Byron is a 25 year old single male who works as a server at a restaurant. He had been a solid B student in school, had a network of several close friends and generally got along well with his parents and younger twin sisters age 7. Although he had no previous psychiatric history, Byron also was diagnosed with juvenile diabetes since age 3 for which he was prescribed insulin but it made him feel vulnerable to have to have self-administered insulin injections twice a day. One day on the way home from the restaurant where he worked he was hit by a drunk driver and suffered several broken bones, internal injuries and had to be in the hospital for 6 weeks. Upon release from the hospital, on the way home in the family car, he began to experience extreme hyperarousal, fear and a sense of helplessness and horror, he had a flashback reliving the earlier accident and this was overwhelming to him. Once home he began to have regular nightmares of his accident and woke up in a panic so he was afraid to go back to sleep. After 4 weeks more of continued anxiety, arousal, hypervigilance and periods of feeling numb or angry, he agreed to seek counseling. He was also avoidant of riding in cars and tried to avoid any reminders of the accident. Diagnosis: For DSM IV - If there is no diagnosis on a particular axis, then put No Diagnosis on Axis I or No Diagnosis on Axis II or Axis III (which is only for medical conditions). Also, show how the diagnosis would look in DSM 5, 2013 format (first see the multiaxial DSMIV format below) DSM IV - Diagnosis
Byron is a 25 year old single male who works as a server at a restaurant. He had been a solid B student in school, had a network of several close friends and generally got along well with his parents and younger twin sisters age 7.
Although he had no previous psychiatric history, Byron also was diagnosed with juvenile diabetes since age 3 for which he was prescribed insulin but it made him feel vulnerable to have to have self-administered insulin injections twice a day.
One day on the way home from the restaurant where he worked he was hit by a drunk driver and suffered several broken bones, internal injuries and had to be in the hospital for 6 weeks. Upon release from the hospital, on the way home in the family car, he began to experience extreme hyperarousal, fear and a sense of helplessness and horror, he had a flashback reliving the earlier accident and this was overwhelming to him. Once home he began to have regular nightmares of his accident and woke up in a panic so he was afraid to go back to sleep. After 4 weeks more of continued anxiety, arousal, hypervigilance and periods of feeling numb or angry, he agreed to seek counseling. He was also avoidant of riding in cars and tried to avoid any reminders of the accident.
Diagnosis: For DSM IV - If there is no diagnosis on a particular axis, then put No Diagnosis on Axis I or No Diagnosis on Axis II or Axis III (which is only for medical conditions). Also, show how the diagnosis would look in DSM 5, 2013 format (first see the multiaxial DSMIV format below)
DSM IV - Diagnosis
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