Get Answer: Year Transfers Your Question Guide

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Original Question

A 14-year-old boy transfers to your practice due to his provider retiring. His records reflect that he has multiple diagnoses including attention-deficit hyperactivity disorder, autism spectrum disorder, disruptive mood dysregulation disorder, and unspecified anxiety disorder. His mother is satisfied with his current medications including amphetamine (D,L), clonidine, valproic acid, risperidone, and trazodone. He has morbid obesity and has not had any laboratory monitoring for more than 7 years due to a reported needle phobia. He is in a specialized school setting for children with behavioral problems as he does continue to struggle with both internalizing and externalizing symptoms. Both the school social worker and the long-term mental health county case manager are present for the appointment. They advise they really trust the prior provider and they do not want you to make any medication changes. Which of the following is the best next step? Ask the county case manager and school social worker to go to the waiting room Begin medication changes since he is not doing well in spite of being on multiple medications Provide all refills since the parent, school, and county are content with the medications Require laboratory testing in order to continue receiving refills of risperidone and valproic acid

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