docarchana
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15-year-old white girl is brought to the health center by her mother for a periodic health evaluation and refill of tetracycline for acne. Upon entering the examination room, the patient's mother asks to speak alone with you. In private, she says, "My daughter has been like a different person for the past 4 months. She used to be on the honor roll and is now failing school. She received detention six times for truancy and for talking back to teachers. She argues with her brother and me over everything. She quit the tennis team and doesn't see any of her friends." The mother can think of no explanation for these changes. When you interview the patient alone, she becomes angry and says, "Mom should mind her own business and stop talking about me behind my back." She denies use of drugs or alcohol. She tells you, "I don't want to go out of the house because my acne makes me feel ugly. Plus, I've put on ten pounds." Today she weighs 54 kg (120 lb); she is 165 cm (5 ft 5 in) tall. Which of the following is the most appropriate advice to the mother?
A Her daughter is just going through a normal adolescent phase
B Her daughter would benefit from a diet program
C Her daughter would benefit from a trial of antidepressant medication
D She should use a behavior-modification program to control her daughter
E No advice is indicated because it would violate patient confidentiality
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| HILFIGER
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I guess A
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| blueocean
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I guess is A
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| suravi
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Can u please explain why it is A and not C
Doc archana can u please give the answer
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| robin082006
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A
This behavior is normal in adolescent.
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| Addicudo
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uMmm .. Could anyone of you give me that stats to this kinda behaviour .. ????
Guess its not normal behaviour in adolescent ...
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| klimt
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A
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| MRMAVERICK
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i also think its A
BUT its very diffcult for me to explain answers in beahior sci
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| aim
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D WE CAN THINK OF
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| drfax
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Answer is A
middle adolescence (14-17) characterized by interest in body image, and popularity,also feeling of omnipotence may results in risk-taking behavior like driving fast or truancy , if possible givin obvious short term benefits is useful.
thnx
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| titly
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i think it shd be D.
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| elitoki
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I think it is A.
The girl is going trough middle adolescence where she is becoming more independant and gaining sense of identity. Her weight is normal and mood swings are very common.
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| Jackofknives
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Her behavior has pretty much crossed the line. Although she is not depressed, she has a poor self-image and that partially have contributed to her behavior, if no intervention is undertaken I’m afraid she will socialize with the wrong kind of people and possibly start taking narcotics. If we intervene then it might be too late, behavior-modification program seem like the right choice bring her back on track.
LOL i start to sound like a mom
PS. Look, she is truant, if you follow the textbook, truancy is linked to delinquent behavior or a conduct disorder that require expert evaluation. “she received detention six times for truancy”, this is not normal behavior in my eyes, even for an adolescent.
Edited by Jackofknives on 07/17/07 - 02:49 AM
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| GoodGirl
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Her behavior is not normal anymore, would go with behavior-modification program.
Very well said Jackofknives.
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| P4a99
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A
i can correlate my self to teen-agers easily  ... usually they snap out of this behavior on their own ... if it becomes any worse then we should interfere
Edited by praying4a99 on 07/17/07 - 01:36 PM
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| Jackofknives
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How can it get worse, how much lower do we allow her to sink? I think she is one step away from hitting the bottom. Sure we should let adolescents make their own mistakes and learn from it, but we also don’t want them to make mistakes that will greatly negatively affect the rest of their lives.
She is truant, failing school, has poor self image, lack motivation and self esteem, and which normal adolescent is like that? I’m telling you mate, once you start smoking crack there is no way back. So stay away from drugs, heck stay away from cigarettes and alcohol as well. Teen pregnancy is another thing to worry about.
Edited by Jackofknives on 07/18/07 - 10:16 AM
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| P4a99
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Jackofknives wrote:
I’m telling you mate, once you start smoking crack there is no way back. So stay away from drugs, heck stay away from cigarettes and alcohol as well. Teen pregnancy is another thing to worry about.
What was that for?  any way thanx for the sincere advice and dont worry i dont do any of that  .
Edited by praying4a99 on 07/18/07 - 11:15 AM
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| Jackofknives
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That's right, stay away from crack.
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| new_n_lost
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Guys Stick To Question. Havent U guys ever Rebeled against the Soical Norms and the Society's Predefined Labels for U. She has been Labeled as a Nerd(probably) She is REacting to it. Maybe a Guy Issue or Image issue but does it warrant her to be put in Some Clinic Where U can Get her to Behave. Infact she is going to Rebel Against and may stick TO it.
Allowing her to Sink........... Ah Cmon Lighten Up Guys. Dont Tell me no one here hasnt done somehting in teenage life who hasnt rebelled in his/her sense.
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| P4a99
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new_n_lost wrote:
Ah Cmon Lighten Up Guys. Dont Tell me no one here hasnt done somehting in teenage life who hasnt rebelled in his/her sense.
thats what im talking about !
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| GoodGirl
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Well, for where I come from, it is not common to rebel like that, so maybe it's normal for US standards ?  It would brake my heart if it would be my daughter....but this is not the case here.
Should stick to the Question. Docarchana, do you have an explanation,or answer for us ? Wonder what school psychologist would say....
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| po
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I initially thought it would be A.Her daughter is just going through a normal adolescent phase ,but then D.She should use a behavior-modification program to control her daughter option seemed better but I have problem with this option,in that it uses the term "control" rather than "guide"
if I read this vignette again I think this girl could be depressed,so C
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| po
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may be I am right
http://www.mentalhealth.com/mag1/p51-dp01.html
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| P4a99
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are we ever going to hear the correct answer ?
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| new_n_lost
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I Might Sound Too Cynical or Rude but this is wht i feel
Choices B & E: Make no sense or arent even applicable
Choice C: Giving her Antidepressants wont help cos its not gonna help her only alleviate her signs. This is the worst possible thing I cud ever do a teenager. Instead of talking to them just prescibe drugs. No Wonder Current Rock Bands r singing " Lithium, I can Depend on u "
Choice D: Behaviour Modicafication is not gona help this kid who is having low self esteem. Do we tend to send ppl to Boot Camps just because they r not friendly or social anymore.
well guess Wht ppl u r living in US and gonna work in US and Plan to stay in US atleast for the next 10 yrs or so, U will have kids here maybe they will have their Adolescence here or back in ur home countries but Ur Pts r gonna be US kids who have been driven by intense social pressures that they have started to be adults pretty fast.
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