SOCW 6090: Psychopathology and Diagnosis for Social Work Practice
Week four Making use of Differential Diagnosis
Publish a 300- to 500-word response during which you handle the next:
· Present a full DSM-5 prognosis of the shopper. Bear in mind, a full prognosis ought to embrace the identify of the dysfunction, ICD-10-CM code, specifiers, severity, and the Z codes (different situations that could be a spotlight of scientific consideration). Bear in mind a prognosis covers the latest 12 months.
· Clarify the prognosis by matching the signs recognized within the case to the particular standards for the prognosis.
· Determine which 4 diagnoses you initially thought-about within the case of the shopper, utilizing the DSM-5 diagnostic standards to elucidate why you chose these 4 objects. In a single or two sentences every, clarify why three of those diagnoses had been excluded.
· Clarify any apparent eliminations that may very well be constituted of throughout the neurodevelopmental spectrum.
· Describe intimately how the shopper’s signs match up with the particular diagnostic standards for the first dysfunction that you simply lastly chosen for him. Notice two different related DSM-5 standards for that sickness from the sections on “diagnostic options” and “improvement and course” that match this case.
Reply to a minimum of two colleagues within the following methods:
· Examine the prognosis you supplied and the method during which you reached the prognosis with these of your colleague.
· Clarify how the Z codes (different situations that could be a spotlight of scientific consideration) that your colleague recognized might affect the shopper’s upcoming remedy.
CASE of ALIM
Consumption Date: August 2020
IDENTIFYING/DEMOGRAPHIC DATA: Alim is a 12-year-old male in seventh grade who lives together with his mom, father and introduced in for companies by his adoptive mom. The adoptive dad and mom are higher center class and have three organic kids (ages 9, 7, and 5).
CHIEF COMPLAINT/PRESENTING PROBLEM: The mom reported that Alim typically hides meals in his room and gorges himself when he eats. She mentioned she doesn’t perceive this conduct as a result of he at all times has sufficient meals, and she by no means restricts his consuming. The truth is, due to his small measurement and weight, she typically encourages him to eat extra. Alim generally reacts when his lunch is packed otherwise inside his lunch field for college. He additionally appears to pay much less consideration to lecturers and typically interrupts class together with his personal feedback.
HISTORY OF PRESENT ILLNESS: Alim acts youthful than his 12 years, carrying round toy vehicles in his pockets, which he proudly shows and talks about intimately. Goal’s mother stories that Alim hates any sort of transition and will get upset and have mood tantrums if she doesn’t put together him for any modifications in plans. He’s reported to kick and hit each dad and mom, and they’ve needed to restrain him at occasions to cease him from hurting himself and others.
The dad and mom have by no means sought Help earlier than, as Alim managed to largely sustain together with his schoolwork. His mom mentioned that he has at all times taken issues actually, however up till sixth grade, he had attended college with out main issues. That they had not been involved about his grades or lack of associates. His mom mentioned that he has at all times been “very shy” and by no means had a “finest buddy.” He has at all times proven curiosity in vehicles, trains, and vans. Lately, behaviors in school modified and worsened. His college has complained of his incapability to focus and the rise in his disruptive behaviors.
Collateral contact together with his lecturers confirmed that he struggles with college, has no associates, and typically has “meltdowns” when he doesn’t get his approach. One trainer famous that in small group classroom actions, Alim has bother with restlessness and will stumble over his phrases, pause excessively, and restart speaking pretty quickly and loudly. In sixth grade his lecturers had been involved about occasional facial “tics” that occurred at occasions. His lecturers commented that Alim talks extra about World Conflict II subjects than some other matter.
PAST PSYCHIATRIC HISTORY: Alim had by no means had any testing for particular schooling, nor had he ever obtained any counseling companies.
SUBSTANCE USE HISTORY: No substance use is reported.
PAST MEDICAL HISTORY: Alim could be very small in stature, showing to be solely eight years outdated. His dad and mom report that Alim was given all of the vaccines required to attend college.
FAMILY HISTORY INCLUDING MEDICAL AND PSYCHIATRIC: Alim was adopted at age 3½ from an orphanage in Haiti. The orphanage is aware of little about his early developmental milestones, however Haitian employees famous that Alim’s language was far much less developed than that of his friends on the time of his adoption. The mom acknowledged that Alim got here to the USA not figuring out any English. She is aware of little or no about his household of origin apart from that he lived together with his organic dad and mom till age 2 and then lived within the orphanage till he was adopted. She reported that the airplane experience from Haiti was horrible and that Alim cried the whole flight and refused to sleep for the primary 2 days that they had him. They tried holding him, however he wouldn’t cool down.
CURRENT FAMILY ISSUES AND DYNAMICS: Alim is reported to typically get upset together with his siblings and hit or kick them. His mom acknowledged that Alim has at all times had points with jealousy, and when her different kids had been youthful, she needed to intently monitor him when he was round them. She reported a number of events when she discovered Alim making an attempt to suffocate every of his youthful siblings once they had been infants. Alim’s mom defined this as a part of his “at all times being immature” and not good at explaining himself. Apart from this, his mom reported that he’s not a “imply” youngster however tends to perform in response to his personal guidelines. He typically wanted reminders to make use of his “indoor voice” and to “wait his flip to talk.”
Initially Alim’s dad and mom had been not sure what to do about their son’s behaviors. His mom is the first caretaker and his father thought she ought to deal with any remedy or issues associated to high school. His mom reported that she was now “on the finish of her rope” and was prepared to provide her son as much as foster care. Each dad and mom are exhausted. Alim’s mom shared her frustration with Alim’s father, who “simply doesn’t perceive how laborious it’s to care for him.”
MENTAL STATUS EXAM: Throughout this consumption, the college social employee met briefly with Alim alone. Throughout this time, he was clearly stressed, appeared anxious, and averted her within the room. He was very sluggish to interact together with her and was distracted by his pocket toys, which he fingered. He had pressured speech and some facial tics and was unable to maintain his legs nonetheless in the course of the interview. When he did have interaction, he selected to play a board sport throughout his time within the session and he talked intimately about World Conflict II and every of the boats within the sport. His hand was in his pocket fingering toys at some moments. When requested how he knew a lot about all of the warships, he acknowledged that he typically watched tv documentaries on the topic. As soon as on this matter he took much less time to reply and spoke at size. Alim appeared oriented to time and place. His voice on this interview was considerably monotonic and repetitive of his pursuits. He was usually cooperative, and the interview handed with out incident though it was apparent that he was desirous to be “dismissed” from the assembly.
Walsh, J. (2016). The utility of the DSM-5 Z-codes for scientific social work prognosis. Journal of Human Habits within the Social Surroundings, 26(2), 149–153. https://doi.org/10.1080/10911359.2015.1052913
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Psychopathology and Diagnosis in Social Work Practice (SOCW 6090)
Utilizing Differential Diagnosis in Week four
Write a 300- to 500-word response to the next questions:
Present the shopper with a whole DSM-5 prognosis. Bear in mind to incorporate the dysfunction’s identify, ICD-10-CM code, specifiers, severity, and Z codes in your complete prognosis (different situations that could be a spotlight of scientific consideration). Remember that a prognosis solely applies to the earlier 12 months.
· Clarify the prognosis by matching the signs recognized within the case to the particular standards for the prognosis.
· Determine which 4 diagnoses you initially thought-about within the case of the shopper, utilizing the DSM-5 diagnostic standards to elucidate why you chose these 4 objects. In a single or two sentences every, clarify
