Psychiatric Evaluation of an 18-Year-Old Female with Oppositional Defiant Disorder and Aggressive Behavior
Overview
This paper presents a comprehensive psychiatric evaluation of JT, an 18-year-old American female with a chief complaint of deteriorating relationships and presenting symptoms of anger and violent behavior. The case documents her diagnostic history of Oppositional Defiant Disorder (ODD), previous medication trials, cognitive-behavioral therapy interventions, and psychosocial background including family psychiatric history and substance use patterns.
What this case study covers
- Subjective assessment including chief complaint and history of present illness
- Past psychiatric history documenting previous diagnoses, hospitalizations, and medication trials
- Family psychiatric and substance use history with generational patterns of addiction and health complications
- Psychosocial history including developmental background, family structure, education, and coping mechanisms
Preview
Psychiatric Evaluation
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Psychiatric Evaluation
Subjective:
CC (Chief Complaint): “My relationships are deteriorating with family and friends.”
HPI: JT is an 18-year-old American female referred to a psychotherapist for anger and violent behavior. She is not on any psychotropic drugs at the moment. Juliet was referred to a clinic, where an adolescent psychiatrist and clinical psychologist examined them. Mnemonics are memory aids that have been utilized since ancient times. It is unlikely that none of us will go through life without using a mnemonic at some point. During learning and recall, mnemonics employ cognitive curing processes such as organization, elaboration, and mental imagery.
Past Psychiatric History:
- General Statement: Juliet exhibits impulsive and aggressive outbursts, ranging from verbal tirades to physical violence.
- Caregivers (if applicable), the client’s parents
- Hospitalization: none
- Medications Trial: Psychotropic medication Juliet has been using in the previous history includes fluoxetine, quetiapine, paroxetine, lithium, and propranolol. These medications have an adverse and positive effect on Juliet’s diagnosis of her illness. In addition, Fluoxetine and Quetiapine have been effective in controlling her behavior towards her parents, friends, and teachers.
Psychotherapy or Previous Psychiatric Diagnosis: Juliet was previously diagnosed with ODD after eliminating other probable contributions to her conduct, such as ADHD, PTSD, or an anxiety disorder, based on Juliet’s impairing symptoms in one household context (Horowitz, 2018). Individual therapy sessions focusing on skill development have been beneficial for Juliet.