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Bella is 9 years old and in the 4th grade. Bella’s mother sought treatment due to increasing disruptive behaviors over the past year, including non-compliance, physical aggression toward peers, and frequent behavioral meltdowns which resembled the temper tantrums of a much younger child. Tantrums included screaming, yelling, slamming doors, and crying. Bella and her mother both noted that it was difficult for Bella to “move on” when something angered her. She also noted that Bella had an underlying irritable mood, manifesting as Bella appearing “cranky” most of the time and the family feeling they needed to “walk on eggshells” to avoid upset. At school, at least one phone call home per week was being placed due to Bella’s refusal to comply or sometimes to even speak to her teacher for days at a time. Bella and her mother noted that Bella was generally well-liked by peers and teachers, given that she was hardworking and funny, yet her current disruptive behaviors were causing significant interference in making new friends and meeting academic goals. Concept Map Information
What is the Main diagnosis for Mary Rose? What are the Key symptoms?
What differential diagnoses did you consider and why? What is your treatment recommendation and why? What is the Prognosis.? SEE attached sample of answer

 

Struggling with where to start this assignment? Follow this guide to tackle your assignment easily!

Step 1: Understand the Case First

Start by reading the case study carefully. Bella is a 9-year-old girl who is having behavioral problems like tantrums, aggression, and irritability. Read the details about her behavior at school and home. This will help you understand what is going on with her.

Step 2: Identify the Main Diagnosis

In your assignment, you are asked to determine Bella’s main diagnosis. What condition do you think she is struggling with? From the case, it looks like she might have Oppositional Defiant Disorder (ODD), but you will need to explain why you think so. Look at Bella’s actions: tantrums, aggression, not listening to her teachers—these could be signs of ODD.

Step 3: List the Key Symptoms

Now, list the symptoms Bella is showing that match the diagnosis. For example:

• Non-compliance: Bella refuses to listen to her teacher and parents.
• Aggression: She physically fights with her peers.
• Irritable Mood: Bella seems upset a lot and hard to please.
• Behavioral Meltdowns: She throws tantrums when things don’t go her way.

Explain these symptoms in your assignment using simple sentences.

Step 4: Think About Other Possible Diagnoses (Differential Diagnosis)

There are other conditions that might cause similar behaviors. You should think about them and explain why they do not fit Bella’s case. For example:

• Conduct Disorder: This is about more serious behavior problems, like breaking laws, which Bella doesn’t have.
• Anxiety Disorders: Bella might refuse to speak, but she doesn’t seem scared or worried, so anxiety is less likely.
• Depression: Bella is angry, not sad all the time.
• ADHD: Bella’s problem is about emotions, not paying attention.

Step 5: Treatment Recommendations

After identifying the diagnosis, you need to recommend ways to help Bella. Think about therapy, ways to control her behavior, and what her parents and teachers could do to help. You might suggest things like:

• Behavioral Therapy: This will help Bella learn to control her emotions and actions.
• Family Support: Bella’s family can learn how to handle her behaviors in a helpful way.
• School Help: Teachers could provide extra support at school to help Bella succeed.

Step 6: Prognosis (What Happens Next?)

Lastly, you need to talk about Bella’s future. Will she get better? If Bella gets the right help early on, she can learn to manage her behavior better. If not, it might get worse. Make sure to mention that early help is the key.

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Summary:

To complete this assignment, read the case study carefully, identify Bella’s behavior problems, and explain the diagnosis clearly. Discuss other possible problems, suggest treatments, and finish by talking about Bella’s future. Keep your answers simple, clear, and based on what you read in the case study!

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