Jessie is an 8-year-old boy in a local public elementary school. He is in the first grade and is ?
Jessie is an 8-year-old boy in a local public elementary school. He is in the first grade and is one of the older students in his class. He is an only child. His mother works for the county and his father is a foreman in a local factory. During the interview session, Jessie was quite active; fidgeting with his hands, rubbing his head, waving his arms, and constantly into everything. He displayed an appropriate affect and would frown frequently with narrowed eyes when he made eye contact. He was dressed in jeans and a t-shirt with no laces in his shoes and his jeans were bunched up around his heals. His mother presented with an appropriate affect, was pleasant, appropriately dressed, but did not smile much.
A review of Jessie’s school records reveals that he has periods of time when he behaves well, usually in the morning, but by the afternoon he reportedly often “acts out” and has emotional outbursts in the classroom, which tend to be violent. Due to the violent nature of his outbursts, the school has provided him with a full time aide. Since then, his behavior has improved, but is still problematic. Jessie was initially referred by his school principal who reports that Jessie’s problems get worse when he does not have his aide. The principal would like to know Jessie’s diagnosis to see if it justifies the continued cost of an aid.
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This is a case study that must be diagnosed using the DSM 5
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