The new client is a seventeen-year-old female, who was brought in by her father because of her behavior changes within the last two years. The father reports her grades have slipped tremendously, she has had a major change in friends, and uses marijuana and alcohol. Two years ago, her brother hit her over the head with a rake. Although she was stunned and had a headache, there was no follow up doctor’s visits. Upon coming in, it was evident a neuropsychological test needed. The neuropsychological test was conducted, which concluded in a significant decline in her intellectual functioning. The test results concluded poor concentration, attention, memory, and reasoning abilities (Butcher, Hooley, & Mineka, 2013). I will use the DSM to rule out disorders and conduct an accurate diagnosis.
Disorders To Rule …show more content…
The first disorder I would rule out is G31.84 Mild Neurological Disorder due to Traumatic Brain Injury. This case meets the criteria for having impact to the head, however she did not loose consciousness, suffer from posttraumatic amnesia, have disorientation or confusion, or experience neurological signs. It is essential to explore the girls drug and alcohol use to see if this subtype induced a Neurological disorder. I am able to rule out F10.988, Mild Neurocognitive Disorder due to alcohol, without use disorder. I am also able to rule out F13.988, Mild Neurocognitive Disorder due to sedative, hypnotic, or anxiolytic use, without use disorder. It is evident, the criteria can be met for having mild Neurological disorder, however the impairments persist beyond intoxication. It is important to understand the time frame of when impairment started. The impairment is not consistent with the timing of substance use. The impairment occurred before the girl was using marijuana and alcohol (APA,