Billy Johnson 13 yo “I hate school” With his mother Observations ● Fidgeting ● Warm, dry skin Last Visit One year ago, billy was seen for his well check. He was noted to be a little hyperactive at times; his parents had recently divorced and he was a little irritable and frustrated with having to go between his mother’s and father’s house. Had difficulty following his coach’s directions. Father has a history of cocaine abuse. History 1. How can I help you today? a. My mom made me come here. I don't have any problems -- I'm fine, i'm normal, I just don't want to go to school, okay?? 2. What has been happening since your last visit? a. This is my first visit??? HOW I HAVE RECORDS FROM ONE YEAR AGO 3. Mother: How can I help him today? a. His grades are dropping and he is refusing to go to school. He’s always had difficulties at school but things have been getting worse over the past year. And theres so much more going on 4. Mother: Any other symptoms or concerns we should discuss? a. Yes - both as school and home. His teachers all say he is very disrupt and has problems following directions, remembering things, and waiting his turn. His teachers report that he spends more time paying attention to his neighbors or looking out the window than focusing on class instructions and discussion. They say that his desk, locker and backpack are messy. He procrastinates when assigned homework and snaps at me when I ask him or remind him about homework. His teachers have also told me that he is constantly ill-prepared for class, including not having pencils or misplacing completed homework assignments. At home he doesn't listen to directions or follow through on his chores -- especially if i give him more than one task at a time.