[1 of 6]2003 11-25-2003 rodeheffer.pdf

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    This document contains text automatically extracted from a PDF or image file. Formatting may havebeen lost and not all text may have been recognized.

    To remove this note, right-click and select "Delete table".

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    Rikkiisam8yearold,nativeanlericanwhoisinthe3'gradeatTccunlsehNorthElenncnrzlry.Sheisbroughtbyherfather

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    byorderofihccourtforanassessmentofhowRikkiisdealingwiththemlgoingcn-parentngbetweenherdivorcedparents.Thishasbeenanongoingstrugglearoundvisihliuln:undtheviewseemstuhe

    handlingthesituationwell.Timewithmotherisc/0weekendandevery\\/ednesdayfrom3:30PMto3:00PM.Fatherhas

    agirlfriendbutMotherhashadsomerelationshipsbutrecentlyendedanengagement.NeitherFzithernorRikkidescribe

    anyongoingproblems.Byherse,shedescribeddoingweilinschool,hasfriendsandisactiveinBrowniesandKarate.

    descriptionofherlifeseemstoemphasizeaextensivenetworksofimmediate,step,extendedfamilymemberswithwhichsheisactivelyengagedaswellasanactivecadreufvariousfriends.Shereportsgetlngalungwellwithbothparents,including

    her"srepmotller"andherCllldren.Shedoesexpressthatwhenllerparentsfightshegets"upset".Shedescribedoneincident

    inwhichherfatherdidnotwanthertoleaveaKaratelessenwithhermotherblcshewasnotfeelingwellandhefeltthat

    sheshouldgohomeandgettohedratherthanspendsomeextratimewithher.Rjkkiindicatedthatshewasnotfeelingwell

    thatnight.Shedescribedllermotherasyellingatllerfatherandthatsherananhidwithinherinstructorsarmsandhidher

    head.Sheexpressedf`uarsthatherparentsweregoingtohurteachother.Sheindicatedthatthefightinghadsubsidedof

    late.Sheexpressedthevieuuthattheproblemsbetweenherparentsseemedtoescalateafterfatherbeganhisrelationshipwith

    hiscurrentgirlfriend.Sheexpressedfairlytypicalreactionsto"stepmother"andllerkidsmovingin,statingthatshemissed

    havingherdzldtoherselfbutindicatednowthatshefeelscomfortableandenjoysller"stepsiblings".Shereportssume

    conictswithafewpeersatschoolrelatingthatoneofthekidsseemsto"knowitall"thatoneteasesherandthatonechild

    talksaboutherandgetsherintotrouble.

    I

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    Speech

    El

    E

    Behavior__

    DE

    DE

    Poor

    El

    EIDE

    E

    EE

    DE

    E

    Labile

    Fiat

    DE

    UDG

    WNL

    EEE

    DE

    E

    impulsecontrol

    E

    Attention/Conce

    SexualIssuesnf

    InsomniaE

    ma

    DE

    E

    DE

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    OtherSymptoms

    Delusions

    DE

    E

    AbsentW

    Ideario;

    EE

    UE

    DE

    Compulsiveisolation

    Elim

    CHE

    NoA

    LevelIII:5/6

    LegalInvoljgmc

    El

    Yes

    PHYSICALD

    ESCRIP

    Sex:DMalefx]FemaleHeight:TallAverageBelowAverageWeight:DBelowAverageAverageljOverweight

    Hair:BlackEYQSIBrownScars/Tattoos/therIdentifyingMarks:Nun@

    TIVEFACTORS:

    Hnndicnpps:VisionEHearingSpeechEOther:Gait:IEUnimpairedilImpaired(Describe:)Appearance:E

    UnremarkableEAttractive|:|UnattractveOther(Describe):

    Age:8

    DEMOCRAPHICFACTORS:

    .Education:LessThanHighSchoolEHighSchuuElSomeCollege[3CollegeAdvancedDegree

    DESCRIPTIONOFCURRENTDYSFUNCTIONALMALADAPTIVEBEHAVIORS:

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    FormulationofFunctioning/Dysfuncioning:Seemstobewell-connectedwithnumerouscomlectiunstoextended/stcpfzmlily

    andfriendsthatallowshertodistributeherdependencyneedsandperhapstodcintensfyherassociata!withc0~parentng

    dificutics

    EE

    ClarifyFamilyofOrign!l)evel0pmentnlIssues.-Identifyelio!-ugcalfactorsofcurrenmal:ul.~1ptivebehavorsfemoiions

    Identifysituationalfactorsproducing/maintainingcurrentmaladapiivebchaviorsemotiunsCompletePsychological

    AssessmentlvaluationQMMPIICL'DIntellectualDPsychoneurologicalEChildBehaviorCheckListEOther:

    ProjectiveDrawingsandFantasyworkReferral:YesDNoIfYe.~r,lowhom;

    TreafmemInfervenrions[Manned:ClinicalInterviewstoassessfunctioningandmakeappropriaterecommendatzonsforntas

    needed.M

    ?-1-1-

    M:

    YesENo--MedicalHistoryGiventoPatient

    EYesNo-ReleaseforMelcalRecordsNeeded?IfYES,fromwhom:Dr.Alban

    YesDOrderedTrcatrnentorEvaluation?