QUESTION 2: Case Study 2 Client B, an 8-year-old boy living with his parents and his younger brother, was evaluated because his parents were at their "wits' end" regarding how to handle his explosive outbursts, which were occurring several times a day. Client B's mother stated, "It has gotten to a point where I dislike my child". At the time of the evaluation, Client B was exhibiting temper outbursts several times a day that lasted approximately 10 minutes, and more intense 30-minute outbursts multiple times a week, during which he became physically aggressive. For example, during a recent tantrum, Client B kicked holes into his bedroom door. The bedroom door had to be replaced. Client B's mother reported that she often has bruises on her arms from trying to stop Client B. Client B's parents describe him as irritable and cranky for most of the day, each day. When Client B is irritable, he would appear agitated and restless, and he often expresses that he wants to be left alone. His parents would often try to cheer him up without success only making him more irritable. Client B was in a second-grade classroom. In the past school year, he has been suspended three times for physical aggression toward teachers, throwing a chair in the classroom and knocking over a bookcase. Despite his average to superior cognitive abilities, Client B struggles academically. This is partly due to the fact that he has been missing class so much because of his bad behaviour. Teachers noted that Client B often appeared irritable with an agitated mood at school, and he rarely appeared happy or smiled. Teachers would often try to avoid his rageful outbursts. Client B's mother reported that he had always been a difficult child. As a baby he was colicky, and he cried incessantly for many hours each day. As a toddler, he threw many tantrums multiple times per day. Unfortunately, Client B's tantrums escalated as he grew older. By the time Client B was 5 years of age, his tantrums included hitting and kicking his parents and throwing breakable objects. Client B's tantrums and non-compliance at home increased once he entered school, as homework added more frustration and negative interactions. He was also highly distractible, and he exhibited strong opposition when he was asked to complete his homework. He was constantly restless, fidgeting and getting out of his seat and he was difficult to control. He also tried to avoid daily routines such as picking up his clothes and brushing his teeth and he would regularly avoid these tasks by throwing tantrums. During this time Client B's irritability worsened as well. By the time he started first grade, he appeared to be constantly "on edge" and was bothered by little things, such as others sitting too close to him. His mood remained cranky for most of the day, sometimes for several days at a time. Whenever his parents would try to cheer him up, he would snap, demanding to be left alone. Client B also made hostile attributions regarding his peers' intentions. For example, when playing tag, he would get angry believing the others had hit him on purpose when they were merely tagging him. He also expressed negative thoughts that no one likes him, that he does not have any friends and that his parents do not love him. Client B's outbursts at school led to his classification as being emotionally disturbed, and as a result, he was moved to a smaller classroom. Despite this more supportive environment, Client B continued to be disruptive, and he had difficulty focusing, following instructions, and completing his class work. He became bored easily and refused to do his work. In Client B's early schooling, he made friends and enjoyed interacting with peers. However, because of his temper tantrums and hostile attributions, his peers began to avoid him. His parents restricted family outings and they stopped attending mass as he was not able to sit still in church and would throw tantrums which caused embarrassment to the family. Please respond to the following: a. Provide a theoretically based conceptualisation of the presenting symptomology to discuss potential diagnoses. From the potential diagnoses, explain which diagnoses you would dismiss and hypothesize a diagnosis with justification. (30 marks) Please provide intext citations and references

Please use DSM V and other sources