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Assignment:
I. Q is a 15-year-old male African American who presented at the clinic with his grandmother. States his defiant and argumentative behavior started one year ago and has escalated since then. Exhibits stubbornness and argues multiple times a day. Refuses to talk to his biological parents as he states they neglected him as a child. Displays frequent episodes of anger and irritability lasting fifteen minutes to an hour. Noticed behavior changes in school, at home, and with peers, affecting his social relationships and academic performance. Refuses to go to school but is willing to look forward to a new placement in a different school. Triggers include requests to complete tasks, peer interactions and interactions with peers, or perceived criticism. Has attended previous counseling sessions, which resulted in temporary improvement. No significant changes in sleep or appetite noted. No history of physical aggression or harm to self/others.
Why this is not a case of conduct disorder. Explain how and why (your rationale) you ruled out any of your differential diagnoses. You will use supporting evidence from the literature to support your rationale. Include pertinent positives and pertinent negatives for the specific patient case.
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