This patient’s admission is another impulsive decision made by desperate parents. Despite showing symptoms of depression and grief following the death of a loved one, there are no indications of severe mental illness or instability. The patient exhibits independence and rebellion, openly expressing opinions and thoughts. Their nature is very cynical, likely influenced by past experiences. While not frequently discussed, the death of their brother Allie Caulfield has deeply affected them, potentially leading to the contemptuous behavior observed. Moreover, they experienced the highly traumatic event of witnessing a classmate’s suicide several years ago, which can have significant impact on someone’s life, especially at a young age. The patient’s sole motivation appears to be their family; they demonstrate little interest or drive for school.
The negative perception of school in Caulfield’s mindset may have originated from witnessing the torment and subsequent death of a fellow classmate. This event likely had an impact on Caulfield, leading to his unfavorable outlook on education. Although he rarely discusses his friends, Caulfield does occasionally mention his former roommates and classmates. Despite parental concerns, Caulfield’s behavior, which may be interpreted as depression, is actually a normal response to teenage hormones. While the patient might seem mentally unstable, his impulsive and reactive conduct can be attributed to a combination of adolescent hormones and his inherent rebellious nature and attitude.
It is advisable for the patient to think about the potential consequences of his actions in the near and distant future. It is essential for him to deeply contemplate this matter before making any significant choices. One important aspect that Caulfield should focus on improving is his social skills as he seems to lack companions. Developing these abilities might help him cope with his grief. I do not believe medication is necessary or justified in this specific scenario.
It is advised for the patient’s parents to increase their time spent with him by engaging in extra activities together in order to enhance their familial connection. Even if it is only once a week, it is evident that the patient finds joy in being with his family. Enrolling him in a boarding school would not be wise as it would isolate him from his current needs.
