Case Study #5 - Phil
Client Concerns
The client, Phil, presents as a 15-year-old male of Hispanic descent. The client is present
today at the request of his mother. The client currently resides with his mother and three sisters.
His mother and father separated two and a half years ago, finaliz...
CASE STUDY 5 PHIL 1
Case Study #5 - Phil
Todd M Lynch
School of Behavioral Sciences, Liberty University
Author Note
Todd M Lynch
I have no known conflict of interest to disclose. Correspondence concerning this article should be addressed to
Todd M Lynch CASE STUDY 5 PHIL 2
Case Study #5 - Phil
Client Concerns
The client, Phil, presents as a 15-year-old male of Hispanic descent. The client is present
today at the request of his mother. The client currently resides with his mother and three sisters. His mother and father separated two and a half years ago, finalized the divorce one year ago, and
his father remarried approximately 4 months ago. Phil states that since his father’s remarriage he
was been sad, but also angry. He had hoped his parents could reconcile but came to the realization after his father’s remarriage that occur. His mother is reporting bouts of verbal aggression recently within the home as well as with teachers and peers at school. She is requesting assessment and treatment options
Symptoms Behaviors Stressors
Sleep disturbances Verbal Aggression Parental separation
Sadness/Hopelessness/Anger Verbal Outbursts Paternal remarriage
Loss of interestLoss of interest in peer
interaction Puberty
Assessment
My recommendation for assessment would be the Diagnostic Interview for Adjustment Disorder (DIAD). The DIAD is a 29-point interview that looks to identify stressor symptoms, as well as an evaluation of functional impairment and/or distress. While there has yet to be exhaustive research on the efficacy of this assessment, it does appear to return “moderate to good” indicative results. The Adjustment Disorder – New Model (ADNM) has been developed, however, it is geared toward an ICD-11 diagnosis as opposed to DSM-V criteria. It would also be highly recommended to engage in real-time monitoring for suicidal ideations or behavior, as the presenting symptoms can often be indicating pre-cursors to an attempt at suicide. (Kleiman &
Nock, 2018)
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