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CASE REPORT

MENTAL HEALTH AND


PSYCHOPATHOLOGY
(CHILD)
Bio Data

• Name Of The Client: Q.Q


• Age: 10 years old
• Gender: Male
• Birth Order: 2nd
• Number Of Siblings: 5 siblings
• Source Of Information: Family and school
teacher
Presenting complaints
• From 3months
• Intellectual disability
• Impaired speech
• sometimes cannot follow the commands.
• Hyper, epilepsy history.
• Low IQ scores and
• limitations in adaptive skills
History of presenting complaints
• In 2008, the main issue raised when the baby was
three months old and he got sick.
• A disease called epilepsy which is a chronic disorder of
abnormal, recurring, excessive and self-terminating
electrical discharge from neurons.
• Due to that reason, the client had to go for the surgery
and thus causing hydrocephalus, and to remove it the
doctors had to go for the shunt surgery, a catheter
(tube) that carries cerebrospinal fluid from a ventricle
in the brain to another area of the body.
Interview
• Ethics: Informed consent was taken to inform the
child’s mother about the research purpose, duration,
procedure and the involved costs and benefits. She was
also informed about the right to decline and withdraw
at any time. Rapport building questions were
considered at first for comfortable environment.
Confidentiality and anonymity of the child’s family was
considered the top priority. The recording of the audio
tape was only be kept by the researcher and was
destroyed after the research was reported. Observing
any nervous responses was lead to dismissal of the
questions.
OBSERVATION:
• Resistant
• Shy
• Constant Nail biting
• Neat and clean
• Couldn’t speak but understood my wordings and
responded accordingly
• Constant Sweating in his hands
• Keen observer
• Constant smile
Formal assessment
Scales Chronological age Developmental age

 SOCIAL TRAINING 10YEARS 5-6 YEASR


 PERSONAL CARE 10 YEARS 4-5 YEARS
 VOCALIZATION 10 YEARS 1-2 YEARS

 MENTAL 10 YEARS 2-3 YEARS

QUALITIES
 BODY 10 YEARS 3-4 YEARS

MOVEMENTS
DEVELOPMETNAL MILESTONES CHILD AGE OF ACHIEVEMENT NORMAL AGE OF ACHIEVEMNT

Grasping reflex 3 Month 2 Months

Neck holding 6 Month 4 Months

Sitting with support 9 Month 5-6 Months

Crawling 1 year 7-9 Months

Walking 2 year 1-1/2 years

Vocalization 10 Month 4 Months

Babbling - 6 Months

Toilet training 7 years 2 years


DIAGNOSIS
• Mental retardation with hydrocephalus.
• Severity-Moderate to severe
• Not only IQ based criteria, but
• Adaptive behavior
• Severity based on three domains:
• Conceptual.
• Social
• Practical
Management plan
• Verbal behavior therapy
• Picture exchange communication technique
• Family education
• Operant conditioning