Psy/270 Clinical Assessment

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Other information that I would like to learn about the family during the interview is about Clara’s birth parents and the reason she was given up for adoption. I would also want to know the history of the adoptive parents as well as any recent changes within the home during the past few months. Was Clara showered with gifts when she first came into the adoptive home? If so did this stop recently, which could have lead to the tantrums? Does Clara know that she is adopted, if so how does she feel about that? Was Clara put up for adoption or was she removed from the home? Additional questions that I would ask would be about her teacher and classmates at school. Has Clara’s teacher voiced any concerns about her behavior? Has Clara verbalized why she no longer wants to go to school? Is there a particular event that caused her to not want to go anymore? Did she get a new teacher? Any changes in her environment at school could be a reason why Clara has shut down and no longer wants to attend school. Other considerations that I may take into consideration in designing an effective intervention for this family is finding out what triggers her tantrums and Clara’s behavior before and after her tantrums to those individuals who are around her when they take place. In axis I, I would enter that Clara would receive a mood disorder. Axis II, dependant personality disorder because a doctor may feel that Clara has shown symptoms of dependant behavior. The remaining axes would be figured out as they go along based off of what they have received from axis I and II. I do feel that diagnosing Clara would be helpful to her and her family. I feel that Clara is experiencing some type of withdrawal from everything and everyone. Something has either happened to her or she has some emotions going on inside of her that she is not sure how to adequately express them to others.

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