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Clinical Assessment Psy 270

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Clinical Assessment

PSY 270
December 15, 2013
Dr. Stephanie Sencil-White

Clinical Assessment
Clara is a four year old adopted child who is exhibiting lack of eye contact, inconsolable temper tantrums, and an aversion to school; these behaviors have her parents concerned.
During the interview with Clara’s family I would begin by asking if there were any recent changes in the household, such as, a new baby or pregnancy, or the loss of a loved one. I would inquire if these behaviors were sudden or a gradual progression. I would ask if the temper tantrums preceded or followed a specific incident or if they appeared for no apparent reason. I would also ask if a specific incident happened at school or if there was an area of concern that the teacher had mentioned that may be causing the lack of desire to attend. I would inquire about the biological parents and if there was any information available about their psychological or physical health or that of any other biological relatives that may be beneficial, including the age Clara was when she was adopted.
Upon concluding the initial interview I would look into performing further testing such as a clinical observation so that I could observe Clara in an environment that was more natural to her in the hopes I could gain a better view of her behaviors (Comer, 2011). I would further conduct a mental status exam to help determine Clara’s awareness, orientation, attention span, and memory, thought process, mood, and appearance (Comer, 2011). I would also have Clara do a Kinetic Family Drawing as it is geared more towards children in a clinical environment. Lastly, I would ask Clara’s parents to agree to some neurological testing to rule out any brain abnormalities that may affect behavior (Comer, 2011).
Before treatment options can be explored for Clara, some factors I would consider would be the physical and

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