There are overlaps in many diagnoses and many comorbidities. Review this case and then follow the directions.

Question Answered step-by-step There are overlaps in many diagnoses and many comorbidities. Review this case and then follow the directions.Consider the 13-year-old boy, David, an 8th grader this year. He demonstrates high average, well-developed intellectual functioning, and is in advanced science and math. He struggles with organization, planning ahead, and time management. Distractibility, variable effort, and poor self-monitoring interfere with consistency in his academic performance.David was getting into a lot of trouble at school. If he perceived something as unfair, he would take something from the offender – he might steal it or throw an important notebook into a puddle. He did not have any friends and avoided his peers at lunch. Parents found out that he was being bullied at school during 6th and 7th grade. The parents contacted the Principal and it stopped. Eighth grade has been much better: he played on the football team and developed some close friends at school this year, and sits with his peers at lunch.He has a lot of emotional dysregulation and impulsivity. Everything is an argument or a battle; he does not listen, and refuses to listen when told to stop something. He continues to argue (and might throw things) until the whole household is upset. His mood can be flat to sarcastic, no emotion – then anger and reactivity. The only time he gets sad is when his electronics are taken away from him. He blames others and always feels like he is right or justified in his behavior. His behavior at school has improved greatly, he was on the football team at school and sits with friends at lunch.While at home he demonstrates low social interest, lack of social-emotional reciprocity, social skills deficits, social communication challenges, rigidity and inflexibility in thoughts and behavior, and sensory sensitivities (annoying sounds or his sister practicing an instrument).Change is difficult for him. He gets upset about small things – like if his mother has to stop the car to pick up some milk. He might go into a tirade as to how everything is against him. He uses his iPod to feel better and sometimes will play a song over and over again.He struggles to unwind at night, getting 5-6 hours of sleep at night.When David was undergoing his psychoeducational evaluation, he complained about how long it was taking. When he was completing self-report questionnaires he asked many clarifying questions. He stated that he believed he would be good at a job in which he tells other people what to do. INSTRUCTIONS: Read the case study while keeping the four different diagnoses in mind.Give your rationale for how David’s signs and symptoms would fit or be excluded from each diagnosis.  What additional information would you need to determine whether his signs and symptoms do or do not meet criteria for each diagnosis:Social communication DisorderAutism Spectrum Disorder, level 1Attention Deficit/Hyperactivity Disorder, Combined PresentationOppositional Defiant Disorder  Health Science Science Nursing NURS 63200 Share QuestionEmailCopy link Comments (0)