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Week_3_Case_of_Arthur_Explanation

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Week_3_Case_of_Arthur_Explanation

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Case of Arthur

Intake Date: January xxxx


F84.0 Autism Spectrum Disorder, Level I “requiring support”

F95.1 Persistent Motor or Vocal Tic Disorder, with motor tics only

Z55.9 Academic or Educational Problem

Z65.8 Other Problem Related to Psychosocial Circumstances

Z72.810 Child or Adolescent Antisocial Behavior


IDENTIFYING/DEMOGRAPHIC DATA: Arthur is a 12-year-old male in 5th
grade who was brought in for services by his adoptive mother. He is very small in
stature, appearing to be only 8 years old. He also acts younger than his 12
years, carrying around toy cars in his pockets, which he proudly displays and talks
about in detail. Arthur was adopted at age 2 by distant cousins. His mother was a
single mom that had become involved with drugs. She knew she was unable to
care for Arthur and decided to give him a better home. The adoptive parents are
upper middle class and have three biological children (ages 9, 7, and 5).

CHIEF COMPLAINT/PRESENTING PROBLEM: Arthur hates any type of
transition and will get upset and have temper tantrums if she does not prepare him
for any changes in plans. He is reported to kick and hit both parents, and they have
had to restrain him at times to stop him from hurting himself and others. He
sometimes reacted when his lunch was packed differently within his lunch box for
school. He also seemed to pay less attention to teachers and often interrupted class
with his own comments.

HISTORY OF PRESENT ILLNESS: Initially Arthur’s parents were unsure
what to do about their son’s behaviors. His mother is the primary caretaker and his
father thought she should handle any therapy or problems related to school. His
mother reported that she was now “at the end of her rope” and was ready to give
her son up to foster care. Both parents are exhausted. Arthur’s mother shared her
frustration with Arthur’s father, who “just does not understand how hard it is to
care for him.” Arthur’s language and developmental skills were far less
developed than his age at the time of his adoption. When the adoption was


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