Assignment task:
Louis is a 12-year-old male. He is first generation, with his parents immigrating from Mexico before Louis was born. English is Louis' second language, but he speaks English fluently. Louis' parents speak some English but are more comfortable speaking Spanish. Coming from a devout Catholic family, he learned early that cleanliness was next to godliness and that godliness was the most valued virtue. He learned to be exceptionally neat and to live his life according to the rules. When there was no rule to fit an occasion, Louis would create one, until there were many rules he needed to follow. If he did not follow them, he would feel uncomfortable, worried, and frightened. Louis did not like change. He liked things just the way they were, to remain in order, and to be predictable. As a little boy, he learned to polish his shoes and would line them up along the closet floor with the toes evenly aligned. His brother would torment him by disturbing the order or alignment of the shoes.
Louis would insist that the different foods on his plate be kept separate and not touching. At school, his desk always received the teacher's compliments for tidiness. Louis was held up as a model for the other students, who paid him back by taunting him on the playground. In his desk, as with his closet and dinner plate, all the items were kept separate and perfectly aligned. The homework he turned in was impeccably neat. If there was one crossed-out word, one erasure, Louis would do it over again until he achieved a final, perfect product.
Please answer below:
1. Based on the information presented, what is this client's working diagnosis? Please provide a brief description of your chosen disorder.
2. What symptoms does this client display?
3. Please describe any special considerations that should be taken into account while diagnosing this client.
4. What follow-up questions do you have for this client or about this case?