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Referral for Harry Kovacs' Anxiety

Harry Kovacs is a 5-year-old boy exhibiting signs of separation anxiety since his mother's recent hospitalization for depression. His mother Elizabeth has been diagnosed with major depression with psychotic features and is receiving long-term case management. Harry cries whenever his mother leaves his sight, has become socially withdrawn, refuses to attend kindergarten, and has increased insomnia and nightmares. He is preoccupied with his mother's daily activities and fears she may leave him again. His father is dismissive of Harry's emotional state. The case manager is referring Harry to the early childhood mental health team at Bankstown Hospital for assessment of possible early onset separation anxiety disorder.

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Samia Farooq
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183 views2 pages

Referral for Harry Kovacs' Anxiety

Harry Kovacs is a 5-year-old boy exhibiting signs of separation anxiety since his mother's recent hospitalization for depression. His mother Elizabeth has been diagnosed with major depression with psychotic features and is receiving long-term case management. Harry cries whenever his mother leaves his sight, has become socially withdrawn, refuses to attend kindergarten, and has increased insomnia and nightmares. He is preoccupied with his mother's daily activities and fears she may leave him again. His father is dismissive of Harry's emotional state. The case manager is referring Harry to the early childhood mental health team at Bankstown Hospital for assessment of possible early onset separation anxiety disorder.

Uploaded by

Samia Farooq
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

OCCUPATIONAL ENGLISH TEST

WRITING SUB-TEST: NURSING


TIME ALLOWED:
READING TIME: 5 MINUTES
WRITING TIME: 40 MINUTES

Read the case notes and complete the writing task which follows

Case Notes

Harry Kovacs is a 5 year old boy who is the son of one of your newly referred patients in the
community mental health centre where you are a mental health case manager.

Date of birth: 15 April 2006

Place of birth: Sydney Children’s Hospital, Sydney

School year: Kindergarten

Religion & ethnicity: Catholic & both parents Australian born Hungarian

Mother’s name: Elizabeth Kovacs

Mother’s community admission date: 16 May 2011

Diagnosis: Mother – Major depression with psychotic features

Son – ? Early onset separation anxiety disorder

Family/Psychosocial: * Elizabeth suffered PND – depressed since

*She sometimes hears voices calling her and sees ‘men’


running around her house – nil serious psychosis in
functional terms.

* Recently 1st psych admission for 6/52after high


lethality DSH attempt.

*Harry’s psychological status ok until DSH and


hospitalisation; after this +++ signs of separation
anxiety

*Father is self employed and works long hours 7/7. Rarely


sees Harry & dismissive of Harry’s emotional states, ‘He’s
like a bloody girl now!’ he told us.

*Harry loves soccer and playing with his dog, ‘Rusty’.


Medical History Eczema
Serous otitis media – required grommets at 18 mths
Hearing NAD now.

Medication Nil meds

Case management care and progress:

* Elizabeth new to our area (from Parramatta) & referred to


us post D/C from Bankstown MH inpatient unit 2/52 ago
*We will provide her with long term MH case management.
*Harry now 1) cries and panics whenever Mum leaves his
sight 2) Socially withdrawn & refusing to attend
kindergarten 3) ↑ insomnia & nightmares 4) preoccupied
re Mum’s daily activities & that she might leave him again.
* This is greatly ↑pressure on Elizabeth when her MH
is already fragile.
* Father, John, uninterested in meeting in person or
discussing problems in detail.
*Harry attended initial assessment with Elizabeth and
separation anxiety behaviour very obvious

Referral plan: * Referral to early childhood mental health team for


assessment and management of Harry’s ? early onset
separation anxiety disorder.

*Request joint meeting with case manager and Elizabeth.

Writing Task

You are the Case Manager caring for Harry Kovac’s depressed mother but due to his psychological
issues need to write a referral for him to John Dyer, Clinical Psychologist on the Bankstown early
childhood mental health team at Bankstown Hospital.

In your answer:
 Expand the relevant notes into complete sentences
 Do not use note form
 Use letter format

The body of the letter should be approximately 180-200 words.

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