The case patient was a boy first examined at the age of 13. All tests showed no abnormality so the boy was examined by a paediatric nurse counsellor on the advice of the initial doctor. From the initial meeting, existing psychology criteria were used to measure the patient's mental state and the effectiveness of the nursing intervention's input was examined. From December, 1999, the counsellor has continued sessions with the patient for approximately 50 minutes, and with the mother of the patient for about 15 minutes, once every week or two weeks over a period of three and a half years (until August, 2003) . There have been a total of 65 sessions. Since the patient entered senior high school in April, 2002, due to the large change in environment and in respect to the patient's wishes, visits now continue to occur once every one or two months. The patient has been able to enter school and keep up attendance by releasing the patient from mental restraints and controls by supporting the patient without restricting speech or behaviour. A nursing intervention program was also implemented for the parents, and stimulating the restoration and development of the patient's sense of oneself, and the ability to mentally act one's age was also put into practice. In the future, study will focus on independent input of counselling as well as ongoing practices presently used.

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