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Clinical Scenarios Directions: After reading each of the two scenarios, complete

ID: 3458492 • Letter: C

Question

Clinical Scenarios

Directions: After reading each of the two scenarios, complete a five-axis psychological diagnosis for each of the two scenarios. Place your answers in the space provided.

Diagnosis for Paul:

Axis I

Axis II


Axis III



Axis IV


Axis V

Scenario 2 - Paul Paul is a 28-year-old man who has had long-standing difficulties with criminal behavior. Paul has spent a number of years in prison for auto theft and burglary. He appears to have little interest in making meaningful connections with others and does not seem to feel any remorse for the people he has hurt in his past. Recently Paul was arrested after he was caught sneaking around and looking in the windows of a girl's school dormitory. During a session with a court appointed psychologist, Paul stated that he often feels an uncontrollable urge to watch women who are unaware of him, and that it is now the only way in which he can attain a sense of sexual gratification Paul has lost contact with his parents and reported that he was often physically abused when he was a child. Paul has had a few jobs over the years, but he usually ends up quitting or being fired for insubordination Paul was born with a cleft lip. Although post-natal surgery was able to repair the cleft lip, it left Paul with a noticeable scar that he is very self conscious of Important information for completing a diagnosis for Paul: .The DSM code for Antisocial Personality Disorder is 301.7 . The DSM code for voyeurism is 302.82 The ICD-9 code for a cleft lip is 749.10 The coding for physical abuse of a child (when the clinical attention is on the victim) is 995.5 . .The v-code for no diagnosis on Axis I is V71.09 The v-code for no diagnosis on Axis II is V71.09

Explanation / Answer

Axis I: Voyeursim
Axis II: Antisocial Personality Disorder
Axis III: Cleft lip surgery during birth
Axis IV: Childhood physical abuse, parental discord, occupational instability
Axis V: GAF = 62 (on admission)

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