SOLVED2305

Mother reports that the patient has always been a strong-willed child and has tested limits with adults since early toddlerhood. Mother reports, however, that the patient’s angry and aggressive outbursts have worsened in recent weeks. Mother reports that the patient cries, yells, throws objects, refuses to follow directions to take a time-out, and hits and kicks her in the midst of these outbursts. Mother reports the main trigger is patient’s being told “no,” particularly in the context of breastfeeding. Mother reports patient remains reliant on being nursed by mother in order to fall asleep, have a bowel movement, and in times of distress. Mother reports patient has become increasingly demanding about breastfeeding, including pulling down mother’s shirt and hitting mother when not permitted to breastfeed promptly.
SCIENCE
HEALTH SCIENCE
NURSING

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