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MultiAxis Diagnosis

Sherlock Holmes
50 year old white male
Lives on trust fund money
Father & Mother deceased
Older Brother is liason between President and CIA; has worked for four presidents
Sherlock envisions himself as a Detective-a Puzzle Solver
Considers himself a genius. In fact, has an IQ of 190
Mycroft, his brother has an equal IQ.
Sherlock both dislikes him and respects him
Sherlock had been addicted to cocaine
Sherlock has extreme highs and lows. His high moments are characterized by intense focus on work, accompanied by little sleep
His interactions with people, are generally difficult. He insults each one but at different levels. Some he verbally disembowels. Others he insults by speaking in a manner that leaves them confused. He does find this amusing .
Although he has worked on highly dangerous government work, he treats all assignments with the same zest. It is the puzzle that is the issue. He does not ask to be paid. He only takes what he feels is the most interesting case.
He has been brought to the hospital by his only friend, a physician, Dr. John Watson. Holmes is suffering from an extreme depressed state. He has been gone for three months and Mr. Watson found him living in a homeless shelter. He was docile with Dr. Watson but will not answer any questions asked by physicians.

Solution Preview

*Provide a five-Axis Diagnosis of Sherlock Holmes

I hope that I have this right, and here's how I arrived at the diagnosis. Sherlock Holmes has a history of Cocaine use is a user of cocaine, and appears to have a cocaine=related disorder. Based on his symptoms, he appears to be suffering from cocaine withdrawal. Based on the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR {APA], 2000), the Multiaxial diagnosis is as follows:

Axis I - 292.0 - Cocaine Withdrawal
Axis II - 304.20 - Cocaine Dependence Without ...

Solution Summary

This solution presents a multizxis psychological diagnosis of Sherlock Holmes.