Reference no: EM133322285

Question

Carlos, a 19-year-old Hispanic college student, presented to a primary care clinic for help with academic difficulties. Since starting college 6 months earlier, he had done poorly on tests and been unable to manage his study schedule. His worries that he was going to flunk out of college were leading to insomnia, poor concentration, and a general sense of hopelessness. Carlos's family history was positive for ADHD in his older brother. A psychoeducational reassessment confirmed that Carlos's reading and writing abilities were substantially and quantifiably below those expected for his age. That report also concluded that these learning difficulties were not attributable to intellectual disability, uncorrected visual or auditory acuity, psychosocial adversity, or lack of proficiency in the language of academic instruction. The report concluded that Carlos had specific difficulties with reading fluency and comprehension as well as spelling and written expression. Which diagnoses would you consider and why?