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Prompt 1

Are there similarities with Posttraumatic Stress Disorder (PTSD) and Dissociative Identity Disorder (DID)? How are the two similar? How are they different? Do you believe that DID is a real disorder, or do you think patients fake the symptoms?

Prompt 2

Colleen is a child whose family is currently receiving in-home services from your agency. Concerns that warranted the agency's involvement included the conditions of the home and mother's difficulty meeting the basic needs of the children due to lack of resources. The focus of the service plan is assisting mother to improve the living conditions and helping mother improve her parenting to four young children. Colleen is 5 years old and is the youngest of four siblings.

For the past two years, she has been home alone with her mother everyday while the rest of her siblings attended school. Colleen started kindergarten this year, and you, the caseworker, have received reports that her attendance to this point has been inconsistent and that the mother seems overwhelmed with the task of getting her to school. The teacher reports that Colleen does well in school, when she attends, and that she has made friends.

Colleen seems to be on target developmentally. When this issue is discussed with mother, she reports that Colleen becomes upset every morning when it is time to go to school. The mother reports this behavior actually begins the night before when it is time for Colleen to go to bed. On school nights, Colleen becomes tearful, questioning her mother repeatedly about what she will be doing when Colleen goes to school and if she will still be there when Colleen returns from school.

Colleen often has difficulty falling asleep on school nights and she follows mother around the house almost constantly, refusing to let mother out of her sight. She screams and cries when it is time to go to school, and has even thrown up. Colleen's mother is at the end of her rope with the tantrums and many times has stated that it is just easier to allow her to stay home from school.

Discuss Colleen's symptoms and what diagnosis best fits the symptoms.

Reference

The Pennsylvania Child Welfare Training Program.

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