Diagnosis of Neurodevelopmental and/or Disruptive Impulse-Control and Conduct
Disorders
Student's Name
Institutional Affiliation
Course
Instructor
Date
, 2
Diagnosis of Neurodevelopmental and/or Disruptive Impulse-Control and Conduct
Disorders
Diagnosis
F91.3: Oppositional defiant disorder – moderate
Pattern of angry/irritable mood, defiant behavior, and vindictiveness.
Code- Z62 – problems with upbringing
Justification of The Diagnosis
The DSM–5- TR specifies that an individual with this disorder demonstrates three
categories of symptoms: angry/ irritable mood, argumentative/defiant behavior, and vindictiveness
lasting at least 6 months. The individual shows at least four symptoms from each of the three
categories of symptoms (American Psychiatric Association, 2022). Aponi demonstrates symptoms
of angry /irritable mood, as she is often angry and easily loses her temper. She always throws
tantrums when she feels she does not get enough of what she wants. Her tantrums are usually
characterized by angry and irritable behaviors, including shouting, cursing, crying, slamming
doors, and sometimes throwing things.
She also demonstrates defiant behavior by intentionally annoying other people. She
deliberately causes trouble in school by bullying other students and taking their things away. She
also has a habit of provoking other students and attempting to initiate fights, which fits with the
DSM-5 - TR, which describes defiant behavior as "often deliberately annoying others." She blames
others for her mistakes. For example, when her mother confronts her for continuously kicking the
chair, she gets annoyed, stating that she is not doing anything wrong and her mother is picking on
her. The DSM5- 5- TR criteria describe vindictiveness as demonstrating distress and distressing
others in the immediate social context (American Psychiatric Association, 2022). Aponi is bullying
her peers in school, provoking them, annoying them, and making them feel distressed. Her teacher
has expressed how she always creates trouble with her classmates.