BROOK, 10-YEAR-OLD FEMALE.
REASON FOR ENCOUNTER:
SLIPPING GRADES. WITH A
SOAP NOTE.
EXAM STUDY GUIDE. GRADED
A+. LATEST 2026/2027
UPDATE.
,HISTORY
History of Present Illness (HPI):
Avery Brook is a 10-year-old female brought to the clinic by her mother due to
concerns about declining school performance over the past several months.
According to her mother, Avery has always been a bright student who enjoyed
school and generally earned above-average grades. Recently, however, her
teachers have reported that she seems distracted in class, frequently forgets
assignments, and has difficulty completing tasks on time.
Her mother notes that homework, which used to take Avery less than an hour,
now often turns into a frustrating evening struggle. Avery becomes easily
, sidetracked, loses track of what she is doing, and needs frequent reminders to
stay focused. She often starts assignments but leaves them unfinished unless
someone sits with her and redirects her attention.
Avery admits that she sometimes "zones out" during lessons and finds it hard
to pay attention when the teacher is talking, especially during subjects she
finds less interesting. She reports that she wants to do well in school but feels
like her mind "jumps from one thing to another." She occasionally forgets to
bring home books, loses school supplies, and has trouble keeping her backpack
and desk organized.
At home, her parents have noticed similar behaviors. Avery frequently
misplaces personal belongings, forgets chores despite being reminded, and
becomes distracted during conversations. She is often described as bright,
friendly, and energetic but struggles to stay focused on tasks that require
sustained attention.
Her mother denies any recent major life changes, family stressors, or traumatic
events that could explain the decline in academic performance. There have
been no reports of bullying, social withdrawal, or significant behavioural
problems at school. Avery gets along well with classmates and continues to
enjoy spending time with friends.
Sleep habits are generally good, although her mother reports that Avery can be
restless at bedtime and sometimes takes longer than expected to fall asleep.
Appetite is normal, and there have been no significant changes in weight or
energy level. There is no history of seizures, head trauma, chronic medical
illness, or developmental delays.
Associated Symptoms:
• Difficulty sustaining attention
• Easily distracted
• Forgetfulness
• Frequently loses items needed for school