Objectives:To describe the clinical history of a child with aggressive behavior and recurring
death-theme speech, and report the experience of the team of authors, who proposed
an alternative to medication through the establishment of a protection network and
the inter-sector implementation of the circle of security concept. Case description:A 5-year-old child has a violent and aggressive behavior at the daycare. The child
was diagnosed by the healthcare center with depressive disorder and behavioral
disorder, and was medicated with sertraline and risperidone. Side effects were
observed, and the medications were discontinued. Despite several actions, such as
talks, teamwork, psychological and psychiatric follow-up, the child's behavior
remained unchanged. Remarks:A unique therapeutic project was developed by Universidade Estadual de Campinas'
Medical School students in order to establish a connection between the entities
responsible for the child's care (daycare center, healthcare center, and family).
Thus, the team was able to develop a basic care protection network. The
implementation of the inter-sector circle of security, as well as the
communication and cooperation among the teams, produced very favorable results in
this case. This initiative was shown to be a feasible and effective alternative to
the use of medication for this child.
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