Scenario:

The patient is a seven-year-old male African American who was referred by his pediatrician for a psychiatric evaluation related to his mood. He reported having a worrisome mood about everything regarding his family and school. He reported having bad dreams most nights, where he couldn't find his mother and brother. He reported being afraid of the dark, requiring his mother to keep the light on and the door open every night. He reported that no one likes him at school; they call him Mr. Smelly. He reported not taking a bath and having night accidents. He reported feeling sad because his dad never came home and worried that his mother would not come home or pick him up from school. He reported that his teacher always asks him to sit still and focus. He reported that his teacher made him sit by her and admitted throwing a book at his friend, Billy. The patient reported not liking his little brother because his breath stinks, and his mother spends more time with the brother. The patient's mother reported that he gets up at night frequently and wants to come home from school, claiming he has headaches or stomach aches. His mother reported him losing three pounds in the past three weeks, and the pediatrician could not identify any clinical or physical issues. The patient's father was killed in military combat, though his mother told him that his father went on a vacation and never returned. The patient's mother is blaming herself for lying to him.

What are:

-Treatment

-Reflection

-Conclusion