cases

•  Global developmental delay A 3½-year-old girl demonstrates substantial delays across multiple domains of functioning, including communication, learning, attention, and motor development, which limit her ability to interact with same-age peers and require substantial support in all activities of daily living at home. Unfortunately, the child has received no formal psychological or learning evaluation to date. She is about to be evaluated for readiness to attend preschool. What is the most appropriate diagnosis?
• A 7-year-old boy who has speech delays presents with long-standing, repetitive hand waving, arm flapping, and finger wiggling. His mother reports that she first noticed these symptoms when he was a toddler and wonders whether they are tics. She says that he tends to flap more when he is engrossed in activities, such as while watching his favorite television program, but will stop when called or distracted. Based on the mother’s report, the child is exhibiting _________? Motor stereotypies.
• A mother brings her 8-year-old son to you for an evaluation with concerns that her son has struggled with speech articulation since very young. He has not sustained any head injuries, is otherwise healthy, and has a normal IQ. His teacher reports that she does not always understand what he is saying and that other children tease him by calling him a “baby” due to his difficulty with communication. He does not have trouble relating to other people or understanding nonverbal social cues. What is the most likely diagnosis? Speech sound disorder.
•  A 15-year-old boy has a history of episodic violent behavior that is out of proportion to the precipitant. During a typical episode, he will become extremely angry, punching holes in walls or destroying furniture in the home. There seems to be no specific purpose or gain associated with the outbursts, and within 30 minutes he is calm and “back to himself”. What would be the most probable diagnosis?  Intermittent explosive disorder
• Which of the ff. best describes the differences between IED and DMDD? Intermittent explosive disorder does not require the individual’s mood to be persistently irritable or angry between outbursts
• John, a 28-year-old man, was admitted to the hospital with complaints of severe abdominal pain and digestive issues. The doctor found out that John’s brother saw him intentionally ingesting cotton, soap, and chalk before he started telling everyone that he is not feeling well. Furthermore, it was found out that he is doing this in order to because he likes being hospitalized. He has no other motives aside from this. Factitious disorder
• Ezekiel, a college student living in a dormitory, suddenly returned to his family in the province after 1 month. He said to his parents that he cannot be too far from their family doctor in case he develops a heart condition. One time, he was watching a vlog on YouTube about “Initial Warning Signs of Heart Disease” when he felt some “odd” palpitations. He immediately went to emergency room of the local hospital to get checked. What would be the most probably diagnosis? Illness Anxiety Disorder