Danita Johnson: Differential Diagnostic Impressions

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Provide your diagnostic impressions (based on either the DSM-5 or DSM-IV-TR) for this individual. In narrative form, please describe how the individual meets the diagnostic criteria for the disorder(s) chosen in addition to the differential diagnostic thought process that you used to reach your hypotheses. Be sure to include any additional (missing) information that is needed to either rule out or confirm your differential diagnoses. As the evaluator, before arriving at a possible diagnosis, the evaluator must establish whether or not Danita’s behavior is not induced by her substance use and whether or not malingering is involved. After those things has been rule-out, Danita’s current presentation and data from the vignette, may support the …show more content…

In order to meet criteria A, Danita Johnson must also have difficulty in mathematical reasoning and concepts. Danita stated that she could not do math the way other kids could do it. This statement states that her academic skills are below those of her chronological age. This statement also meets criteria B of the specific learning disorder. As stated before, her academic skills are below those of her chronological age. Due to her challenges, it appears that Danita dropout of school which further interfere with her academic …show more content…

It appears that Danita meets criteria 1 “inattention” with six or more symptoms which has persisted longer than six months. These symptoms are avoidance, difficulty sustaining attention in tasks, does not follow instruction, forgetful in daily activities, often fails to give close attention, and often does not seem to focus when spoken to directly (American Psychiatric Association, 2013). Danita Johnson avoidance behavior was displayed when she stated that she does not plan to work anymore. It was difficult for her to understand her job’s instruction, so she avoids this task by not working anymore. It also appears that she had difficulties sustaining given tasks. This behavior is displayed when she dropout of school and her misunderstanding in job related instructions. This behavior also falls under not following direction, forgetting task, and giving close attention. These things appear to complicate Danita, and therefore she avoids the whole situation. Although Danita meets criteria 1 of the differential diagnosis, Danita did not meet six symptoms of criteria 2 “Hyperactivity and impulsivity.” Yes, Danita has displayed impulsivity that has led her behavior to violate social morals, but due to the limited information given in the vignette, attention-deficits/hyperactivity must be ruled

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