problems involve acting out behaviorally, such as hyperactivity, conduct disorder, and aggression. They may be identified by family, teachers, or friends before being self-identified.
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When does conduct disorder usually begin?
Emily H.
James is sent to a community outpatient mental health clinic by the school social worker due to his school failure and his parents’ complaints that he is “not acting like a normal 13-year-old.” His parents contend that he has no peer group, and he is often angry at home, “lashing out at his younger brother and sister.” His parents believe that he is suffering from the same problem his mother has with substances, and marijuana was found in his room. The family reports a long-standing familial history of substance abuse. The history also shows that James’ mother lives with lifelong symptoms of anxiety and depressive episodes. Upon interview, James complains that “My parents are exaggerating. I have friends. And, my little brother and sister are annoying, and are always bothering me and stealing my stuff. Besides I prefer hanging out by myself.” Discussion Questions: 1. What are some of the primary areas that social workers can view this situation? Does that matter which comes first? 2. What treatment modality would you propose? 3. How might our interventions choices differ? 4. How can the school social worker intervene in terms of his academic and social/emotional issues?
Breanna O.
What do you hypothesize is Bill's primary problem? Why do you feel this primary problem needs to be addressed first? Context: "Bill" Bill is a 14-year-old white male. He is a freshman in high school and has been sent to you because he is failing all his classes. He also has extremely poor attendance. His appearance is messy, and he does not look healthy. Initially, he informs you that he is under a lot of stress and is not sleeping or eating well. Over the next few talks with Bill, you also find out the following: - Bill is angry, sad, and depressed. - Bill is using alcohol and illegal drugs. - Bill is sexually active (his first experience at age 12). - Bill was molested when he was 6 years old by a stranger and willingly sodomized at 10 years old by his older brother. - Bill has had past suicidal thoughts. - Bill's father was a drug abuser (illegal) and battled depression and committed suicide when Bill was 12 years old. - Bill's mom is an over-the-counter drug abuser - also depressive - and basically sits in her rocker facing her apartment window, waiting for her dead husband to come home.
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