Case Study of Disruptive Behavior

Peter, a ten-year-old Caucasian boy, was referred to the therapist for diagnosis due to his inability to deal with academic tasks and disruptive behavior over the last seven months. Apart from the involvement of Peter and therapist, Peter's mother and his teacher also participated in the interview. At school, Peter often disrupted the class discussions by interrupting his classmates with his irrelevant comments. When he was asked to sit at his desk to do his work, Peter would bounce on his seat, kick the table legs and even leave his seat. At home, he would run compulsively around the house, climb onto tables and jump off them. Constantly moving around and shouting inappropriately, it was impossible for his mother to ask him to perform household chores, or even to do his homework.

Peter's impulsive behavior of blurting out comments and his display of hyperactivity such as bouncing on his seat in two settings over a period of more than six months warranted a diagnosis of Attention-Deficit/Hyperactivity Disorder, Predominantly Hyperactive-Impulsive Type. His inability to handle his academic work and follow classroom rules suggested behavior that did not cohere with his developmental level (American Psychiatric Association [APA], 2000, pp. 85-93).

Axis I 314.01 Attention-Deficit/Hyperactivity Disorder

Predominantly Hyperactive-Impulsive Type, Moderate

Disruptive social behavior at school and at home

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Category: Psychology - C