Harrison’s Diagnosis
Try out the following vignette. I suggest you use a scoring system.
The AATBS system ranks each of the total sixteen answer elements from 0 to 2. The score of zero indicates the element is clearly a wrong answer and a score of two represents a likely answer.
Innovative Testing Services uses a scoring system from 0 to 3. The score of zero indicates the element is clearly a wrong answer, a score of one is a “maybe,” a score of two represents a likely answer and score of three indicates a response that should appear in any correct answer. I think this system makes more sense as it allows you to rank essential elements higher than elements that are simply good.
Vignette
Harrison, a high school student, is referred by a medical doctor. The doctor suggests that an unhealthy family dynamic may have resulted in Harrison developing an ulcer and then not following medical treatment even though it would likely relieve his ulcer symptoms. Harrison’s parents say that he seems unhappy and that athletics has taken over his life. Harrison angrily says he is the victim and the problem is his parents constant worry about him. He insists that his mother is controlling and that his father goes along when his mother is “getting crazy.” His father describes pride in Harrison’s athletic prowess and commitment to wrestling but is concerned that Harrison eats excessively after dieting for days in an attempt to make his wrestling weight. After sessions of eating Harrison often engages in strenuous exercise and takes pills he purchases at a health food store to manage his weight. Harrison insists that he follows the label instructions on the diet supplements. Harrison is not underweight and family members deny any evidence of throwing up to keep his weight down. Recently Harrison has been skipping school to work out which has affected his grades.
What diagnosis should be considered for Harrison?
A
Obsessive Compulsive Personality Disorder.
Bulimia Nervosa
Eating Disorder NOS
Anorexia Nervosa
B
Binge Eating Disorder.
(Unknown) Substance Abuse
V Code Partner Relational Problem
V Code Academic Problem
C
Major Depressive Disorder, with Atypical Features.
Borderline Personality Disorder.
Binge Eating Disorder.
Obsessive Compulsive Disorder.
D
Major Depressive Disorder, with Atypical Features.
Bulimia Nervosa
V Code Noncompliance With Treatment
(Unknown) Substance Abuse