Challenging Case-In the Teens it Takes a Team

Area of Science:

• Neurodevelopmental disorders
• Adolescent psychiatry
• Pediatric specialty care

Background:

• A 17-year-old male, identified as neurodivergent, presented with long-standing social and developmental concerns.
• He experienced social difficulties in middle school, thrived during virtual learning, but struggled with in-person high school, leading to school refusal and academic decline despite good grades.

Purpose of the Study:

• To outline an integrated care approach for a neurodivergent adolescent facing academic challenges, social isolation, and mental health concerns.
• To provide a framework for supporting the patient and his family through the transition to higher education.

Main Methods:

• A comprehensive assessment was conducted, considering developmental history, academic performance, social interactions, and mental health status.
• The approach involved collaboration between primary care, pediatric specialty programs, and the school system.

Main Results:

• The patient exhibited significant academic strengths alongside profound social challenges and emerging suicidal ideation.
• Sleep disturbances and school avoidance were key presenting issues impacting his overall well-being.

Conclusions:

• An individualized, multidisciplinary care plan is crucial for neurodivergent adolescents with complex needs.
• Addressing social, emotional, and academic factors holistically is essential for successful outcomes and transition planning.