Case Study For diagnoses Of Attention-Deficit/Hyperactivity Disorder

Case Study For diagnoses Of Attention-Deficit/Hyperactivity Disorder

The patient is a 47-year-old male who lives alone. I chose this patient because he is one of the individuals battling anxiety in my neighborhood. Moreover, he does not have a family and seems socially isolated; hence, he seems more susceptible to the risks associated with his ADHD and anxiety diagnoses. I have always noticed his change in mood whenever I meet or interact with him. In my interview, he claims his mood is variable due to his current job. He denies having symptoms of anxiety, manic or hypomanic state, and he continues to have good focus, attention, and adequate concentration. He reports rarely taking his Adderall medication; he was educated on SCNJ policy with co-occurring CDS. The patient agreed to continue tapering off Adderall and continue with a non-stimulant. His anxiety is manageable, and he denies SI/HI/AVS. He reports having a fair appetite and denies having SE/AE Case Study For diagnoses Of Attention-Deficit/Hyperactivity Disorder

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The client has a past diagnosis of ADHD and anxiety. He has current diagnoses of Attention-Deficit/Hyperactivity Disorder, combined presentation (code F90.2), and Generalized Anxiety Disorder (code F41.1). The symptoms of ADHD in adults include difficulty in following directions, concentrating, organizing tasks, and completing tasks on time (Xue, Zhang & Huang, 2019)Case Study For diagnoses Of Attention-Deficit/Hyperactivity Disorder. However, the patient denies experiencing most of these symptoms. ADHD is a disorder that can be treated in different ways, but it cannot be cured.

The goal of treatment is to make the patient ADHD and anxiety stable (Holland & Sayal, 2018). The treatment plan includes a continuation of his current medication. Hence, continue Lamictal 25mg x 2 weeks, then 50mg once daily -may consider increasing next month, but the patient refused adjustment during this session. Administration of Lexapro 30mg daily for depression and anxiety to stabilize the patient from anxiety. Given Klonopin 1mg daily (cup appropriate) while checking on stimulant and continue Adderall XR 15mg daily. The f/u was given in one month, continued therapy, and a pending UDS scheduled for the next visit. The patient is educated on the expected benefits, risks, and side effects of all his medications listed above, which include activation into mania, increased irritability, and increased SI (Wolraich et al., 2019)Case Study For diagnoses Of Attention-Deficit/Hyperactivity Disorder. Patient education is essential to enhance medication adherence. I would apply what I have learned in my practice to help patients who are socially isolated fight ADHD and anxiety. I will give necessary patient education to patients with ADHD to help them adhere to medication and provide moral support to reduce loneliness and social isolation.

References

Holland, J., & Sayal, K. (2018). Relative age and ADHD symptoms, diagnosis and medication: A systematic review. European Child & Adolescent Psychiatry, 28(11), 1417-1429. https://doi.org/10.1007/s00787-018-1229-6

Wolraich, M. L., Chan, E., Froehlich, T., Lynch, R. L., Bax, A., Redwine, S. T., Ihyembe, D., & Hagan, J. F. (2019). ADHD diagnosis and treatment guidelines: A historical perspective. Pediatrics, 144(4). https://doi.org/10.1542/peds.2019-1682

Xue, J., Zhang, Y., & Huang, Y. (2019). A meta-analytic investigation of the impact of mindfulness-based interventions on ADHD symptoms. Medicine, 98(23), e15957. https://doi.org/10.1097/md.0000000000015957 Case Study For diagnoses Of Attention-Deficit/Hyperactivity Disorder

Case Narrative

The patient is a 47-year-old male who lives alone. He reports his mooed ic variable due to his current job. He denies having symptoms of anxiety, manic or hypomanic state, and he continues to have good focus, attention, and adequate concentration. He reports rarely taking his Adderall medication; he was educated on SCNJ policy with co-occurring CDS. The patient agreed to continue tapering off Adderall and continue with a non-stimulant. His anxiety is manageable, and he denies SI/HI/AVS. He reports having a fair appetite and denies having SE/AE.

The goal of treatment is to make the patient ADHD and anxiety stable (Holland & Sayal, 2018). The treatment plan includes a continuation of his current medication. Hence, continue Lamictal 25mg x 2 weeks, then 50mg once daily -may consider increasing next month, but the patient refused adjustment during this session. Administration of Lexapro 30mg daily for depression and anxiety to stabilize the patient from anxiety. Given Klonopin 1mg daily (cup appropriate) while checking on stimulant and continue Adderall XR 15mg daily. The f/u was given in one month, continued therapy, and a pending UDS scheduled for the next visit. The patient is educated on the expected benefits, risks, and side effects of all his medications listed above, which include activation into mania, increased irritability and increased SI (Wolraich et al., 2019)Case Study For diagnoses Of Attention-Deficit/Hyperactivity Disorder. Patient education is essential to enhance medication adherence.

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Info -. Patient reports mood is variable due to current job. Patient denies anxiety, denies manic/hypomanic state, continues to have good focus and attention, adequate concentration, reports rarely taking Adderall, was educated on SCNJ updated policy with co-occurring CDS, patient agreed to continue tapering off Adderall and consider non stimulant, sleep and appetite is good. Anxiety is manageable. denies SI/HI/AVH. fair appetite. denies SE/AE Case Study For diagnoses Of Attention-Deficit/Hyperactivity Disorder

Past Diagnosis and Age of Onset

ADHDAnxiety

Social Hx

Lives alone

F90.2 – Attention-Deficit/Hyperactivity Disorder, combined presentation

F41.1 – Generalized Anxiety Disorder

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Treatment Plan

ADHD/Anxiety-StableContinue current treatmentContinue lamictal 25mg x 2 weeks, then 50mg once daily -may consider increasing next month , patient refused adjustment during this session -Lexapro 30mg per day for depression, anxiety., stable-Klonopin 1mg per day…cup appropriate…but checking on stimulant.. -Continue Adderall XR 15mg daily f/u in 1 monthcontinue therapypending UDS for next visitThe patient is educated on the expected benefits, risk, and side effects of all his medications listed above, which include activation into mania, increased irritability, increased SI Case Study For diagnoses Of Attention-Deficit/Hyperactivity Disorder