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Diagnostic Case Study
Questions to consider when formulating a diagnosis for
Nell
Type in the questions for the case you have selected. Then answer each question.

1. When behavior of running away, truancy, self-destruction happens, can you choose not to do it?

2. How do you feel right after running away?

3. What are some of the specific circumstances and feelings prior to running away?

4. How do you feel after getting high and having sex with a stranger?

5. Do you believe your drug use and alcohol use affects your singing agenda?

6. Do you feel another reaction or approach could be used in reacting to rules you do not like?

Case Workbook
(From Corcoran, J. & Walsh, J. (2009). Mental health in social work (Appendix).

Part 1, Multi-Axial Diagnosis: Given the case information and your responses to the questions after the case, prepare the following: a multi-axial diagnosis, the rationale for the diagnosis and GAF score, and additional information you would have wanted to know in order to make a more accurate diagnosis.

Multi-Axial Diagnosis
_______________________________________________________________________

Axis I: 318.82 Conduct disorder/childhood-onset type, severe
309.0 Adjustment disorder
305.00 Alcohol Abuse
305.60 Cocaine Abuse

Axis II: V71.09 No Diagnosis
1. Acting out
2. Denial
3. rationalization

Axis III: hypothyroidism, takes a thyroid hormone medication, levothyroxine, used paper clips on carving into herself this got her into a psychiatric hospital.
Denies suicide, went home got in fight with her mother and drank kit cleaner

Axis IV: Multiple arrests for running away. Educational deficits due to truancy Non flexible discipline by Step Father Adjustment issues and conflict with stepfather Processing information of biological Father molesting sister Processing Mothers Illness with Cancer Expulsion from home Few positive friends

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