Explain any obvious eliminations that could be made from within the neurodevelopmental spectrum.
Respond to two peers and Compare the diagnosis you provided and the process in which you reached the diagnosis with those of your colleague.
Explain how the Z codes (other conditions that may be a focus of clinical attention) that your colleague identified may influence the client’s upcoming treatment. (1 source for each response)
The diagnosis was ODD.
Peer 1: RE: week 4 Tyler Garrett
For the case of Juan, i chose to diagnose him with ICD-10-CMF90.9 (ADHD, unspecified type). Attention-deficit/hyperactivity disorder (ADHD) is a chronic condition that includes a combination of persistent problems, such as difficulty sustaining attention, hyperactivity and impulsive behavior. Juan exhibits these behaviors therefore making him a true fit to this diagnosis. Juan’s mother reported that he he speaks very loudly and is unable to wait his turn to speak by cutting off others in the middle of sentences. This relates to the hyperactivity aspect of Juan’s ADHD. Juan has also shown inability to follow rules and avoid disruptive behaviors due to his need to sustain attention. Juan’s mother also reported that he bully’s others as an impulsive reaction to not getting what he wants.
The first 4 diagnosis i considered when i read the case of Juan was PTSD, ADHD, ODD, and Anxiety. I decided to eliminate PTSD from the list when realized Juan was only 3 when he was adopted from Guatemala and that would indicate that he is less likely to process his experiences at that age. I also considered ODD because of Juan’s anger issues and inability to follow rules at school. Lasty, i decided to eliminate Anxiety because it didn’t cover enough of his symptoms like ADHD did. In regards to the neurodevelopment spectrum, Juan doing poor in school is what convinced me that ADHD was the correct diagnosis because it is associated with intellectual disabilities such as inability to learn. Noting how Juan’s mother reported that he struggles with waiting his turn to talk, his inability to keep still, his lack of focus at school, and restlessness is the primary reason for choosing ADHD as his diagnosis. Juan exhibited a great deal of difficulty sustaining attention, hyperactivity and impulsive behavior .
Peer 2: Stephanie Hall
Provide a full DSM-5 diagnosis of the client. Remember, a full diagnosis should include the name of the disorder, ICD-10-CM code, specifiers, severity, and the Z codes (other conditions that may be a focus of clinical attention). Keep in mind a diagnosis covers the most recent 12 months.
DX: (F94.1) Reactive Attachment Disorder, persistent, Z55.9, Z60.0, Z62.29, Z62.812 .Autism spectrum disorder, Intellectual disability, and Depressive disorders.
Explain the diagnosis by matching the symptoms identified in the case to the specific criteria for the diagnosis.
Reactive Attachment Disorder: Juan seems to rarely or seldom seek or respond to comfort when he is distressed; as well as displays a minimal responsiveness to social and/or emotional reaction toward others. As such he has no friends at school, is jealous of his adoptive sibling and feels that he gets less attention, it has also been reported that Juan is bullying other students as well.
Identify which four diagnoses you initially considered in the case of the client, using the DSM-5 diagnostic criteria to explain why you selected these four items. In one or two sentences each, explain why three of these diagnoses were excluded.
One of the diagnosis I considered was autistic spectrum disorder however the patient did not meet all of the criteria due to unknown aspects of the patient’s life, such as the patients may have experienced neglect before he was adopted. The second diagnosis was intelligent disability, but then again, the patient has not had trouble in school until the past couple of months, which revolves greatly around issues such as following directions, controlling himself, and bullying other students. One other another diagnosis I considered was depressive disorders and response to comforting by caregivers.
Explain any obvious eliminations that could be made from within the neurodevelopmental spectrum.
Although Juan has had problems at school he has mostly kept up and managed to largely keep up with his schoolwork, so his parents have not felt the need to seek help before for Juan. If this was a neurodevelopmental spectrum issue behavioral issues would have presented earlier and there would have been more social/behavior issues at school.
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