SOCW 6090 Week 3 Case of Arthur Explanation.

SOCW 6090 Week 3 Case of Arthur Explanation. Case of Arthur Intake Date: January xxxx F84.0 Autism Spectrum Disorder, Level I “requiring support” F95.1 Persistent Motor or Vocal Tic Disorder, with motor tics only Z55.9 Academic or Educational Problem Z65.8 Other Problem Related to Psychosocial Circumstances Z72.810 Child or Adolescent Antisocial Behavior IDENTIFYING/DEMOGRAPHIC DATA: Arthur is a 12-year-old male in 5th grade who was brought in for services by his adoptive mother. He is very small in stature, appearing to be only 8 years old. He also acts younger than his 12 years, carrying around toy cars in his pockets, which he proudly displays and talks about in detail. Arthur was adopted at age 2 by distant cousins. His mother was a single mom that had become involved with drugs. She knew she was unable to care for Arthur and decided to give him a better home. The adoptive parents are upper middle class and have three biological children (ages 9, 7, and 5). CHIEF COMPLAINT/PRESENTING PROBLEM: Arthur hates any type of transition and will get upset and have temper tantrums if she does not prepare him for any changes in plans. He is reported to kick and hit both parents, and they have had to restrain him at times to stop him from hurting himself and others. He sometimes reacted when his lunch was packed differently within his lunch box for school. He also seemed to pay less attention to teachers and often interrupted class with his own comments. HISTORY OF PRESENT ILLNESS: Initially Arthur’s parents were unsure what to do about their son’s behaviors. His mother is the primary caretaker and his father thought she should handle any therapy or problems related to school. His mother reported that she was now “at the end of her rope” and was ready to give her son up to foster care. Both parents are exhausted. Arthur’s mother shared her frustration with Arthur’s father, who “just does not understand how hard it is to care for him.” Arthur’s language and developmental skills were far less developed than his age at the time of his adoption. When the adoption was completed and they brought him home, Arthur cried often and refused to sleep for the first 2 days they had him. They tried holding him, but he would not quiet down.