DSM-5 diagnosis of Bryan

 DSM-5 diagnosis of Bryan

Post a 300- to 500-word response in which you address the following:

  • Provide a full DSM-5 diagnosis of Byan. 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.
  • Explain the diagnosis by matching the symptoms identified in the case to the specific criteria for the diagnosis.
  • 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.
  • Explain any obvious eliminations that could be made from within the neurodevelopmental spectrum.
  • Describe in detail how the client’s symptoms match up with the specific diagnostic criteria for the primary disorder that you finally selected for him. Note two other relevant DSM-5 criteria for that illness from the sections on “diagnostic features” and “development and course” that fit this case.

Answer from one of our experts at https://ultimatehomeworkhelp.com/

Full DSM-5 Diagnosis of Bryan

A full DSM-5 diagnosis of Bryan reveals that he has F90 attention-deficit/hyperactivity disorder (ADHD) under ICD-10. The specifiers include a predominantly inattentive presentation and predominantly hyperactive-impulse presentation (Regier, Kuhl, & Kupfer, 2013). Moderate severity is required to make a diagnosis. The Z code includes Z81.8, where there is a family history of mental or behavioral disorder.

Matching the Symptoms to the Criteria

According to the American Psychiatric Association (2015), the DSM-5 criteria for ADHD includes six or more symptoms for each case of predominant inattention and hyperactivity as the main signs. Also, the two conditions of inattention and hyperactivity must be present before the age of 12 and last for more than six months. Several symptoms must also be present in two or more settings. Additionally, there should also be evidence that the symptoms interfere with the social life of a person. Finally, the symptoms are not better explained by another mental disorder.

Four Initial Diagnoses and Eliminations

The first diagnosis was ADHD due to hyperactivity and inattentive presentation. The second disorder was disruptive mood dysregulation disorder (DMDD), characterized by recurring temper outbursts three or more times a week for one year or more (American Psychiatric Association, 2015). The third disorder was social or pragmatic communication disorder (SCD) due to the repetition of restricted behaviors that interrupt social communication and interactions. The final disorder was post-traumatic stress disorder (PTSD), characterized by recurring irritability and anger outbursts. DMDD was excluded since it does not include hyperactive behaviors (American Psychiatric Association, 2015). SCD was excluded since Bryan has no problems with social communication given that he interacts well will peers. Finally, PTSD was ruled out because there is no known past trauma Bryan experienced. From the neurodevelopmental spectrum, Bryan is healthy since he has age-appropriate language, cognitive abilities, social and physical growth.

Detailed Symptoms of DSM-5 Diagnosis of Bryan

By using the DSM-5 criteria, Bryan displays more than six symptoms of hyperactivity and impulsivity (F90.1).  He blurts out in class, interrupts others during conversations, is constantly running around, is restless, disruptive, hits others, and is aggressive and also shows six symptoms of predominantly inattentive presentation. The client also has difficulties following routines and instructions at home, is defiant when receiving instructions, has problems sustaining attention in school, often requires reminders to help him stay on task, and is easily distracted. Other symptoms include disruptive behaviors, arguments, lying, and crying outbursts that have been resent since he was four years. Also, his symptoms are also present in two settings (home and school).

References

American Psychiatric Association. (2015). DSM-5® classification. American Psychiatric Pub.

Regier, D. A., Kuhl, E. A., & Kupfer, D. J. (June 01, 2013). The DSM-5: Classification and criteria changes. World Psychiatry, 12, 2, 92-98.

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