Mental Health Records Psychological Issues - 848 Words

The claimant was a 15 year old boy who alleged disability because of psychological issues. His mother reported that the claimant was attending school and was receiving special education services. He did not participate in any community or school activities. He was taking psychotropic medications for behavioral problems and attention deficit hyperactivity disorder (ADHD); however, when he was not compliant he had problems at school. The mother indicated that the claimant had recently started counseling services at a facility that was closer to their home. The comparison point decision (CPD) date was 09/02/2009. Per mental health records (2009), the claimant had a history of poor grades, behavior problems at home, at school, and in social settings. He had failed the 2nd grade for the second time and had been â€Å"kicked out of daycare† multiple times because of behavior problems. A few times, when he was angry he wanted to hurt himself. In one occasion, he wanted to poke himself in one eye with scissors, but his cousin held him back. His mother also reported that he had auditory and visual hallucinations; he was receiving individual and family therapy. He was exposed to domestic violence for several months; he was staying in a shelter with his mother and his twin sisters. He had child traumatic stress symptoms. The diagnoses listed included adjustment disorder, anxiety disorder, and rule out ADHD. The claimant had a psychological evaluations on 04/29/2009,Show MoreRelatedThe On Adult Survivors Of Child Sexual Abuse1144 Words   |  5 PagesPer the electronic files, the SSA only requested records from a crisis stabilization program facility, which did not provide any information. There was no indication that SSA attempted to obtain records from other sources such as primary care providers, Emergency Room records, school records, obstetrical or other specialist’s records. 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