Mother reports that she and J.S’s father separated in October of 2015. She reports J.S wishes for her and his father to reunite and get back together. She believes that he could benefit from additional support with understanding the separation of his parents. Mother reports since separation J.S is “clingy” as evidenced by wanting to be with mother all the time (e.g., wanting to sleep with mother, wanting to be with mother in the house and not alone in his room). Mother reports J.S talks to her, but is uncertain if he has any suppressed thoughts or feelings. She shared that J.S’s father was recently on the phone with a women while he was visiting. Mother reports since this J.S has been having a lot of questions about whether his parents will be together again and whether they have other significant relationships. She shared that she wants J.S to understand the concept of his parents being apart.

History or present illness

Mother reports onset of Jayden’s behavior occurred in 2015 when her and Jayden’s father separated.

Past psychiatric history

Mother reports none

Medical history

Mother reports none.

Substance use history

Mother reports none.

Developmental history

Mother reports no delays.

Family psychiatric history

Mother reports anxiety and depression on both J. S’s paternal and maternal side of family. Father is struggling with addiction.

Psychosocial history

J.S reports having a lot of friends. He reports getting along with his friends.

History of abuse/trauma

Mother reports none.

Review of systems

Gen:  Denies weakness, fatigue, fever, chills, night sweats, heat intolerance.

Head: normocephalic; denies migraine headaches.

ENT: Denies visual changes, eye pain, hearing loss, tinnitus, vertigo, ear pain, ear discharge, epistaxis, nasal discharge, sinusitis, teeth problems, abnormal taste, sore throat, or speech difficulty

Neck: Denies neck swelling, pain, stiff neck, goiter, or masses, nodes. Cardiopulmonary: Denies cough, dyspnea, wheezing, hemoptysis, chest pain, palpitations, orthopnea, murmurs, edema, claudication, syncope, hypertension. 

GI: Negative for decreased appetite. Neg for n/v, hematemesis, melena, dysphagia, heartburn, flatulence, abdominal pain, jaundice, change in bowel habits, diarrhea, constipation, hematochezia, or rectal pain. 

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