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His over all intelligence level his high and he doesn’t need any
assistance doing everyday life things like eating or using the bathroom.
I would make a differential diagnosis of a learning disability and ODD. Though Randall’s grades are relatively low it is not due to an inability to learn. His poor grades are due to his lack of effort because he doesn’t like school. Though some of his symptoms mirrors ODD at this point I would have to say that ODD needs to be ruled out. However I think that Randall started out with ODD which is now forming into CD.
I think Randall is most likely to have ADHD along side of his CD...
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