CNL605 Johnny Case Study
Johnny’s Diagnostic Impression
Johnny’s diagnostic impression can be based on the DSM-5 Parent Rated Level 1 Cross-Cutting Symptom Measure – Child Age 6-17 form completed by his mother. As per its score, Johnny is exhibiting symptoms of stress, irritation, anger, and poor ability to pay attention (Bastiaens & Galus, 2018). Most of Johnny’s clinical information has been collected from his mother due to his inability to cooperate with the ER nurse. Although Johnny’s mother is disturbed by her child’s diagnosis, she assures to support Johnny to receive any recommended treatment. At the onset assessment, Johnny’s mother reveals that her child has been showing truancy and deviance behavior towards her and the teachers over the past one year. When assessing Johnny, he defends his disturbing behavior. At his 9th year of age, Johnny’s conduct can be termed as age-appropriate behaviors. Based on the Level 1 Cross-Cutting Symptom Measure, information from the school counselor, Johnny’s mom assessment, the counselor can appropriately diagnose Johnny (American Psychiatric Association, 2013). Also, in reference to the Level-1 Measure, the counselor will deeply assess Johnny’s behavior for treatment.
Appropriate DSM Diagnoses for Johnny
According to the DSM-5 diagnostic tool, and based on Johnny’s presenting symptoms, in descending order, the first disorder that the counselor will diagnose Johnny with is oppositional defiant disorder (ODD). It is typically for kids of Johnny age, nine years, to have outbursts. However, whenever the child presents these defiant irritability occurrences for a significant period, this behavior is considered abnormal and not appropriate for people of this age (Lavigne, 2014). In this case, Johnny’s stubbornness and other disruptive behaviors have been present for the past one year, and thus this needs assessment and diagnosis. Under the DSM-5 diagnostic criteria for ODD, there should be a pattern of disruptive behaviors, for instance, irritable, angry, defiant, or argumentative behavior for at least six months….Continue Reading….