find the DSM-5-TR diаgnоsis fоr Cаrlоs Vаsquez. List the diagnosis fully including all numbers, subtypes, and specifiers (4 points) .List one Risk factor for the onset or the course of his disorder (1 point)Client Name: Carlos VasquezAge: 4 years oldEthnicity: HispanicEducation Level: PrekindergartenParents: Mona and Ricardo Vasquez Background Information You are a counselor/family therapist at University Hospital, a large Midwestern public teaching hospital, on the child psychiatric unit. A psychiatrist is the lead physician on the unit, which contains 16 beds for children who are experiencing psychiatric disturbances. There are two psychologists and two family therapists. Your primary role is working with the parents of the children who are hospitalized. Intake Information Mona and Ricardo Vasquez are referred to University Hospital by Carlos’ pediatrician. The parents have had ongoing concerns about Carlos for the past 4 years. Upon admitting their son to the hospital, Mr. and Mrs. Vasquez tell the intake worker that they were initially concerned that Carlos had a hearing problem. Carlos appeared to be unresponsive and disengaged from Mona from birth. Mona reports that no matter how much she held and nurtured Carlos, he never seemed to respond to her. When Carlos was 9 months old, his parents, fearful that he was deaf, took him to a hearing specialist. The specialist agreed with the parents that Carlos seemed unresponsive but said that his hearing was not damaged in any way. He urged the parents to give it some time and told them that, perhaps, Carlos was developing more slowly than other children. At 14 months, Carlos made sounds with his voice but had not formed any intelligible words. He often seemed to be “in a world of his own” with little interest in interacting with other family members. Mona spent hours trying to engage Carlos in play, to little avail. He often recoiled when Mona picks him up and screeched at the top of his lungs when Mona attempted to hug him. Carlos would sit for long stretches and rock back and forth without interruption. During this period of time, the pediatrician suggested that Carlos may have some “developmental delays” but rather than jump to any conclusions, he suggested that the parents needed to “give it some time.” The parents stated that Carlos didn’t start walking until he was 28 months old. Ricardo states that his experience with Carlos was similar to Mona’s experience. When he came home from work, he would try to engage Carlos in play, with little success. Rather than show any interest in toys, Carlos would appear dazed, paying little attention to people or objects in the room. Ricardo states that Carlos did become very attached to a small rubber ball and would gaze at it for long periods of time. Ricardo states that, rather than playing with the ball like most kids would, Carlos would place it on the floor and then flap his arms wildly. The parents’ concerns were heightened this year when they attempted to place Carlos in a prekindergarten class at East Brook Elementary School. They had hoped that Carlos would begin interacting with other children if placed in a structured environment with them. Carolos was in the class for less than a week when the teacher called Mona and expressed serious concerns about Carlos’ readiness from the classroom environment. She stated that Carlos appeared to be extremely “out of step” with his peer group and that she recommended further testing before he continued in this class. She stated that Carlos was spending most of the day rocking in a corner of the classroom with no interest in interacting with other children. When the teacher approached him and tried to engage him in activities, Carlos would refuse to make eye contact and would continue to rock back and forth endlessly. When the teacher attempted to physically move Carlos into a group activity with other children, he sat on the out perimeter of the group, displaying no apparent interest in playing with other children. The teacher felt that Carlos was having some serious developmental difficulties and recommended further evaluation. After talking with the preschool teacher, Mona and Ricardo contacted their pediatrician, who referred them to University Hospital for an extensive psychiatric evaluation. Mona and Ricardo are staying at the Ronald McDonald House while their son is hospitalized. After getting Carlos admitted to the hospital and talking with the intake worker, the parents make an appointment to see you the following day. During the interim period, Carlos will be observed closely and given a battery of psychological and developmental tests for children. Observation of Carlos in the Playroom Carlos is placed in the playroom at the hospital with an aide and two other children so that his behavior and social interaction can be observed. The room contains a variety of toys, stuffed animals, crayons and paper, a doll house, and other age-appropriate items to interest most children. For the first 15 minutes, Carlos simply sits on the floor and rocks, despite efforts by the aide to engage him with a toy or stuffed animal. The other two children immediately begin playing with toys and displaying sharing behavior. Carlos makes no eye contact with the aide. He moves to the corner of the room where he stands flapping his arms and twirling in a circle. He shows no interest in the other two children. Toward the end of the session, one child goes over to Carlos and offers him a toy, asking him if he wants to play. Carlos continues to twirl and makes no response to the child’s request. After a second attempt at trying to get Carlos’ attention, the child gives up and goes back to playing with the other child in the room. Carlos sits down in the corner and begins rocking back and forth. During the half-hour session, he displays poor interaction skills. Developmentally, his play behavior is not age appropriate.
If nоrm.dist(40,50,10,TRUE)=0.1587, whаt is P(X>40)?
Why use cоmplements fоr “greаter thаn” prоbаbilities?