Case study 1
Janice is a 15-year-old girl who was an enthusiastic teenager, enjoyed socialising and doing extracurricular activities. However, once she was diagnosed with type one Diabetes and prescribed the insulin pump therapy, she became withdrawn from friends and family. She lost interest in the activities she previously enjoyed. She slept poorly, lost weight, and constantly felt sadness and lack of energy. She loathed herself and considered herself worthless, and generally had a pessimistic outlook on life.
Questions:
Is Janice likely suffering from a mental health disorder? Which one? Which symptoms that she shows do you think could be noticed in classroom? Would you refer her to a psychologist?
Yes, Janice is suffering from depression and she should be referred to a psychologist. Symptoms like weight loss, lack of energy, sadness and a pessimistic outlook on life can be noticed in the classroom.
Case study 2
Jack is a 10-year-old boy from a supportive family. He was shy and reserved in preschool but managed to integrate well in school, made friends and succeeded academically. However, he complained multiple times that he had a severe abdominal pain in the morning and missed school for about 20 times during the previous year because of the pain. He avoided school trips because he was afraid that the bus would crash. He had difficulty falling asleep and was unable to sleep at all before a test. He was worried that he and members of his family would die, demanded that the house must be secured in the evening to an unnecessary extent, and constantly sought reassurance from his parents, which was at times burdensome for them. During COVID-19 his symptoms additionally worsened.
Questions:
Is Jack likely suffering from a mental health disorder? Which one? Which symptoms that he shows do you think could be noticed in classroom? Would you refer him to a psychologist?
Yes, Jack is suffering from an anxiety disorder and he should be referred to a psychologist. Symptoms such as missing school because of unspecified abdominal pains, avoiding the school trips because of being afraid that the bus might crash, not being able to sleep before a test, and even being worried that he and his family members would die, can be noticed in school.
Matching symptoms to disorders
Symptoms | Disorders |
The adolescent looks sad constantly, looks like they don’t find much interest or joy in any activity. | ADHD (hyperactive-impulsive) |
The child looks tense, fidgets, often asks to go to toilet. Displays clingy behaviour with parents, mentions many worries. | Oppositional defiant disorder |
The child has difficulties remaining seated, frequently interrupts conversations or games. | Adjustment disorder |
The child often argues with adults, often actively defies, or refuses to comply with requests from adults or with rules. | Depression |
The child looks sad after returning from self-isolation imposed by COVID-19 and has angry outbursts toward other children. | Anxiety disorder |
The adolescent looks sad constantly, looks like they don’t find much interest or joy in any activity. -> Depression
The child looks tense, fidgets, often asks to go to toilet. Displays clingy behaviour with parents, mentions many worries. -> Anxiety disorder
The child has difficulties remaining seated, frequently interrupts conversations or games. -> ADHD (hyperactive-impulsive)
The child often argues with adults, often actively defies, or refuses to comply with requests from adults or with rules. -> Oppositional defiant disorder
The child looks sad after returning from self-isolation imposed by COVID-19 and has angry outbursts toward other children. -> Adjustment disorder