Jacob: A Case Study Jacob Case Study

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He has received little personal affirmation for 'who he is' in all of the social settings in which he finds himself. He has had more success in school, but the challenges of his ADHD have resulted in disciplinary problems at time.

The first step is to find some form of social intervention to result in a more stabilized situation at home, either offering Jacob's mother support if she is at risk of violence at the hands of her husband, or attempting to offer some conflict or anger management for the couple. In school, Jacob would benefit from additional resource room support to help him deal with his ADHD, along with academic enrichment to enhance his sense of self. Jacob may also be referred to a school therapist to help him engage in more effective social interactions with peers.

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The school nurse may wish to discuss with Jacob's parents different medications that might prove to be more helpful than the one he was on previously, given that they have shown a willingness to modify his diet and keep him on a regular sleep schedule to enhance his ability to learn in school......

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