Discussion Questions 

1. What other environment variables could have been explored to develop a holistic plan of action for Lilly? 

2. What educational information could also be provided to the parents? 

3. What could Mary do if the parents refused to have Lilly’s hearing evaluated? 

4. Aside from this case study, what other medical conditions could have symptoms that could be misdiagnosed for mental health issues? 

5. Are there other referrals that could be made to assist the family?