NU675 Unit 6 Assignment Requirements:

For this assignment, please discuss the case presented in that learning activity.
Discuss what you choose for the differentials and the most concerning symptoms. Then discuss what diagnosis and treatment would be appropriate for this patient. Be sure to include the rationale for your decisions.
Discuss your choices compared to the expert opinions/case study. Describe what you learned and how this will help you in your practice.
Your assignment should be minimum 2–3 pages answering the questions. Be sure to include a minimum of two scholarly articles (within the last five years) in addition to your course material to support your discussion.
Assignment Requirements:
Before finalizing your work, you should:
• Be sure to read the assignment description carefully (as displayed above).
• Consult the grading rubric (located in Course Resources, Grading Rubrics submodule) to make sure you have included everything necessary.
• Utilize spelling and grammar checks to minimize errors.
Your writing assignment should:
• Follow the conventions of Standard English (correct grammar, punctuation, etc.).
• Be well-ordered, logical, and unified, as well as original and insightful.
• Display superior content, organization, style, and mechanics.
• Use APA 7th edition format.
LEARNING ACTITIVY CASE STUDY
Alicia’s Story
Alicia is 7 y/o AA gurl in second grade; she belongs to a high socioeconomic status family living in an urban locality. Alicia was a wanted child but born out of a committed marriage.
She is the first child of three. Maternal health during pregnancy was normal, but the period of labor was prolonged beyond 18 hours, so a lower-segment cesarean section was performed. There was no history of birth-related complications, and her birth weight was 2.80 kg. Alicia attained developmental milestones as per age. She had a temperament characterized by high activity levels, below-average threshold of distractibility, average ability to sustain attention and persist easy to warm up adaptation to new situations, and bladder habits.
She was enrolled in school at the age of 4 years and progressed well until 9 months ago when a decline in her academic interest was observed by her class teacher. Deterioration of her handwriting skills and avoidance of group activities in school were observed. One month prior to visiting the clinic, she started insisting on wearing the same dress every day which she would not take off at bedtime and even resisted removing at bath time. In addition, a change in her mood from largely irritable to cheerful was noted.
In view of these symptoms, her mother made first contact with a mental health provider.
Father: She expresses being anxious about getting her clothes dirty. She even stated that there are bugs trying to get her dirty when she walks off the sidewalk.
Mother: Her teacher noted that Alicia’s activity level had increased; she explained how difficult it is to make her sit quietly in class and started talking incessantly, a big change for her.
Narrator: Alicia’s physical examination was normal. Her mental state examination revealed her to be cheerful, overactive, and difficult to interrupt. She sang and danced during the interview.
QUESTIONS
1. What differentials would you assign to this case?
– Acute Mania with Psychotic Feature
– Generalized Anxiety
– Obsessive Compulsive Disorder
2. What symptoms of this case are the most concerning and need addressed immediately?
– Psychotic symptoms: visual hallucinations
– Mania symptoms: decreased sleep, increased activity
– Obsessive/Compulsive symptoms: wearing same dress over and over or same colors
– Anxiety symptoms: fearful of getting dirty