Patient Obedient Scenarios

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The client presents with symptoms and behaviors that are consistent with a DSM-5 diagnosis of Conduct Disorder, Childhood-onset type with limited prosocial emotions, Severe. Based on the information provided, this client met the criteria for A (Aggression to People and Animals), numbers 1,2,3,4,5,6; (Destruction of Property), number 9; (Deceitfulness or Theft), number 12; and (Serious Violations of Rules), number 15. He also met criteria for B (The disturbance in behavior causes clinically significant impairment in social, academic, or occupational functioning) and C (If the individual is age 18 years or older, criteria are not met for antisocial personality disorder). Damien age 10 was brought into the counseling office by his mother, who …show more content…

He is almost always the one who starts the fights (Criterion 2). He likes to pick on little kids and is happy when they cry. Teachers at school stated that he picks on one of the handicapped kid, who is in a wheelchair. He has taken some of her things away from her (Criterion 6) and tried to tip over her wheelchair (Criterion A1 and 4). Damien has been skipping school since the age of 9 (Criterion A15) and he is failing (Criterion B). Mom indicated that she has had to remove the family pet because Damien has been by kicking him and hitting him with a bat (Criterion A5). The family decided to arrange a counseling visit after Damien threatened his brother with a knife (Criterion A3). Three weeks prior to the counseling visit, the family received a call from friends of the family who own a local store. They said that Damien has been shoplifting in their store. They have confronted him several times and made him return the items, however they cannot continue to overlook his stealing any more as he has tried to steal more expensive items. Damien was confronted by the store owners who told him his parents would be contacted. Later, their car was keyed outside the store. A customer verified that it was Damien, who caused the damage to the car (Criterion A9 and 12). Damien did not meet the criteria A 10, 8, 11, 13, and 14. There was no mention of

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