Reference no: EM133226880

Jamie is a 12-year-old student at your middle school who has had behavioral problems for 3 years. He has currently been diagnosed with Disruptive mood dysregulation disorder (DMDD). Jamie was diagnosed after experiencing a highly irritable mood and outbursts for 8 days last month which was a marked change from his "normal" mood based upon reports from his teacher. He also had a depressive episode last year which was diagnosed as Major Depressive Disorder, Single Episode and he carries a diagnosis of Oppositional Defiant Disorder from a prior school therapist. The latest diagnosis was given by his Pediatrician who is a MD but not a Child Psychiatrist.  You have a release to speak with her and she reports Jamie's symptoms are "subthreshold" but illustrate Bipolar Spectrum Disorder. She has put Jamie on a combination of Divalproex, Clonidine and Zoloft.

1. Assume you are responsible for coordinating treatment for Jamie. What are two important concerns to be addressed with the family? Be specific as-related to advocacy questions.
2. The parents ask you what a "boxed warning' means - how would you educate the parents?
3. Jamie's parents want to know how to ensure medication adherence/compliance and interventions to improve medication adherence/compliance for Jamie. Be mindful of your role and scope as a clinical social worker.