case study - eric 201.53

BRIEF HISTORY

Case Study - Porter 201.53 is a 19-year-old boy from with ASD-Autism Spectrum Disorder, Bipolar Disorder, SLD, ADHD, Severe Sensory Processing Disorder and Echolalia.

BRIEF HISTORY

ASD-Autism Spectrum Disorder, Bipolar Disorder, Schizophrenia, Sensory Processing Disorder, Separation Anxiety Disorder (SAD), Attention Deficit Hyperactivity Disorder (ADHD).

HEALTH-RELATED DIAGNOSIS

Renal Artery Stenosis, Sleep Apnea, Exercise-induced asthma, Right bundle branch block, Gynecomastia, Fast Eye Blinking (blepharospasm) Disorder, Congenital insensitivity to pain with anhidrosis (CIPA), Hypertension Syndrome. Short-term and Long-term memory loss and Childhood Obesity.

SOCIAL RELATED DIAGNOSIS

Specific Learning Disability (SLD) with an IEP on file at his school. Sensory Processing Disorder, Speech and Language Disorder, and Echolalia

MEDICATION:

Abilify 20 mg  1 per day  9 am                         1. Antipsychotic

Abilify 10 mg  1 per day  9 pm                         1. Antipsychotic

Norvasc 10 mg 1 per day at 9 am                  1. Calcium channel blocker

Lisinopril 10 mg 1 per day at 6 Pm               1. Angiotensin-Converting Enzyme

Lamictal 100 mg 1 per day  9 am                   1. Anti-Epileptic Medication

Prilosec 20 mg   1 per day 8 am                      1. Gerd

OTHER MEDICATION:

Seroquel 200 mg 1 per day 8 pm                    1. Antipsychotic

Albuterol HFA 90 mcg/ inhaler                        1. Bronchodilator

Fluticasone 50 mcg/ PRN                                  1. Steroid

Concerta 36 mg 1 per day 9 am                      1. Stimulant for ADHD

Ibuprofen 800mg 3 per day                              1. Anti-Inflammatory

Field Notes

02/17/2018

A few days ago it started happening again and it has been going on for a few days now. Eric walked in the room where my wife and I was setting, Eric looked extremely terrified of something. About a month or two ago he started to become afraid of his room, his Hallucinations of something in the house or just the ADHD, Bipolar Disorder, and Schizophrenia is starting all over again; we need to find out what it is soon. In the past this became extreme, it also put Eric in the hospital three different times to get him under control.

02/13/2018

He is having a bad day, he is refusing to go to school starting for the night before. We have set him down and talk to him about not going to school and what will happen if he keeps missing school. Talking to him tonight seems like it is not going any place, not giving any eye contact, also going off in a different place. He is holding back tonight he will not seem to talk to my wife or myself like most times, he is more agitated looking at the ground. he responds with defensiveness and sends a complaint right back. I told him when he is ready to talk we are here for him, keep the lines open.

02/10/2018

What a day it has been with Eric, like the entry I posted on 01/17/2018 encouraging Eric to vent his anger more constructively and talk to my wife and me about what he is going through and to talk about it verbally and write it done on paper again. Statement of Eric L Burton, “I was in my bed, and 12 hours later I woke up and everything seemed so dark, there was a bright light coming from the bottom of my window even when it was dark outside the light was so bright. I looked over to my bed I could see my self-sleeping, what was weird was that I could not smell or taste anything.  I could hear loud heavy breathing coming from the bottom of my bedroom door. I wasn’t scared this time; I was creased what the sound was. I was having an out of body experience; I fell back to sleep. When I woke up I was sweating; I had no energy my head was hearting. I felt very depressed and just felt like I was going to pass out and fall to the ground. This time was getting a lot worse, and I knew that I needed to find out more, so I can get him some help. The rest of the day he did not ever come out of his room, and every time I would talk to him he would get mad at me.

01/23/2018

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