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Answer the questions based on this case study

1-Assess the severity of ADHD based on the subjective and objective information available.

2- Create a list of the patient’s drug therapy problems and prioritize them. Include assessment of medication appropriateness, effectiveness, safety, and patient adherence.

Chief Complaint


“My son has trouble focusing and sitting still while completing his afternoon homework.”





HPI




David Handlon is a 10-year-old boy who returns for a routine visit to his psychiatrist with his mother. He was diagnosed 2 years ago with ADHD and is currently being treated with Adderall XR 20 mg every morning. His mother states that during the last parent–teacher meeting, his teacher indicated that David’s behavior is well controlled during the day. Despite David’s good behavior during the day, his mother reports difficulty getting David to complete any afternoon tasks or assignments after school. David’s rules include no playtime activities until he has completed his afternoon homework assignments. Instead of focusing on homework, David insists on playing Guitar Hero® in his room, and he sometimes carelessly throws his guitar. David has also exhibited impulsive and reckless behavior when interacting with his younger 8-year-old brother. Initially David’s mother thought the medication was working. However, within the past year, David’s afternoon antics have progressively gotten worse. Mrs Handlon is afraid that uncontrolled afternoon antics will have serious repercussions on David’s daytime behavior and grades. She questions, “What are my options?”





PMH




Asthma × 3 years




ADHD × 2 years



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