SOCW 6090 Week 4 - Post Responses

Running head DSM-5 DIAGNOSIS 1

DIAGNOSIS IN JUAN CASE 4

DSM-5 Diagnosis

Name

Institutional Affiliation

DSM-5 Diagnosis of the client.

This student identified attention deficit hyperactivity disorder (ADHD) as the diagnosis for Juan. The ICD-10-CM code for attention deficit hyperactivity disorder (ADHD) is F90.0. Z code for ADHD is 314.01. Juan is ten years of age boy in grade 5. Juan is very small in stature. At the age of 3 and a half years, Juan was adopted. Juan's language was less developed than his peers at the time of adoption. At the time of coming to the USA, Juan knew no English. Juan understands the origins of his family. Juan lived two years with his biological parents, and the rest spent in the orphanage before he was adopted. Juan often gets jealous of his siblings; and has temper tantrums. He has problems listening and following rules. Juan needs reminders to use his indoor voice and wait for his turn to speak. He hates any type of transition, interrupts class, and does not pay close attention to teachers. Recently Juan's behavior has worsened at school, including disruptive behavior and inability to follow the rules. Juan bullies’ others to get what he wants. Juan is restless, stumbles over his words, pauses excessively, and talks fairly loud and rapid. During intake, Juan was oriented to time and place; he was cooperative but became easily frustrated.

Diagnosis by matching the identified symptoms

The diagnosis matching Juan symptom is attention deficit hyperactivity disorder. The symptoms that match the diagnosis include a lack of following the rules at school and at home, often distractive in class; Juan forgets everything, including his family origin, and has a significant temper.

Initially considered diagnoses.

This student initially considered Juan having a communication disorder and autism spectrum disorder (ASD). I also considered intellectual disability and attention deficit hyperactivity disorder. Intellectual disability was selected as a diagnosis since Juan had explosive tantrums. Autism spectrum disorder was considered since Juan has difficulty recognizing nonverbal expressions. I selected attention deficit hyperactivity disorder because Juan does not pay attention to rules. I selected a communication disorder because Juan stumbles over his words. The three selected diagnoses were excluded because, during the interview, Juan appeared time and place oriented. Juan was also cooperative during the interview.

Obvious Eliminations and How symptoms match up.

The obvious elimination that could be made is an autism spectrum disorder because Juan is place and time-oriented. Juan's symptoms match attention deficit hyperactivity disorder in many ways. First, Juan is inattentive and does not pay less attention to teachers' and parents' rules. Another way through which Juan's symptoms match attention deficit hyperactivity disorder is his hyperactivity nature. Juan bullies’ others, fights his siblings, interrupts the class, and does not wait for his turn to speak to come as well as Juan talks excessively.

Relevant DSM-5 criteria for attention deficit hyperactivity disorder from diagnostic features and development causes that fit this case is clients' fidgets and difficult organizing tasks.

References

First, M. B. (2014). Handbook of differential diagnosis. Washington, DC: American

Psychiatric Association

American Psychiatric Association. (2013m). Other conditions that may be a focus of

clinical attention. In Diagnostic and statistical manual of mental disorders (5th ed.).Arlington, VA: Author doi:10.1176/appi.books.9780890425596.VandZcodes

Walsh, J. (2016). The utility of the DSM-5 Z-codes for clinical social work diagnosis.

Journal of Human Behavior in the Social Environment, 26(2), 149–153.

doi:10.1080/10911359.2015.1052913