Primary DSM Diagnosis

The primary DSM diagnosis would be Moderate Alcohol Use Disorder 303.90 (F10.20) (APA, 2013). Miguel exhibits four or more of the DSM-5 criteria. Miguel shows signs of unsuccessfully limiting his alcohol consumption, he craves alcohol when he is paying the bills, the alcohol consumption is affecting his functions at home and work and he continues the use of alcohol when he is unsure why he is drinking (APA, 2013). At this time there is no known medical diagnosis until further information is gathered, and medical examination are taken. Further investigation of information is required to identify additional salients than Miguel is showing signs of depression that signaled his alcohol abuse. The previously listed assessment tools can provide the additional information to make a medically sound diagnosis. …show more content…
Miguel has expressed guilt, insomnia, and decreased energy. It is suggested that a closer observation of Miguel’s verbal and nonverbal temperament on a weekly basis to verify any changes in symptoms. The therapist may want to evaluate Miguel’s financial situation as a reason for him seeking treatment. These are not mental illness related to a diagnosis but rather tools to determine what assessments or environment may hinder or assist the client (APA, 2013). Therefore, the therapist may use the ICD-9-CM, Unspecified Housing or Economic Problem V60.9 (Z59.9) (APA, 2013). Miguel has mentioned his financial situation as being difficult and not knowing exactly if this is what caused his problem or