Chief Compliant The mother of a nine-year-old African American male patient, Mike M., complained about him recently developing difficulties sleeping at night. Particularly, Mike had frequent nightmares and insomnia, which the mother claimed to have aggravated over the past few days. The patient also showed a decline in his concentration abilities, which made studying difficult for him. According to the mother, the observed phenomena were barely noticeable at first, which was why pinpointing the exact day of acquiring the disease does not seem possible. However, it was a week ago when Mike’s teacher pointed to a drop in his performance levels, and a couple of days ago he had trouble sleeping during the night because of bad dreams. Sleep deprivation, in turn, has aggravated the child’s condition, leading to fatigue and increasing his blood pressure slightly. Moreover, Mike has had several outbursts at school, which was rather unusual for him. The first case involved him getting into a fight with another student, which was something that he had never done before. Furthermore, several days ago, the child seems to have lost his interest in most of the hobbies that he used to find fascinating. For instance, he no longer watches his favorite animated TV shows and avoids talking to his friends. At the same time, Mike has not acquired any other hobbies that could explain the sudden change in his priorities. Therefore, the patient requires a thorough analysis. Mental Status Exam The patient appears to be perplexed and quite exhausted. He has been showing the signs of worrying throughout the examination. For instance, he kept asking whether the examination would take long, and was evidently in a hurry, although there was no clear reason for it. In addition, Mike seemed to have attention difficulties, which makes him forget important information comparatively quickly and have a very short attention span. The child seems rather irritable, which can be explained by the stress that he has been experiencing, including sleep deprivation. Throughout the examination, Mike has been showing the lack of interest toward the process and was rather indifferent, yet he was evidently annoyed at the end of it. Overall, his attitude toward the physician and the overall examination is slightly unnatural and, thus emblematic of the disorder that he has developed. In addition, the patient’s mood is far from being positive. Although the patient did not have any aggressive outbursts during the examination and, instead, seemed quite calm, his apathy is indicative of a larger problem. The speech and thought of the patient do not seem to deviate from the norm. Mike spoke rather fast during the assessment process and seemed to lose track of his thoughts, yet his mother claimed that the specified behavior had been rather characteristic of Mike’s personality before the health concerns emerged. The child has no perceptual disturbances and seems to have proper orientation and consciousness, although his reactions are slightly increased. Mike has minor short-term memory issues, which his mother claims to have existed long before the signs of anxiety developed. The reliability and judgement of the patient’s condition also seem to be within the expected range. Social