A 4-year-old child presents for care with his new adoptive mother. The child has had a difficult first years of life, having been separated from his mother at birth because she was incarcerated. He was placed in foster care, but his experiences were inconsistent and he was moved around frequently as a result of various relatives trying to get custody. His adoptive mother initially served as a foster mother when he was 3-years-old, and she was the first consistent, stable, and loving caregiver in his experience. The adoptive mother is concerned because the patient is very withdrawn, does no respond well to his new siblings or peers, and demonstrates disproportionate fearfulness in normal circumstances. The PMHNP anticipates additional findings to include:

A. A concomitant diagnosis of autism spectrum disorder.

B. Social skills markedly below what is expected at his age.

C. Crying when his adoptive mother leaves

D. Being purposefully annoying to siblings and peers
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YouTube: https://www.youtube.com/watch?v=E-brrC6HA4g&list=PLf0PFEPBXfq5HGfNV-GbOlYHtDwd35OeG&index=51