Does Sam have emotional and academic problems that may affect his performance in the gifted program at school this year?

Clinical Psychology – Case Study Review & Treatment Plan

In your applied final project for this course, you will analyze a case study, select a diagnosis, create a treatment plan, and support your decisions with evidence from the course readings or outside scholarly resources.

STEP 1: Review the Case Report

 

Psychological Case Study

Name: Sam Martin                                                                                         Dates of Testing: 03/18/09; 03/25/09

Date of Birth: 03/21/1995                                                                            Age: 14 years

Gender: Male                                                                                                   Grade: Eight

Background information:

Reportedly, Sam’s natural parents raised Sam, his older and his younger brother.  Information shared by Sam’s mother, Jill Martin within a previous evaluation (03/31/2003) indicated that during preschool and the first grade Sam displayed difficulty with attention.  Moreover, the report data indicated that by the second grade Sam was not doing his work.

Referral Question:

Sam’s mother referred him for psychological testing to assist in evaluating the need for accommodations related to her son’s academic plans for the upcoming year.  The referral questions are: 1) Does Sam have emotional and academic problems that may affect his performance in the gifted program at school this year? 2) What accommodations will benefit Sam this year?

Current Symptoms:

Currently, Sam’s mother reported a concern about her son’s attention, auditory processing, attention to detail and overall mental processing of information. Sam’s mother reported that her son had displayed fluctuations in academic functioning throughout his childhood.   She explained that previously, her son enrolled in advanced classes and data from a previous evaluation (03/31/03) suggested a superior level of intellectual functioning. Nevertheless, Ms. Martin explained that historically her son performance at school was variable as were his grades. Sam acknowledged that a teacher previously suggested that he might have symptoms of attention deficit disorder.  She hoped that the current psychological evaluation would provide information relevant to her son’s current academic difficulties and provide remedial suggestions for enhanced cognitive functioning other than the prescribed medication.

Current Stressors: Reportedly, Sam’s girlfriend just broke up with Sam, and she stated that he was not fun enough and would not try new things. Sam reports a change in his mental functioning to include dizziness, strange thoughts and feelings, anger, apathy, and depression with mood swings.  He acknowledged that he is losing weight, is more inattentive, and lacks coordination and feels weak. Ms. Martin stated that she has noted that he is showing impaired judgment.

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