Diagnoses case response

Andrew’s father is a violent alcoholic who takes most of his anger out on his wife and Andrew. Andrew and his father constantly argue. Andrew’s mother seems to be detached altogether. Family therapy has failed in the past. Andrew is currently being sent to a psychiatric facility after being expelled from school. Andrew has repeated the seventh grade. Andrew’s symptoms include anger, disobedience, stubbornness, throws tantrums, and shows risky and aggressive behavior towards his family and peers. Andrew threatened a student’s life during an altercation and had possession of a knife. Andrew’s social circle is small and partakes in a lot of risk-taking behavior. Risk-taking behavior include drugs, skipping school, and being suspended for disruptive and disrespectful behaviors. During Andrew’s childhood stages he started killing small animals and assaulted a girl. During Andrew’s early, adolescent stages he was suspended numerous times for cheating, fighting, cheating, and sniffing substances. Andrew does not take his medicine and usually restart his hazardous behavior after leaving the hospital.

Diagnostic Impressions
Conduct Disorder, Childhood-Onset Type, Severe

The rationale for Diagnostic Impressions
Based on the case presentation, Andrew appears to be demonstrating symptoms consistent with Conduct Disorder. Andrew has demonstrated a repetitive and persistent pattern of deceitfulness, and aggression. (Criterion A1) as evidenced by threatening a student’s life (Criterion A3), had a knife in his possession during an altercation (criterion A4), Andrew has physically assaulted a girl (Criterion A5) Andrew kills little animals, and (Criterion A12) has lied and stolen repetitively.
Andrew’s mother witnesses him kill a frog at the age of 6 which is evidence of 312.81 (F91.1) Childhood-onset type evidence. Andrew also showed no remorse after killing animals to be specific. Andrew’s lack of empathy, assault on a girl at age 11, killing of little animals without any empathy and remorse, and numerous threats toward other people are evidence that this is a severe case.

2): Wendy Corr
Main Post: Diagnosis of Andrew
Case Conceptualization
Andrew, a 15-year-old Caucasian male has had several instances of aggression since the age of five (Kress