Patient Name: ALMARHOON, Maan
DOB: 2003-12-13
PHN: AB-577329102
Age: 21
The purpose of the consultation was reviewed, and verbal consent was obtained. [cite_start]The limits of confidentiality were discussed. [cite: 3, 4]
Reason for Referral
Maan was referred for an assessment for ADHD. [cite_start]He reports long-standing concerns with school performance regarding attention, focus, and "task paralysis". [cite: 9, 13]
History of Present Illness
[cite_start]Maan is a 21-year-old economics student at the University of Calgary. [cite: 7, 8] [cite_start]He is currently taking a semester off due to low grades and enrollment difficulties. [cite: 13] [cite_start]He reports significant stress and anxiety regarding his academic performance and the pressure of keeping this a secret from his father, who supports him financially. [cite: 14]
ADHD Symptomatology
[cite_start]- History: Symptoms present from an early age; recalls first-grade teacher complaining of day-dreaming. [cite: 18]
[cite_start]- Inattention: Glosses over tedious assignments, mind wanders, procrastinates, difficulties with organization (e.g., paying bills), and forgetfulness (e.g., forgetting to eat breakfast). [cite: 20]
[cite_start]- Hyperactivity/Impulsivity: Describes feeling "driven by a motor," unable to stop thinking, excessive talking, and impatience. [cite: 21]
Mood & Safety
[cite_start]Maan experiences periods of low mood triggered by stressors, but denies current depression. [cite: 22, 23, 25] [cite_start]He reports some anxiety described as "bouncy thoughts." [cite: 24] [cite_start]There are no current safety concerns, and he denies suicidal ideation or self-harm. [cite: 26, 27]
Social & Medical History
[cite_start]- Living Situation: Lives in Calgary with 4 roommates. [cite: 7]
[cite_start]- Background: Born in Montreal, raised in Saudi Arabia. [cite: 38]
- Medical: Unremarkable. [cite_start]No history of seizures or cardiac issues. [cite: 31]
[cite_start]- Family History: Mother has history of depression and heart palpitations. [cite: 37]
- Substances: Occasional alcohol use. [cite_start]Denies nicotine or illicit drugs. [cite: 35]
Diagnosis
[cite_start]
ADHD (Attention-Deficit/Hyperactivity Disorder) [cite: 68]
[cite_start]
Based on long-standing inattention since grade 1. No other mental health concerns appreciated today. [cite: 54]
Treatment Plan
1. Psychotherapy
[cite_start]Continue counseling with Ms. Michelle Rice. [cite: 68] [cite_start]Recommended Cognitive-Behavioural Therapy (CBT) for executive dysfunction (expected time-frame 12-16 weeks) to address organization, prioritizing, and procrastination. [cite: 54, 57]
2. Medication Management
[cite_start]Pre-treatment: Please consider doing an EKG given the family history of palpitations (mother). [cite: 68] [cite_start]Patient advised to stop caffeine prior to starting medication. [cite: 61]
- Primary Option (Foquest): Trial 25mg daily for 7 days, then increase to 35mg daily.
[cite_start]- Further titration: Increase in 10/15mg increments every 2-4 weeks to a total max of 100mg daily. [cite: 68]
- Alternative Option (Vyvanse): Trial 10mg daily for 7 days, then increase to 20mg daily.
[cite_start]- Further titration: Increase in 10mg increments every 2-4 weeks to a total max of 60mg daily. [cite: 68]
3. Follow-Up
[cite_start]- Follow up with family doctor (Dr. Folajimi Jolayemi) for medication prescriptions and monitoring. [cite: 31, 68]
[cite_start]- Formal case conference regarding treatment plan scheduled with Dr. Thomas Stark on November 21, 2025. [cite: 72]
This document is a generated summary of a clinical assessment. [cite_start]Patient and/or caregivers are aware that this is a clinical assessment and should not be used for legal, medicolegal, insurance, forensic or other non-clinical purposes. [cite: 6]