iHuman Week 14 Case Study: Billy Johnson (13-Year-Old)
Pediatric Psychiatric Assessment - Latest edition 2026-
2027 exam with all correct question with rationales
ranked A+
,Case Introduction
Patient Name: Billy Johnson
Age: 13 years
Gender: Male
Chief Complaint:
“My teachers say I can’t focus in class and I don’t want to go to school.”
The patient presents with behavioral concerns, poor concentration, school difficulties,
irritability, distractibility, and declining academic performance. Similar educational case
summaries online commonly describe symptoms of inattention, forgetfulness, restlessness,
school refusal, and organizational difficulties.
Subjective Assessment
History of Present Illness (HPI)
Billy is a 13-year-old male brought to the clinic by his mother due to concerns regarding:
• Poor concentration
• Difficulty completing assignments
• Restlessness
• Forgetfulness
• School refusal
, • Irritability
The mother reports teachers have observed:
• Excessive talking
• Disruptive classroom behavior
• Difficulty following instructions
• Incomplete schoolwork
• Poor organization
Billy reports:
• “School makes me feel stupid.”
• Trouble focusing during class
• Difficulty staying seated
• Frustration when completing homework
The patient denies:
• Suicidal ideation
• Hallucinations
• Substance use
• Physical abuse
The mother reports symptoms have worsened over the past academic year.
, Past Psychiatric and Medical History
Past Medical History
• Seasonal allergies
• No seizure history
• No chronic medical illness
Psychiatric History
• No prior psychiatric hospitalization
• No previous ADHD medication trials
• School counselor involvement
Developmental History
• Mild hyperactivity during childhood
• Normal developmental milestones
Family History
• Father with anxiety disorder
• Maternal uncle with ADHD
Social and Educational History
Social and Educational History Explained
Social and educational history is an important part of a patient assessment in healthcare,
nursing, psychology, psychiatry, pediatrics, and mental health evaluations. It provides
Pediatric Psychiatric Assessment - Latest edition 2026-
2027 exam with all correct question with rationales
ranked A+
,Case Introduction
Patient Name: Billy Johnson
Age: 13 years
Gender: Male
Chief Complaint:
“My teachers say I can’t focus in class and I don’t want to go to school.”
The patient presents with behavioral concerns, poor concentration, school difficulties,
irritability, distractibility, and declining academic performance. Similar educational case
summaries online commonly describe symptoms of inattention, forgetfulness, restlessness,
school refusal, and organizational difficulties.
Subjective Assessment
History of Present Illness (HPI)
Billy is a 13-year-old male brought to the clinic by his mother due to concerns regarding:
• Poor concentration
• Difficulty completing assignments
• Restlessness
• Forgetfulness
• School refusal
, • Irritability
The mother reports teachers have observed:
• Excessive talking
• Disruptive classroom behavior
• Difficulty following instructions
• Incomplete schoolwork
• Poor organization
Billy reports:
• “School makes me feel stupid.”
• Trouble focusing during class
• Difficulty staying seated
• Frustration when completing homework
The patient denies:
• Suicidal ideation
• Hallucinations
• Substance use
• Physical abuse
The mother reports symptoms have worsened over the past academic year.
, Past Psychiatric and Medical History
Past Medical History
• Seasonal allergies
• No seizure history
• No chronic medical illness
Psychiatric History
• No prior psychiatric hospitalization
• No previous ADHD medication trials
• School counselor involvement
Developmental History
• Mild hyperactivity during childhood
• Normal developmental milestones
Family History
• Father with anxiety disorder
• Maternal uncle with ADHD
Social and Educational History
Social and Educational History Explained
Social and educational history is an important part of a patient assessment in healthcare,
nursing, psychology, psychiatry, pediatrics, and mental health evaluations. It provides
