BILLYJOHNSONIHUMANQU
ESTIONS 2026
ChiefComplaint–BillyJohnsonisareliable13yearoldboywhopresentswithhis
mother, Karen Bloom, with complaints of not wanting to attend school.
HPI
Historyisobtainedfrommotherandson.
Billy Johnson is a 13-year-old boy who presents with difficulty in school.
Per patient mother Billy’s teachers are concerned with his disruptive
behavior, inability to follow directions, forgetfulness, inattentiveness, and
impatience. They also report that he is unorganized with his belongings
(locker and school bag) and not prepared for class.At home Billy is
snapping at his mother and procrastinating with schoolwork. Mother
denies any physical emotional or sexual trauma.At home Billy’s mother
finds him to be fidgety, restless, irritable and anxious. Billy’s football coach
has also found him to be distracted during practice stating, “he needs o
get his head in the game”. Billy’s mother reports overhearing his friends
refer to him as bossy or annoying. His friends are “nice kids not top
students”. Billy had a rough time with the recent
divorcebutafteraschedulewasinitiated,heismorecomfortablewithit.Billydoes
notfollowa diet but his mother limits the amount of red food dye in the
home since it seems to negatively
, affecthismood.Deniesdepression.MotheralsoreportsBillywashyperactiveat
asatoddlerbut grew out of it by the age of ten. Per the patient, Billy, school
makes him feel stupid and he feels like he is always getting into trouble for
things he does not do. Billy is frequently distracted and unable to stay
focused. Billy reports he has difficulty with falling asleep. Per his mother
Billy takes Melatonin at night with no positive affect. Billy reports feeling
sad when he has to attend or think about going to school. Denies feelings
of anxiety. Denies decrease in appetite. Denies feelings of fatigue or
depression.
ESTIONS 2026
ChiefComplaint–BillyJohnsonisareliable13yearoldboywhopresentswithhis
mother, Karen Bloom, with complaints of not wanting to attend school.
HPI
Historyisobtainedfrommotherandson.
Billy Johnson is a 13-year-old boy who presents with difficulty in school.
Per patient mother Billy’s teachers are concerned with his disruptive
behavior, inability to follow directions, forgetfulness, inattentiveness, and
impatience. They also report that he is unorganized with his belongings
(locker and school bag) and not prepared for class.At home Billy is
snapping at his mother and procrastinating with schoolwork. Mother
denies any physical emotional or sexual trauma.At home Billy’s mother
finds him to be fidgety, restless, irritable and anxious. Billy’s football coach
has also found him to be distracted during practice stating, “he needs o
get his head in the game”. Billy’s mother reports overhearing his friends
refer to him as bossy or annoying. His friends are “nice kids not top
students”. Billy had a rough time with the recent
divorcebutafteraschedulewasinitiated,heismorecomfortablewithit.Billydoes
notfollowa diet but his mother limits the amount of red food dye in the
home since it seems to negatively
, affecthismood.Deniesdepression.MotheralsoreportsBillywashyperactiveat
asatoddlerbut grew out of it by the age of ten. Per the patient, Billy, school
makes him feel stupid and he feels like he is always getting into trouble for
things he does not do. Billy is frequently distracted and unable to stay
focused. Billy reports he has difficulty with falling asleep. Per his mother
Billy takes Melatonin at night with no positive affect. Billy reports feeling
sad when he has to attend or think about going to school. Denies feelings
of anxiety. Denies decrease in appetite. Denies feelings of fatigue or
depression.
