Elementary School Mental Health Counseling Session Notes246

Date: March 15, 2023

Student: John Smith

Age: 10

Grade: 4

Reason for Referral

John was referred to counseling by his teacher for concerns about his disruptive behavior in class. John has been fidgeting, interrupting others, and getting out of his seat frequently. His teacher reports that these behaviors have been occurring more frequently over the past few weeks.

Assessment

During the initial session, John presented as an anxious and energetic child. He had difficulty sitting still and maintaining eye contact. John shared that he is often feeling restless and has trouble paying attention in class. He also reported feeling irritable and having difficulty controlling his emotions.

John's parents were interviewed separately and provided information about his behavior at home. They confirmed that John has been showing similar disruptive behaviors at home, such as fidgeting, interrupting, and having difficulty following instructions.

Based on the assessment, John was diagnosed with attention deficit hyperactivity disorder (ADHD). ADHD is a neurodevelopmental disorder that affects a child's ability to pay attention, control impulses, and regulate emotions.

Treatment Plan

Together, John, his parents, and the counselor developed a treatment plan to address John's ADHD symptoms. The plan included the following components:
Behavior modification: John learned strategies to help him manage his disruptive behaviors, such as using a fidget toy and practicing self-control techniques.
Medication: John was prescribed medication to help him improve his attention and control his impulses.
Parent training: John's parents participated in a series of training sessions to learn about ADHD and how to support John at home.
School accommodations: The counselor worked with John's teacher to develop school accommodations, such as allowing him to use a fidget toy and giving him extra time to complete assignments.

Progress Monitoring

John met with the counselor regularly to monitor his progress and adjust his treatment plan as needed. Over the course of several months, John made significant improvements in his behavior. He became less disruptive in class, was able to pay attention better, and was able to control his emotions more effectively.

John's parents reported that they had also seen a positive change in his behavior at home. John was more cooperative and less oppositional. He was also able to complete his homework and other tasks more independently.

John's teacher reported that he was making good progress in class. He was able to participate in lessons more actively and was less likely to interrupt or get out of his seat. The teacher also reported that John's grades had improved.

Conclusion

John's counseling sessions were successful in helping him manage his ADHD symptoms and improve his overall functioning. He made significant progress in controlling his disruptive behaviors, improving his attention, and regulating his emotions. John's parents and teacher also reported positive changes in his behavior. Overall, John's counseling experience was a positive one that helped him succeed in school and at home.

2024-11-20

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