Significant Fidgetiness's Case Study

Matthew presented as a 9 year 6 month old, thin, average height, Caucasian fourth grader. He was well-groomed and appropriately dressed. He wore his eye gasses but took them out during some tasks. His gait and posture were observed to be normal. He used his right hand to write. He maintained normal eye contact. Matthew was observed to be oriented. However, his attention was noted to show significant variability. He was observed to have low motivation and low arousal in general; however, he did respond to encouragement and participated in testing. Significant fidgetiness was noted throughout testing. Matthew did not demonstrate hyperactivity but was restless. He moved in his chair, touched his hair, got out of his seat, engaged in some verbal …show more content…
He was noted to make wining and other sounds, become quite or speak slowly, make comments like “oh God,” when confronted with tasks that he perceived as difficult. He was also observed anticipating difficulty and responding to that anticipation with low motivation and was observed giving up on task easily. His stress responses were visible and prominent. His facial expression changed to reflect frustration and discomfort; although, he did not cry during testing, on multiple occasions his face looked as if he would start crying. During Block Design subtest, he pressed the blocks very tightly in his palm and pressed his fist tightly; during CPT-3 test he stomped his feet on the ground in frustration, squeezed his fist, made distressing facial expression, etc. His speech was mostly clear, rate and rhythm variable, volume low at many occasions with limited spontaneity. His mood and affect were anxious and consistent. Psychomotor slowness and slow initiation was noted. No hallucinations were endorsed. Matthew did need constant redirection and encouragement. He was cooperative and participated in testing. Suicidal and homicidal Ideations were