STUDY
Billy cJohnson cIhuman cquestions
Chief cComplaint c– cBilly cJohnson cis ca creliable c13 cyear cold cboy cwho cpresents cwith chis
cmother, cKaren cBloom, cwith ccomplaints cof cnot cwanting cto cattend cschool.
HPI
History cis cobtained cfrom cmother cand cson.
Billy cJohnson cis ca c13-year-old cboy cwho cpresents cwith cdifficulty cin cschool. cPer cpatient
cmother cBilly’s cteachers care cconcerned cwith chis cdisruptive cbehavior, cinability cto cfollow
cdirections, cforgetfulness, cinattentiveness, cand cimpatience. cThey calso creport cthat che cis
cunorganized cwith chis cbelongings c(locker cand cschool cbag) cand cnot cprepared cfor cclass. cAt
chome cBilly cis csnapping cat chis cmother cand cprocrastinating cwith cschoolwork. cMother cdenies
cany cphysical cemotional cor csexual ctrauma. cAt chome cBilly’s cmother cfinds chim cto cbe
cfidgety, crestless, cirritable cand canxious. cBilly’s cfootball ccoach chas calso cfound chim cto cbe
cdistracted cduring cpractice cstating, c“he cneeds co cget chis chead cin cthe cgame”. cBilly’s cmother
creports coverhearing chis cfriends crefer cto chim cas cbossy cor cannoying. cHis cfriends care c“nice
ckids cnot ctop cstudents”. cBilly chad ca crough ctime cwith cthe crecent cdivorce cbut cafter ca
cschedule cwas cinitiated, che cis cmore ccomfortable cwith cit. cBilly cdoes cnot cfollow ca cdiet cbut
chis cmother climits cthe camount cof cred cfood cdye cin cthe chome csince cit cseems cto cnegatively
caffect chis cmood. cDenies cdepression. cMother calso creports cBilly cwas chyperactive cat cas ca
, ctoddler cbut cgrew cout cof cit cby cthe cage cof cten. cPer cthe cpatient, cBilly, cschool cmakes chim
cfeel cstupid cand che cfeels clike che cis calways cgetting cinto ctrouble cfor cthings che cdoes cnot cdo.
cBilly cis cfrequently cdistracted cand cunable cto cstay cfocused. cBilly creports che chas cdifficulty
cwith cfalling casleep. cPer chis cmother cBilly ctakes cMelatonin cat cnight cwith cno cpositive caffect.
cBilly creports cfeeling csad cwhen che chas cto cattend cor cthink cabout cgoing cto cschool. cDenies
cfeelings cof canxiety. cDenies cdecrease cin cappetite. cDenies cfeelings cof cfatigue cor cdepression.