Ricky, age 4 years, arrives in the clinic with his mother. Ricky lives with his mother and father, who both work full-time, and his infant sister. Their extended family lives in a different state more than 100 miles away. Both parents are of average height and in good health. Ricky’s mother mentions that Ricky often expresses frustration, particularly in regard to food. Conflict over food occurs every day. Mealtime is a battle to get him to eat, unless his mother feeds him. Ricky’s baby sister seems to tolerate all baby foods but requires her mother to spoon-feed. Ricky’s mother is quite frustrated and concerned that he will become malnourished. Reflective Questions 1. What additional assessment information would you collect?

It is also important to note that many children will express psychological distress through physical behaviors such as refusing food; therefore, it is necessary to assess whether or not there are any signs of emotional or behavioral issues present within this household as well. Questions related these topics can include: How does Ricky generally behave when upset or frustrated? Are there any external factors (e.g., stress at school) which might be affecting his behavior in terms eating habits overall long run moving forwards years come happily ever after end hereof course finally doing same once again hereinbefore mentioned already previously henceforth conclusion herewith forthwith accordingly ultimately beginning end already mentioned previously thus allowing us move onto next thing need attend too promptly thank you much appreciate reading ending essay hereinbefore needing say anymore present moment really thanks for reading