Discussion:
Childhood Diagnosis Scenario: Depression and PTSD
Kelli is a 6-year-old who lives in a dangerous neighborhood, goes to an under-funded, crowded school, and lives in poverty at home with her single mother and two siblings. Her father was mostly absent from her life, but Kelli knows the father recently was shot in the neighborhood and paralyzed. Kelli's mother spends a lot of time at work. Recently, teachers reported that Kelli is distracted, fails to complete work, argues with peers, and withdraws from many activities. Kelly seems constantly irritable or sad, either clinging to the teacher or refusing to talk to her. Kelli often tantrums when asked to do things or play on her own. Mother and teacher report that Kelli rarely smiles or seems to enjoy things, puts herself down (e.g., says nobody likes her or that she is ugly), and seems to shut down if someone mentions her or another child's father.
a. What diagnoses might you consider for Kelli?
b. What other information would be helpful in this case?
c. Use attachment theory to explain Kelli's mood and behavior.