March 15, 2011
I would being by asking Mr. and Mrs. Lawson basic questions concerning the family’s history regarding any similar symptoms that other family members may have displayed. I would also ask if there were any changes in the family setting, such as relocating or if other family members have recently relocated. I would also ask Mr. and Mrs. Lawson specific details about the symptoms regarding Clara’s eating patterns, and sleeping patterns, and how long this has been occurring. I would also engage Clara into conversation, so that her direct responses could be included in the conversation, so that I would have a better understanding on the lack of eye contact when talking.
During the clinical assessment, I would engage in “play” activities with Clara, so that a better understanding on how she interacts could be established. Children often place themselves in role positions when playing, which in Clara’s case, would give an indication if she displays a lack of self-esteem. This would also give a better understanding concerning the issue of Clara’s not wishing to return to preschool.
I would encourage the family to engage in more playful activities that would include Clara, with the emphasis on allowing her to win. I would recommend that praise be given to her when she did well, and for the most part, to overlook the events in which she did not do well. Instead of focusing on correcting negative responses, I would recommend that focus be directed to encouraging the positive responses. Children often hear words such as “don’t” or “no” too often, so I would recommend to Clara’s parents that they use re-direction by telling Clara what they want her to do, rather than what they wished her not to do. Children also respond well, at times, to reward systems. Giving Clara praise when things are done well, and to reward her once the task is completed.
In planning to give Clara...