Identify the disorder below and bullet point the symptoms that made you come to the diagnosis. There is only one answer. Richie was a 15-year-old boy referred for evaluation after multiple run-ins with the police for drug possession, fighting, and shoplifting. Richie was the oldest of three boys and looked up to a gang-involved cousin who was in prison for drug trafficking. The patient was enrolled in multisystemic therapy (MST) for both treatment and further evaluation. Richie’s MST therapist met with his family 3 to 4 times per week over the first three months of treatment. The therapist encouraged the family to increase their level of supervision over their boys, prevent Richie from smoking marijuana at home, and limit his access to problematic peers. Over the course of treatment, Richie’s parents established regular communication with teachers and helped him get involved with a local boxing team after school. Richie’s therapist reduced the frequency of visits over the final two months of treatment. At the conclusion of treatment, Richie was meeting curfew consistently, completing school assignments, and no longer testing positive for marijuana. Richie’s younger siblings also began doing their schoolwork more consistently and behaving better on the playground.
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