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

Ciccarelli: Psychology_5 (5th Edition)
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ISBN:9780134477961
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Chapter1: The Science Of Psychology
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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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