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Diagnosing Children

Review the media The Vignette of Marcus. Based on the information presented, address the following questions:

1.What mental disorder would you consider for Marcus? List the specific criteria from the DSM-5 that you believe Marcus meets, given the information you currently know about him. If Marcus does not meet all of the criteria needed for a diagnosis, what additional information would you need to gather?

2.What score would you document for Marcus, if Marcus' family completed the parent- or guardian-rated Level 1 cross-cutting symptom measure? Include the specific information you included when coming up with this score.

3.What other factors (such as school system, family constellation, or medical and health care system) would you need to include when formulating a diagnosis and treatment plan for Marcus? In what way is his family system either helping him to cope at school or exacerbating the problems Marcus is having?

4.How would you explain Marcus' symptoms from a biological perspective? How would you explain his symptoms from a psychosocial perspective?

Give references and also let me know if this is enough credits. I also will need more help with some other assignments that I will request you help me with in the coming days :)

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COUN5107

The Vignette of Marcus

Marcus is a 10-year-old boy who has been struggling at school. During the past
year he has frequently been in fights with other students during recess. He
argues with his teacher and sometimes refuses to follow her requests. He has
also been in trouble for taking items belonging to other students such as lunch
snacks, a sweatshirt left on the playground, and some loose change that was
sitting on a desk. During class time, Marcus has difficulty following
instructions and completing his work. He is easily distracted, does not pay
attention to details, and frequently leaves his seat to interrupt the work of
other students.

Marcus is doing better at home. He spends the weekdays with his mother and two
younger brothers whose ages are 5 and 7. He helps with many of the household
chores his mother cannot attend to while she is at work full time. On the
weekends, Marcus lives with his father, stepmother, his 11-year-old stepsister,
and his 3-year-old half-sister. He describes his father and stepmother as being
very strict, but he enjoys playing with two other boys his age who live in the
neighborhood.

Marcus' teacher has met with his parents on several occasions to discuss his
poor academic progress. She has expressed concern with the level of his academic
skills in writing and math, as well as with his ability to get along well with
others. Both the teacher and school principal have recommended counseling for
Marcus, and the parents' insurance plan will pay for 10 visits. Marcus'
pediatrician has also suggested the possibility of medication.

Credits
Subject Matter Expert:Mindy Heher, PhDInteractive Design:Marc
AshmoreInstructional Design:Robin RozanksiProject Management:David Balthazor

Solution Preview

1. What mental disorder would you consider for Marcus? List the specific criteria from the DSM-5 that you believe Marcus meets, given the information you currently know about him. If Marcus does not meet all of the criteria needed for a diagnosis, what additional information would you need to gather?

Marcus meets the criteria for Oppositional Defiant Disorder. The essential features of Oppositional Defiant Disorder is a recurrent pattern of negative, defiant disobedient, and hostile behavior toward authority figures [Criterion A] that persists for at least 6 months. And is characterized by frequent occurrence of at least four of the following behaviors: losing temper [criterions A]; arguing with adults [Criterion A2]; actively complying or refusing to comply with requests or rules of adults ([Criterion A 3]; deliberately doing things that will annoy other people [Criterion A4]; blaming others for his mistakes [Criterion 5]; being touched; or easily annoyed by others [Criterion A 6); being angry or resentful [Criterion A7]; or being spiteful or vindictive [Criterion A8] (Diagnosis and Statistical Manual of Mental Disorders [APA], 2000, p. 100).
His medical, family and psychosocial history will also be needed, and other information at initial assessment should be included?

2. What score would you document for Marcus, if Marcus' family completed the parent- or ...

Solution Summary

This solution provides a DSM-5 rating for a childhood disorder.

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