The DAWBA clinical rater's manual
Practice cases relevant to attention-deficit/hyperactivity disorder and hyperkinesis
For each case:
- Click onto the case number to move to the rating screens for that case.
- Use the information from the rating screens to answer the questions.
- Check your answers by reading what we say in the text box in Note.
- You can also look at the DSM and ICD screens
to see our clinical diagnoses.
If you haven't yet learnt to navigate your way round the rating screens, we strongly recommend
you click here to work your way through the introductory tutorial
before starting on the practice cases listed below.
- Why doesn't this child receive a diagnosis of ADHD or hyperkinetic disorder?
- How does information from the open-ended comments inform your clinical diagnosis?
- Check the diagnosis of oppositional defiant disorder- is it consistent with the
open-ended comments?
- Why does the child receive a diagnosis of ADHD according to DSM-IV, and do
you think this is appropriate in this case?
- Why does the computer generate a diagnosis of oppositional
defiant disorder according to ICD-10 and a diagnosis of conduct
disorder according to DSM-IV?
- What diagnosis would you as a clinical rater allocate?
- How can we make the diagnosis of ADHD/hyperkinetic disorder in
the absence of a teacher report to demonstrate pervasive symptoms
or impairment?
- What are the issues in making a clinical diagnosis of
ADHD/hyperkinesis for this child?
- Do you think that his behavioural symptoms warrant a diagnosis
and if so which one?
- Are this child's problems potentially relevant to a Child and
Adolescent Mental Health Service?
- If so, what diagnosis would you give him to acknowledge this?
- Do you agree with the diagnosis of oppositional defiant disorder?
- Why does the computer fail to diagnose ADHD or hyperkinesis?
- What ICD-10 conduct disorder diagnosis would you allocate to this
child?
- From the open-ended comments, what is the primary diagnosis? How is this
consistent with the less common disorders report?
- What diagnoses does the diagnosis of pervasive developmental disorder overrule? Consider the difference between the DSM-IV and ICD-10 classifications
- Is the diagnosis of specific phobia appropriate?
- How do the open-ended comments help explain the teacher's impression of
the child as given in the reports?
- Would you use the information in the open-ended comments to modify the
diagnosis?
- Apart from oppositional defiant disorder, what other disorder
would you rate as being present?
- Why does the child not receive a diagnosis of ADHD/hyperkinetic
disorder?
- Why does the computer diagnose ADHD and not hyperkinetic disorder?
- What factors do you need to take into account in your decision as
to whether this is a clinically appropriate diagnosis?
- Do you agree with the computer diagnoses of ADHD and hyperkinesis?
- Should this child receive a diagnosis of a behaviour disorder?
- What diagnostic category would you use for the behavioural
symptoms?
- Do you think that this child should receive a diagnosis of a
depressive disorder?
- Why is this child not appropriate for a diagnosis of ADHD-
inattentive type?
- Why wouldn't you allocate a clinical diagnosis of ADHD or
hyperkinetic disorder?
- What diagnosis can you use to capture this child's behavioural problems?
Last modified : 11/07/14