M. was brought to the clinic by his parents, Mr and Mrs M.M., at 12:30 PM. with complaints of erratic behaviour and being restless. He was also becoming more hyperactive than before. Practice Management: The patient visited the pediatric clinic and was transferred to the mental health clinic. The visit lasted for 65 minutes. Diagnosis: Attention-deficit/hyperactivity disorder (ADHD) Treatment Plan and Notes: The 13-year-old male patient, D.M., was brought to the clinic by his parents, Mr and Mrs. M.M., with the complaint that D.M. had developed some erratic behaviours and became really restless over the one year.

M. was brought to the clinic by his parents, Mr and Mrs M.M., at 12:30 PM. with complaints of erratic behaviour and being restless. He was also becoming more hyperactive than before.

Practice Management:

The patient visited the pediatric clinic and was transferred to the mental health clinic. The visit lasted for 65 minutes.

Diagnosis: Attention-deficit/hyperactivity disorder (ADHD)

Treatment Plan and Notes:

The 13-year-old male patient, D.M., was brought to the clinic by his parents, Mr and Mrs. M.M., with the complaint that D.M. had developed some erratic behaviours and became really restless over the one year. The mother reports that, although D.M. has been an active and always busy child, he lately seems to have increased activity, is much more active, and never seems to rest. The patient reports that he always forgets things easily and may sometimes forget his books or an activity that he is doing. He also fidgets a lot and reports that he can spend some time daydreaming of worlds beyond the world we see. The mother reports that she used to drink a lot of alcohol during D.M.’s pregnancy as she was undergoing a period of tremendous change in her life that stressed her significantly.

During the clinical visit, D.M. seemed to try a lot to restrain himself, but he had periods of restlessness and increased motor activity. His vital signs, including blood pressure, respiratory rate, and temperature, were within normal limits. However, he had an increased heart rate. Based on the symptoms presented and his health history, D.M. was preliminarily diagnosed with Attention-deficit/hyperactivity disorder (ADHD).

His treatment plan included a referral to the mental health clinic, as comprehensive evaluation was needed using standardized rating scales to help with the diagnosis and develop a full management plan for the suspected ADHD. An appropriate treatment and care plan will be discussed after a pediatric mental health specialist has confirmed the preliminary ADHD diagnosis. In the meantime, Mr. and Mrs. M.M. were provided information on ADHD and how to manage the child’s hyperactivity. A follow-up appointment was set to review the comprehensive evaluation results and discuss the recommended treatment plan. Top of Form