Case
Charles is a 21 year-old Caucasian single male currently residing with his mother and stepfather whom also is Charles’s uncle. Charles graduated high school and due to his illness he receives social security benefits. During a two year period Charles had nine visits to the emergency room resulting in admission to the psychiatric unit. On two admissions Charles left against medical advice, five admissions required a higher level of care resulting in admission to the state psychiatric hospital and two Charles was transferred to the adult crisis unit. Charles also has a misdemeanor history mainly public nuisance due to substance abuse mainly marijuana and cocaine. Charles was evicted after a psychotic episode and destroying his apartment.
Charles has agreed to medication protocol of Haldol injections and Resperadol. He adamantly refuses psychotherapy. While hospitalized Charles makes reference to being sexually abused he refuses to go into depth or give specifics. Prior to the diagnosis Charles’s mother reports became withdrawn at the age of seven Charles’s father died in a car accident.
At the age of twenty Charles’s experienced his first psychotic break. Not knowing what was happening Mother called the police as she believed the hallucinations and delusions were from marijuana and cocaine use. Charles was taken to the local jail and from there to the hospital when the symptoms remained for 12 hrs. At which time Charles was diagnosed with schizophrenia.
The mother cannot comprehend the diagnosis and believes the etiology of the psychosis is from drug use only. Charles is in denial as well but accepts the medication and when feeling better he stops and resumes his substance abuse. Charles cycles between the adult cr...
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... client and parent. Knowing the symptoms of schizophrenia will enable the family to identify triggers.
3. The family will learn to make family decisions that are balanced and in the best interests of both the client and familiy.
Individual Goals
Client
Discontinue cannabis abuse
Enrollment in supportive employment
Obtain employment
(Mother)
Acceptance of diagnosis
Assume active role in the treatment of client’s illness therapy, medication adherence,
Attend monthly NAMI meetings
Reconnect with friends
Short-term Goals
1. Enrollment in ACT
2. The family will verbalize the symptoms, treatment, and course of schizophrenia
3. Educate family on psychosocial programs available: social skills group and supportive employment
4. The family will share how the illness has impacted the family system
5. The family will research outside support systems
Tsuang, M. T., Faraone, S. V., & Glatt, S. J. (2011). Schizophrenia. New York: Oxford University Press.
My patient Gerald –according to the video- is diagnosed with a textbook case schizophrenia. He exhibits paranoid thinking and his speech is disorganized, his thoughts are loosely connected, and he has formed delusions, he exhibits mood disturbances, and exhibits disordered behaviors (Schizophrenia: Gerald, Part 1). The goal for Gerald is multi-factorial; first, it is important to place into context that Gerald’s schizophrenia is refractory to pharmacological management. Due to Gerald’s complex presentation of multiple symptoms, the goal for the interaction is improved m...
As previously presented, a psychiatric report states that Mary Maloney is not suffering, or has not suffered in the past, any form of mental disorder or illness. Mrs. Maloney did not have schizophrenia, and she was not bipolar, she was not insane. Given the fact that she was not insane still does not mean that it was impossible for her to have “snapped” and done something irrational at that moment. Yet the likely hood of this even occurring is very slim, in fact the chance of it happening is a 0.1 out of 100 chance. It is known that some mental illnesses are hereditary and may have not showed up on current files therefore; we also brought in psychiatric reports from Mary Maloney’s parents and 3 grandparents. All these reports are clean from any mental disorders. Mary Maloney not having a mental disorder was not the only significant evidence in this report. T...
In Me, Myself and Them: A Firsthand Account of One Young Person’s Experience with Schizophrenia (2007), Kurt Snyder provides his personal narrative of living with Schizophrenia with Dr. Raquel Gur and Linda Andrews offering professional insight into the disease. This book gives remarkable insight into the terrifying world of acute psychosis, where reality cannot be distinguished from delusion and recovery is grueling. However, Snyder’s account does offer hope that one may live a content and functional life despite a debilitating, enduring disease.
Schizophrenia is a major psychiatric disorder, or cluster of disorders, characterised by psychotic symptoms that alter a person’s perception, thoughts, affect and behaviour (NICE, 2009). Tai and Turkington (2009) define Cognitive Behaviour Therapy (CBT) as an evidence-based talking therapy that attempts cognitive and behavioural change based on an individualised formulation of a client’s personal history, problems and world views. CBT as a treatment for schizophrenia can be understood within a wider framework of CBT as applied to a range of mental disorders such as anxiety, post traumatic stress disorder (PTSD), and depression (Tai and Turkington, 2009). CBT was built on behavioural principles that emphasised clear relationships between cognition, physiology and emotion (Beck, 1952). This essay will analyse CBT as a therapy for individual suffering from schizophrenia. It will discuss briefly the historical background and the development of CBT, the aims and principles, the evidence base of the strengths and weaknesses of the therapy. It will discuss as well the implication to mental health nursing practice. The focus of this essay is on intervention and psychosocial in nature which will be brought together in the conclusion.
The Importance of Family and Friends in Helping People with Schizophrenia Maintain a Normal Life
Families with a member suffering from any illness may be stressful enough but families with members diagnosed with schizophrenia are often faced with additional challenges such as the “external stressors of social stigma, isolation, and emotional frustration”. Many times, family conflicts arise as members attempt to provide care on an everyday basis (Chien, 2010, pg. xi). “A Beautiful Mind” is a brilliant motion picture directed by Ron Howard that chronicles the life of one John Nash, a prominent mathematician and the challenges he endures throughout his adult life afflicted with a chronic mental illness. “A Beautiful Mind” allows us to gain insight into the stressors that many families undergo when faced with living with a person with schizophrenia. This paper will explore the impact of schizophrenia on the lives of the Nash family as depicted in the aforementioned movie. Exploring the impact of the disease on the Nash family’s life will be followed with a discussion regarding an assessment conducted of the family, through the use of the Calgary Family Assessment model. Conducting the assessment allowed us to determine two nursing priorities, and nursing interventions in relation to them through the use of the Calgary intervention model. Essentially it becomes evident that the challenges faced by the Nash family are in the functional domain. The families inability to effectively communicate and problem solve becomes evident, which is negatively impacting the families ability to function effectively. Our nursing interventions guided by the Calgary Nursing Intervention Model will focus on providing the Nash family with the support needed to bring about change in the affective domain in foster effective communication with the famil...
It aids us to communicate our understanding with other experts. Trull (2004, pp. 125-126) referred to diagnosis as “verbal shorthand” for elucidating the features of a particular mental disorder [2]. It will be challenging for us to convey schizophrenia to other professionals just by using the clinical features, without a diagnosis. Listening to a diagnosis, immediately conjures up a doppelganger in our mind about what the patient can be suffering from.
There are several people every year that are diagnosed with a mental disorder. In the world’s entire population, more than one percent of people have been diagnosed with schizophrenia (Brain and Behavior Research Foundation). When thinking of the billions of people in the world, it might not seem like that many people but once the number of those diagnosed is calculated it seems much larger. Currently there are more than seventy million people in the world that have been diagnosed with schizophrenia, only diagnosed. There are probably several more people who have this disorder and have not been diagnosed or are unable to obtain the resources to be diagnosed.
Schizophrenia is one of the disorders that have been debated over the years also it has a difficult past and it is a psychological disorder that is noticeable by numerous diminished thinking, behaviours and emotions. The individuals who suffer from schizophrenia they usually hear voices in their head, have unusual beliefs but not based on reality and have different thoughts that are based on hallucination and delusions also changing in behaviour. However, even this very day the cause of schizophrenia is still unknown. Yet the psychologist states that the cause of the disorder is the combination of genetic and environmental factors. Schizophrenia is one of the most serious mental health disorders and it is treated with combination of medication and therapy. Although some may recover from the disorder but the symptoms might return. Living with schizophrenia it can be is manageable and also it is possible to reduce the chances of severe relapse by recognising the symptoms, taking the medication and talking about the condition to others. On this assignment will evaluate the diagnosis and treatment for schizophrenia. Also discuss the symptoms in a positive and negative way along with the process of diagnosis. Moreover will state the diagnostic principles and impact access. Finally resolve the discussion of treatment and evaluate what the medical say about the treatment and also what the psychological say about the treatment.
The actual causal factors are still not yet clear; there has been some suggestion that genetics could be a causal factor. There has been a major concern about this argument regarding the parents’ “responsibility” in causing the condition (Craig, Kwame, & Paul, 2008). Consequently, various families of those who suffer from psychosis have been blamed, stigmatized, negatively labeled and thus, have been left feeling hurt (Craig, Kwame, & Paul, 2008). Psychosis can also result into pervasive changes in the individual and...
There is a much higher rate of probability for addiction in subjects diagnosed with schizophrenia, research showing roughly half show strong propensity to abuse. It is proven drug abuse elevates the effects of schizophrenia. It has been assumed use of drugs and alcohol are a form of self medication. Other issues such as lack of sleep generally causing an escalation in frustration, confusion, fatigue, nightmares, often causing a negative impact on treatment, and propensity for suicide. Suicide has proven to be more prominent in patients diagnosed with juvenile schizophrenia. Approximately forty percent attempting and ten percent succeeding. During treatment it is important for the parents and therapist to participate in the subjects speech and mental well being. Continual therapy and emotional stimulation sometimes leads a patient to seek help more often to say when they are having self harm tendencies. Patients often begin speaking erratically and often conversations are difficult to follow causing it to be difficult to know that suicide is being contemplated until its to
With more than 200,000 U.S. cases per year, schizophrenia is classified as a common human condition that affects many Americans; this condition includes symptoms such as delusions, hallucinations, disorganized speech, and disorganized behavior. Despite the fact that the people typically affected by this illness ranges from adolescents to the elderly, January “Jani” Schofield is said to be the youngest person in the United States to have been diagnosed with schizophrenia at the early age of 6 years old. Jani’s symptoms exemplify the symptoms of the typically schizophrenic.
Discussion: Ms. Marks (Mother) reported some behavioral challenges in the home. She expressed concern with D'Andre administering his medication independently and becomes upset when redirected. Ms.Marks reported that she has taken measures to prevent this incident from occurring. Ms.Hassan (Teacher) reported that D'Andre is improving both academically and behaviorally in the school. Ms.Hassan (Teacher)
Since John did not use substances and there does not seem to be a traumatic experience, one can eliminate other disorders such as Post-Traumatic Stress Disorder and drug induced psychotic episodes. Because of the strong presence of both positive and negative symptoms for over six months, John does not have a milder form of schizophrenia. According to the DSM- V and the six diagnostic criteria for schizophrenia, John meets all six criteria . All of the symptoms listed above lasted more than six months, affected his level of functioning in all areas, and were created from his own mind’s alternative