Diagnostic Assessment of Sam, a Patient with Conduct disorder

Diagnostic Assessment of Sam, a Patient with Conduct disorder

Diagnosis: Conduct disorder (CD)

Rationale: Consistently aggressive, threatens to harm others using a gun or a knife, physical aggression towards teachers, and has been destructive of personal and school property such as books, pencils, chairs, and desks. He shows no empathy, has difficulties transitioning, refuses to participate in class work, refuses to complete school assignments and redirects from teachers, is verbally disrespectful when upset, cannot make friends, and has unstable family settings; his father passed away and recently lost his grandmother.

Additional Information Needed: Results from any previous psychological assessments, specific teacher-observed behaviors and level of aggressiveness warranting the police intervention, mother’s mental health and relationship status with Sam, and behaviors and interactions in the society outside of the school.

Table A.1 Biopsychosocial Risk and Resilience Assessment for the Onset of the Disorder

	Risk Influences	Protective Influences
Biological	Male Loss of his father and grandmother A mother with persistent depressive disorder	No family history of CD Had paternal great-grandmother in early life
Psychological	Exposure to violence from mother’s boyfriends Inconsistent discipline methods such as spanking, punishments, and whipping Lack of a father Low IQ	Has cooperated with the social work intern in the past
Social	Frequently moved Exposure to family conflict No friends Mother’s attention is not consistent Lack of a father figure	Loves basketball

Table A.2 Biopsychosocial  Risk and Resilience Assessment for the Course of the Disorder

	Risk Influences	Protective Influences
Biological	Mother has a depressive disorder, less active Father’s And Grandmother’s Death	Very engaging and very polite when not upset
Psychological	Inconsistent mental health care Unconventional discipline methods from the mother Inability to make friends Mother’s persistent depressive disorder	Enjoys coming to the sessions with the social work intern No sexual or physical abuse
Social	Very aggressive and exhibits dangerous behaviors, no friends, not sociable	Plays games cooperatively

Goals:

1. Provide behavioral interventions to address Sam’s aggressiveness, impulsivity, and antisocial behaviors.
2. Improve Sam’s capacity to deal with anger and improve his academic performance.
3. Provide necessary support to the family to improve its stability.

Critical Perspective of the Diagnosis: The overall CD diagnosis needs to be approached from the perspectives of family background, including income, type of family, and housing, individual behaviors, and specific individual experiences such as traumatic experiences and exposure that contribute to the development of conduct disorder. It is also important to consider other underlying factors, such as health and other mental disorders that may have similar presentations.

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Your client this week is Sam from page 153. Use the course diagnosis template to complete a diagnostic assessment of Sam. When providing feedback to classmates, ensure you can identify commonalities in the assessment you share, as well as offer constructive criticism.