Case Study: CK
February 7, 2008
CK is an 18 year old Caucasian male who is single, lives at home with his (foster) family and has a steady girlfriend. He is the middle sibling of three boys, who were placed in foster care together by their birth mother (details unavailable concerning this area). His primary language is English. He is in high school and being educated at home through a charter school program due to having been expelled from his regular high school. CK is 6’ 1” tall and weighs 158.0 lbs., which gives him a body mass index of 20.89, well within the normal range. He has no known drug or food allergies and is on a regular diet.
CK is admitted to the CBHC for this his first admission for uncontrollable anger directed at his younger brother. At admission he was unkempt, dirty, hair disheveled, anxious, loud and speaking rapidly. He denied any suicidal ideations and auditory or visual hallucinations and was in a hyperactive state. He was brought to the CBHC by his (foster) mother (who CK considers his mother since his birth mother put him and his brothers into the foster care system when he was two years old) due to his overly aggressive behavior towards others, specifically his younger brother. His mother said that “he is bipolar”. According to CK at the time of admission “I’m thinking of suicide (lacks a current plan) and I think about hurting myself or my little brother – ‘I choked him till he turned blue and had to make myself let go’ “.
CK has a past psychological history of ADHD which he has had since, by his own statement “since I was little”. His medical history is unremarkable, with no hospitalizations or surgical history.
DSM IV Diagnosis:
Axis I (Major Mental Disorder): Mood disorder, NOS with substance abuse (marijuana).
Axis II (Personality or Developmental Disorder):...