As a PMHNP, you are seeing a 9-year old male patient with no previous medical or psychiatric mental health history. His parents report that he has difficulty sitting still at home and will not play with toys for more than a few minutes before moving on to something else. He frequently experiences outbursts that are inappropriate to his age and developmental state. The parents report that the patient’s teachers have challenges keeping the child on track while at school, and that he rarely submits homework assignments.
The parents state that the child has always behaved like this, but they felt he would “grow out of it”. Now that his behavior affects his academic performance, they wish to have him evaluated and treated. Upon diagnosing the patient with ADHD, create a thorough plan of care, and use evidence to determine and substantiate why you would or would not begin medication at this time.