engleski

Mixed disorder of conduct and emotions: school doctor vs. psychiatric treatment

A 13-year old boy and his adoptive mother visit a school doctor seeking help before he fails 6th grade for a second time and before Social Services takes him to foster home. He was adopted at the age of 11 by a single mother. At the age of 7 he was taken from his biological parents and spent 4 years in different foster families where he began to express behavioral problems. Bonding with adoptive mother was difficult. He became violent towards mother and destructive of material possessions in the house-hold. He refused to study and after a while he even refused to go to school. He stayed home playing internet games, neglecting personal hygiene and social interactions. Mother sought help from adolescent psychiatrist and Social Services. However, the child`s behavior and their relationship deteriorated. He failed 6th grade of primary school. Social services took him for observation by a multidisciplinary team. They recommended that the child should be taken from the mother and placed in the foster family with a dominant male foster parent. Mother took the child to different psychiatrists, who tried treatment with different antidepressants, antipsychotics and their combinations, without effect. The school recommended consulting a school doctor who started counseling the boy and the mother, coordinating actions with psychiatrist, school and Social Services. Computer was confiscated and locked in doctor`s office. The boy started attending school, studying, playing sports, socializing with friends without pharmacotherapy. The key to success was cooperation with parent and school, coordination and networking.

school doctor ; psychiatric treatment, child

nije evidentirano