Case Conceptualization: case of Caden

Case Conceptualization: case of Caden essay assignment

Case Conceptualization: case of Caden essay assignment

(Include specific information about client symptoms and presenting concerns).

 

Caden, a 12-year-old Caucasian male, is experiencing difficulty at home and school. Caden currently lives with his grandmother due to his mother’s reported substance use and legal concerns. Caden has demonstrated aggressive and threatening behavior with both peers and his teacher. Caden has displayed oppositional behavior (e.g., refusing to talk to his grandmother for days at a time). He has experienced academic difficulties and is currently on academic probation. He has also experienced threatening and violent behaviors. His symptoms appear to have begun at age 9.

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Diagnostic Impressions

(Be sure to use the ICD-10 code, name of the disorder, and all of the specifiers)

 

F91.1 Conduct Disorder, Childhood-Onset Type, Moderate

 

Rationale for Diagnostic Impressions

(Include the diagnostic impressions using the DSM-5 to link the client’s symptoms to the diagnostic criteria for each diagnosis that you render. If you do not render a diagnosis, you still must use the DSM-5 to explain why you chose not to render a diagnosis.)

 

Based on the case presentation, Caden appears to be demonstrating symptoms consistent with F91.9 Conduct Disorder. Caden has demonstrated a repetitive and persistent pattern of violating the rights of others and age-appropriate norms (Criterion A) as evidenced by getting in three physical fights during the past year (Criterion A2), bullying peers (criterion A1), vandalizing cars, and threatening an individual with a knife (Criterion A3). The client intentionally vandalized the property of others (Criterion A9) and stole money for his teacher (Criterion A12).

 

The client is experiencing clinically significant distress (Criterion B) as evidenced by his difficulty at school, his recent legal charges, and being mandated to counseling by the Juvenile Justice Center. The client is 12-years-old and thus he fulfills Criterion C of the diagnosis (i.e., the client is under 18-years-old and does not meet criteria for Antisocial Personality Disorder). It appears that the client’s symptoms began at approximately age 9, and thus, the Childhood-onset type (i.e., one symptom before age 10) is most appropriate. At this time, it appears that the “moderate” severity specifier best describes the client’s symptoms. The client has stolen but without confronting his victim, has used a knife the threaten a store owner, and has demonstrated oppositional behavior toward his primary caregiver.