Case study;Craig and Abigali

The Alexandra and Theo Kazilieris family comes to see you again, this time with both of their children, Craig, an 11-year-old boy, and Abigail, an 8-year-old girl. Both children have special needs.

About a year ago, you diagnosed Craig with Autism Spectrum Disorder with severe symptoms. Since then, he has moved on from trucks to an obsessive attachment to his iPad, which he has with him all the time. He displays marked hand flapping, which exacerbates when he is stressed. His speech is limited and he uses repetitive language. Today, he constantly says, “Happy birthday.” His parents and teachers report that he has poor social skills, shows no interest in others, and has a very limited social network.

Abigail has been diagnosed as mildly intellectually disabled (MID); she is two levels behind her peers. She struggles with identifying social cues, which often portrays her as seemingly immature to her peers. Abigail is biracial; Alexandra and Theo adopted her four years ago after having been her foster parents for three years.

Answer the following questions from your perspective as their psychiatric nurse practitioner.

  • Identify one potential psychotherapeutic intervention for Craig and one for Abigail.
  • What, if any, psychotropic medications might be indicated for Craig and for Abigail? Identify
    what medication(s) you would prescribe including dosing recommendations. If you would
    not prescribe any medication, provide your rationale.
  • How you would support the Kazilieris family? Identify some resources that are available in
    your community. If available online, include the links.

Use these resources and also as references.

https://www.cdc.gov/ncbddd/adhd/guidelines.html
https://www.nichq.org/sites/default/files/resource-file/NICHQ_Vanderbilt_Assessment_Scales_0.pdf
https://www.jaacap.org/article/S0890-8567(13)00819-8/pdf
https://ed-psych.utah.edu/school-psych/_documents/grants/autism-training-grant/power-pt/Autism-Assessment.pdf