Answer to a peer per the last invitation


After reviewing Kyle’s case and the DSM-V-TR, my clinical impression is that he is dealing with:

conduct disorder- with limited prosocial emotions-child-hood onset-severe.

My reasoning for this is that in the diagnostic criteria, it states that this aggression and lack of following the rules began since Kyle was a young child. Kyle did not quite meet all of the criteria for oppositional defiant disorder and also does not meet the criteria for antisocial personality disorder. With conduct disorder, the client has to present with at least three of the 15 criteria listed in the DSM. The criteria that Kyle met are as follows:

Often bullies, threatens, or intimidates others

Often initiates physical fights (has been in several fights at school and suspended for the fights, it is not super clear that he initiates them though)

Has stolen while confronting a victim (Kyle mugged a classmate)

Often “cons” others (It mentions that he cons others because he is quite charming at first)

  • Has stolen items of nontrivial value without confronting a victim (stole the classmate’s wallet)
  • The disturbance in behavior causes clinically significant impairment in social, academic, or occupational functioning (having significant behavioral problems in school, at home, and even when he is with the psychiatrist)
  • Childhood-onset type was concluded due to Kyle showing at least one of the symptoms of conduct disorder prior to the age of 10 years as evidenced by the case stating that these behaviors began while he was a young child. With limited prosocial emotions due to Kyle lacking empathy, lack of remorse or guilt, unconcerned about performance, and shallow or deficient affect. Severe was concluded due to many conduct problems existing in excess, such as stealing while confronting a victim and physical fights.
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