Vignette #: 7 I’m Not Right Up Here
Axis I: 309.21 Separation Anxiety Disorder, early onset, 313.81 Oppositional Defiant Disorder, 315.9 Learning Disorder NOS Axis II: V62.3 Academic problem
Axis III: R
Axis IV: Victim of Child abandonment (Mother)
Axis V: GAF = 31 (current)
Phillip meets criteria for Separation Anxiety Disorder
Criteria A by meeting three (or more) symptoms:
Phillip showed anxiety at separation from his grandmother when he began school Criteria B is met with duration, Phillip anxiety began when he was separated from his mother after age five. His mother was not fully involved in his after he was born. Criteria C is met, Phillips’s onset was before age 18.
Criteria E are met because this disturbance causes clinically significant distress in his life. Phillip is encountering problems because he has problems sleeping from fear that his grandmother may leave him Phillip meets criteria form Oppositional Defiant Disorder by four (or more) symptoms Criteria A
Phillip loses his temper often and gets into fights
Phillip defies and refuses to comply with adults’ request and rules as described in the letter from school. He refused the request from the teaches to report to the principal office 3)
Phillip deliberately annoys his classmates by teasing, stealing and fighting other children on the bus and in the lunchroom. Criteria B are met because the disturbances cause impairments in Phillips social environment. He cannot participate positively in a school setting with other children or follow direction from authority figures. Criteria C is met since behaviors do not occur with Psychotic or Mood Disorder
Phillip does not meet criteria for any specific learning disorder, although there are problems with his school achievement, as he is only at the third – and low fourth-grade level.
R/O 314 Attention-Deficit/Hyperactivity Disorder
Phillip meets Criteria A
(A) Phillip does not give close attention to details to schoolwork...
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