Akira is a high school student who has been struggling academically because he has had severe trouble staying awake and alert in his classes.

Answer 1

Akira is displaying one qualification of DSM Dx’s criteria for asking an initial question as to whether a diagnosis of any DSM Dx’s, whether narcolepsy, depression, ADHD/ADD, or other. The clinician ought look for possible pending appearances in Akira for Dx criteria of any DSM, as well as conduct independent inquiry into the exogenous situation of Akira to see if any major life changes, situations, mal treatment, or underlying physical condition is in the equation. A clinician would need to observe further.