Mr. and Mrs. Lawson brought their 4-year-old adopted daughter, Clara, to see Dr. Mason, a psychiatrist. Clara was polite in greeting Dr. Mason, but did not smile and kept her gaze down as she took a seat. Mr. and Mrs. Lawson sat next to Clara and began explaining their concerns. They described Clara as a quiet child who has recently begun throwing temper tantrums, during which she is inconsolable. Her sleep and eating patterns have changed, and she no longer wants to go to preschool.
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Create a brief response to each of the following questions:
· What other information would you like to learn during the interview with the family? What questions would you ask?
· In addition to the clinical interview, what other clinical assessment tools should you consider? Why?
· Although you need more information to begin treatment, what factors might you take into consideration in designing an effective intervention for this family?
· If you were preparing to diagnose Clara, you would refer to the DSM-IV classification system to evaluate her condition on five separate axes. What type of information would go into each axis? You are not asked to enter a diagnosis, only describe the kind of information that would be entered in each axis.
Do you think that diagnosing Clara would be beneficial or harmful? Explain why.
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