukourikos et al., 2021).

Explain the role parents/guardians play in assessment.
Clinicians should include both parent and youth for identifying any mental health problems or disorders, youth information for detecting emotional problems or disorders, and parent information to detect behavioral problems or disorders. Not only symptom scores but also impact measures may be useful to detect emotional problems or disorders, particularly in male youth.

Each of my supporting sources is scholarly because these topics have been extensively researched by the experts in the field and there is published in the respected and accepted journals for education and improvement in practice. Assessment Of Behavioral And Emotional Disorders Discussion

Resources

Ahlen, J., Vigerland, S., & Ghaderi, A. (2017). Development of the spence children’s anxiety scale – short version (SCAS-S). Journal of Psychopathology and Behavioral Assessment, 40(2), 288–304. https://doi.org/10.1007/s10862-017-9637-3
Koukourikos, K., Tsaloglidou, A., Tzeha, L., Iliadis, C., Frantzana, A., Katsimbeli, A., & Kourkouta, L. (2021). An Overview of Play Therapy. Materia Socio Medica, 33(4), 293. https://doi.org/10.5455/msm.2021.33.293-297
Lieneman, C., Brabson, L., Highlander, A., Wallace, N., & McNeil, C. (2017). Parent–Child Interaction Therapy: current perspectives. Psychology Research and Behavior Management, Volume 10, 239–256.

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https://doi.org/10.2147/prbm.s91200
Mayes, T. L., Bernstein, I. H., Haley, C. L., Kennard, B. D., & Emslie, G. J. (2010). Psychometric Properties of the children’s Depression rating scale–revised in adolescents. Journal of Child and Adolescent Psychopharmacology, 20(6), 513–516. https://doi.org/10.1089/cap.2010.0063
Srinath, S., Jacob, P., Sharma, E., & Gautam, A. (2019). Clinical Practice Guidelines for Assessment of Children and Adolescents. Indian journal of psychiatry, 61(Suppl 2), 158–175. https://doi.org/10.4103/psychiatry.IndianJPsychiatry_580_18 Assessment Of Behavioral And Emotional Disorders Discussion