The subjective and objective information suggest that Harold suffers from Attention- Deficit Hyperactivity Disorder (ADHD), although differential diagnosis assessment will be carried out to ensure that the diagnosis is correct and pave way for the treatment process.
CC: “ I just can’t concentrate. I mean, everyone else is, doesn’t have a problem with it. But, but I just, I just can’t seem to be able to do the same job they’re doing.”The patient complains of having a problem with concentration
HPI: H.H is a male and presents for psychiatric evaluation for concentration difficulty. He is not presently under any psychotropic medications prescriptions. He is referred by his supervisor for medication evaluation and treatment.Assessing and Diagnosing Patients With Neurocognitive and Neurodevelopmental Disorders.
The issue of concentration has been ongoing for a long time, actually, since childhood, but the client has never been diagnosed. As a child, Harold’s mother made threats that she would take him forcefully to the hospital, but never did. However, owing to his high level of hyperactivity, she opted to ensure that he never took caffeine or sugar, the argument being that if he did, then he would climb wall, which even without the consumption of the said products he was already doing. Although as an adult Harold drinks caffeine and soda once in a while, he has managed to progress and live his life without major occurrences like the ones that he is experiencing presently, where he seems to have lost his sense of concentration with his work and it is getting him into constant problems with his supervisor and colleagues. Innately, without the introduction of the tight deadlines, Harold was leading a normal level and was in a position to concentrate on his work and complete them the same way his colleagues are doing, even with the introduction of the tight deadlines as nothing has changed for them.Assessing and Diagnosing Patients With Neurocognitive and Neurodevelopmental Disorders.
Past Psychiatric History:
Substance Current Use and History: Although as an adult Harold drinks caffeine and soda once in a while, he has managed to progress and live his life without major occurrences like the ones that he is experiencing presently, where he seems to have lost his sense of concentration with his work and it is getting him into constant problems with his supervisor and colleagues.Assessing and Diagnosing Patients With Neurocognitive and Neurodevelopmental Disorders.
Family Psychiatric/Substance Use History: No family history of psychiatric illness, substance use illnesses, and family suicides
Psychosocial History: There is no personal or social history that is provided about Harold
Medical History: Since no diagnosis has ever been done to determine the type of disease that causes the symptoms that Harold displays, he has never and is not currently on any medication
ROS: