A 30-year-old Caucasian female who comes in with difficulties in concentration and focus since she was in college she did ok in high school. Vital: T- 98.3 P- 97 R 22 140/84 Ht 5’8 Wt 160lbs Background: Born and raised in Texas. Loves singing and attending church weekly. Patient states that she gets distracted easily, not completing tasks. Patient was diagnosed with ADHD back in 2016. Patient resisted in the past to take meds. At one point she was given Ritalin 5mg daily. It did not help; she took it very briefly and did not like the idea of taking meds so stopped altogether. She also suffers from anxiety and seeing a psychotherapist off and on since 2015.
Currently seeing therapist also for anxiety which she believes is helping her. She submitted a document showing that in May 2021 while she was in Texas doing her master’s program, she saw a psychologist who did psychological testing and diagnosed her with ADHD and anxiety disorder.
Patient states that she is having a hard time in focus and concentration. Her mind is raising and her mind is all over she is not completing tasks on time. Also, she is not organized in her work habit does not want to lose her job hence decided to be on meds for ADHD, denied depression. Hx of social anxiety but not too bad does not come on her way to interact with people. No hx of mood swings, no mania, no OCD, denied a/h no delusion, no insomnia, appetite good, denied si no hx of EtOH and drug abuse. The patient claims that she was hospitalized last month due to a mental breakdown. Was discharged home with Adderall 10 mg which it helped but now she is out of meds
Education Highest Grade: Graduate/Professional School
Current Occupation: RESEARCH ASSISTANT
Current Relationship Status: SINGLE
Mood & Affect: MILDLY ANXIOUS MOOD
PMH: Allergic rhinitis, Migraine
Past Surgeries: Wisdom teeth removed 2013, Appendix: 2019
Pregnancy Status: one abortion 2018
Family History: Father -Anxiety, Depression, High cholesterol, Stroke
Mother -Arthritis, Depression, Stroke
Sister: -Alcoholism, Bipolar disorder, ADHD
Current Medications Reported by Patient: doxycycline 100 mg capsule for the treatment of Acne
Allergies: Bactrim, Dust mites
Social History: Never smoker but drinks about 5 beers weekly
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al system of a state. While similar to rational institutionalism in the importance it accords to cooperation and institutions, its focus on domestic political, economic and legal pressures highlights more clearly the ability of individuals and private groups to be fundamental actors in international politics. However, even within this liberal view norms are seen as a superstructure over a material base, serving a regulative function. The aforementioned theories rely primarily on instrumental motivations, using behavioural models based on utility maximisation. While accounting for such instrumental behaviour, constructivist scholars go beyond it to highlight shared norms and culture, seeing states as social beings rather than purely rational ones. Constructivists highlight the social context of shared subjective understandings and norms that help constitute state identities and roles, while rejecting the possibility of objectively determined state interests. This an approach based on two assumptions: firstly, that the setting in which actors operate is social as well as material, and secondly that this environment can help shape actors’ understandings of their interests. Social contexts are thus able to give material structures meaning, and actors’ interests and preferences are derived and altered through social interaction. Constructivist explanations for treaty ratification thus often focus on international social pressures, where actors are socialised to fit in with social norms and peer groups. There are two sides to this constructivist argument. The first sees state acting in ways that improve their social approval by peers or the global community as a whole, and so look to gain non-material rewards. The second claim is that states may act to avoid social opprobrium, which is ‘real or perceived discomfort over (potential or actual) embarrassment and isolation’, and thus to avoid shunning, shaming and a loss of status. This analytical distinction between positive and negative reasons for acting is useful to evaluate whether rewards or conformity are significant motivators for ratification.>GET ANSWER