kDiagnostic Stories

BA4DTV
8 year old Boy who Annoys and gets annoyed who breaks school Rule then argues with teacher and has uncontrolled temper that ends him with him having a time-out which he spends planning vengeance, vindictive, spite

F3IIDDDOOSS
9 year old child who hurts dog on the way to school, at school skips class and at recess intimidates others and then gets into a fight. suspended for using a dangerous weapon. on way home destroy school property by setting a fire and destroys a home mailbox with his bat.
instead of returning home, stays out and steals a purse from a woman. brought home by police after older teenage girl reports he forced sex ... and then runs away.

Iraq war vet who
Re1, Ar2, Av3
Reexperiencing:
wakes up because hears loud bang (mail slot) while was having same recurring dream of explosion, and waking up as though back in iraq tent as though event re-occuring. the loud noise acts as a cue to cause a reaction of phsysiological distress and psychological distress.

2:Arousal
Patient is startled and excessively vigilant, peaking out windows. Because angry because toaster not working because not plugged in (poor concentration to notice). Becomes more angry becuase feels did not get enough sleep, troubles falling asleep and then unable to stay asleep.

Avoidance:
On the way to work, avoids middle eastern neighbourhood. at works, avoids conversation about iraq, saying he doesn't remember. avoids people who might ask about iraq and works hard to avoid thinking about iraq at work. turns down invitation for after work party, with restricted affect and insteads rents movie alienated because feeling so alienated. on the way home, thinks future is abreviated.

Behaviour: PRIM
Parts of objects
Restricted interests
Inflexible routines, rituals
Motor Manners

Lang: LICS
Language Delays
Imaginative play missing
Conversation iniatiation and sustaining difficult
Stereotyped used of language or idiosyncratic language (e.g. using lines from a movie, always says "yes sir"

Social:PRNS
Peers problems
Reciprocity social or emotional missing
Non-verbal problems, like eye to eye contact, gestures
Spontaneous sharing missing, like pointing

A 2.5 year old boy at a day care with mother, who
plays with wheel of trains
and trains only
who becomes upset if routine of lining up trains is broken by
hand flapping (motor mannerism

who tries to communicate distress but language delayed
when parent tries to console and distract with tea party, no reaction to attempts at converstation
instead recites lines (reflecting distress) from transformer cartoon (let's roll out)
peers try to get attention but disinterested and does not react to hug from peer, avoiding eye contact, maintains playing with train and does not share

one of each ptsd sx + 3 dissociative sx from the list of 5 d's
Detachment/Numbing/lack of emotional responsiveness, Decreased awareness, Derealization, Depersonalization, Dissociative amnesia

NARPA