up the UNO cards I was playing with. Characteristics of Speech- Both his receptive and expressive language was clear and normal. Suicidality/Homocidality- He did not report any significant thoughts or trails. Hallucination- none. Insight-Fair. 6- DSM Diagnosis: Mild Conduct disorder, 321.81 (F91.1) Childhood- onset type with limited prosocial emotions: Individuals show at least one symptom characteristic of conduct disorder prior to age 10 years (DSM-5, 2013, p. 470). Joey’s mother reported that: “since Joey was about 9-years-old he has been mean to their dog and was caught stealing from neighbors”. With limited prosocial emotions: Lack of remorse or guilt (DSM-5, 2013, p. 470): He was willing to talk to me in session, but tends to be highly evident of his behaviors as he doesn’t take responsibility.
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Callous-lack of empathy (DSM-5, 2013, p. 470): Joey reported that he does not really care about how other students feel when he bullies them and said that he thinks that it is “funny” to see them get upset or lose a fight. Current severity: Moderate: Many conduct problems in excess of those required to make the diagnosis are present, or conduct problems cause considerable harm to others (DSM-5, 2013, p. 471). He was referred for therapy after fighting with his peers at school, he does not really care about how other students feel when he bullies them and said that he thinks that it is “funny” to see them get upset or lose a fight. He is on probation because some “stupid kid” was a “rat” about him having a knife at school. Joey’s teacher reports that Joey is “a bully” towards other students and often intimidates his peers. His mother expressed significant concerns about his behaviors, and his mother is ready to “kick him out of the
Callous-lack of empathy (DSM-5, 2013, p. 470): Joey reported that he does not really care about how other students feel when he bullies them and said that he thinks that it is “funny” to see them get upset or lose a fight. Current severity: Moderate: Many conduct problems in excess of those required to make the diagnosis are present, or conduct problems cause considerable harm to others (DSM-5, 2013, p. 471). He was referred for therapy after fighting with his peers at school, he does not really care about how other students feel when he bullies them and said that he thinks that it is “funny” to see them get upset or lose a fight. He is on probation because some “stupid kid” was a “rat” about him having a knife at school. Joey’s teacher reports that Joey is “a bully” towards other students and often intimidates his peers. His mother expressed significant concerns about his behaviors, and his mother is ready to “kick him out of the