Decision Tree Week 7 An 8-year-old Black Male with Psychiatric ComplaintsNRNP 6660-15: Psychiatric Mental Health Nurse Practitioner Role 1: Child and Adolescent

 An 8-year-old Black Male with Psychiatric Complaints For this week's assignment, we have a client, Tyrel, an 8-year-old black male brought in by his mother due to possible psychiatric concerns. In the last two months, he has become irritable, has had trouble sleeping, and struggles with going to school and being around his classmates. He has anxiety about germs and having to wash his hands often.This behavior began shortly after contracting strep throat and has manifested into wanting to wash his hands and keep them clean not to get sick again. He has missed more than eight days of school in the past three weeks. His mother feels responsible for his behavior because she diligently reminds him to wash his hands more frequently before and after he eats, not to handle things that do not belong to him, and wash his hands after playing with other children. Her pregnancy was uncomplicated, there were no medical issues to note, he met all developmental milestones, and he has had all immunizations to date. Decision #1 From the information provided in the case study, I feel Obsessive-Compulsive Disorder (OCD) for Decision #1 is the best fit for Tyrel. According to the DSM-5, obsessive-compulsive disorder (OCD) is described by the presence of obsessions and compulsions (Fenske & Petersen 2015). Obsessive-compulsive disorder (OCD) is characterized by recurrent obsessive thoughts and compulsive behaviors that are extreme and disruptive in everyday life functions (American Academy of Child and Adolescent Psychiatry, 2020).To be diagnosed with OCD, one must experience both persistent thoughts and urges which are recurrent and intrusive in one's life, and must also undergo a compulsion that is performed, such as either thoughts or urges, to either ignore those thoughts or to suppress them (American Psychiatric Association, 2013). Tyrel has formed habits of handwashing, much like compulsions, due to his obsession or fears