Client is showing symptoms characterized under the DSM-V 295.90 (F20.9) Schizophrenia Disorder. Under this criteria client must show signs of two corresponding domains in comparison to the disorder. Under the new guidelines of the diagnosis of Schizophrenia, tow symptoms under Criterion A symptoms are required and at least one positive symptom of either: hallucinations, delusions or disorganized speech. Schizophrenia is common diagnosis of psychosis which involves abnormalities in five domains: hallucinations, delusions, disorganized thinking or speech, abnormal or disorganized behavior (catatonia included), and negative symptoms. Under the DSM-V schizophrenia is viewed as neuropsychiatric disorder with complex genetics and a clinical course …show more content…
that begins during a predictable stage of development. Apparent behaviors of schizophrenic symptoms appear during late adolescence and early adulthood, symptoms are not commonly seen in children. Martin is in a late adolescent stage coming into an early adult stage of development. His frequent behaviors seen from peers demonstrates clear warning signs that correspond with the DSM-V criteria diagnosis of Schizophrenia. Martin demonstrates bizarre behaviors, although the DSM-V has removed the criterion of bizarre behavior symptom as a classification, under the DSM-IV which is still commonly referenced on mental health diagnosis, the classification of bizarre behavior along with an illustrate characteristic of the other domains of behavior demonstrates clear behaviors of the diagnosis. Among the very distinctive behavior trait, Martin is overheard whispering in an agitated voice even though no one is around. He also believes that is he answers or makes any phone calls, a deadly chip implanted by evil aliens will be activated. Martin accusing his parents of conspiring with the aliens to have him killed to remove his brain and place his brain into their own. Martin does not have a history of any drug or alcohol abuse, however he has an aunt who has presented erratic and bizarre behavior and has been admitted into hospitals over the past few years. Along his biological, family and cultural considerations the distinction between his close relationship to his aunt is one major consideration to be taken. Depending on the distance of the relationship from Martin to his aunt there may be found a more common of history of mental health disorders along the lines of the family history. It is also important to consider the biological aspects of the neurodevelopment of his brain and the transmitters of what sets of different psychiatric episodes within his brain. Of the cultural aspects, consider what different teaching or lessons have structured different thoughts into Martin’s mind and structured his thought to be transpired into the way it is. There are minor ethical considerations, while Martin refuses to speak with a therapist it is in his best interest to seek the medical treatment he requires.
Across all domains of schizophrenia, the treatment requires therapy, medication, structured support and education about the disorder. It is more plausible that if medication for treatment is offered to Martin, it may put him into a good head space to open to talk therapy and maintain his focus of receiving support from his family and friends. The most important thing is reintroducing the structure and discipline of daily routine and positive relationship into his life. The cultural consideration to be taken will be presented through the support he receives from his family and friends, the reaction to treatment will only be presented as positive if the response from others around him present the treatment as positive. This will also open conversation of the disordered as seen through family history and the developmental strategies of change Martin will be faced with. Schizophrenia while a traumatic and chronic disorder can be maintained and controlled through positive treatment and response. CBT (Cognitive Behavioral Therapy), can also be introduced as a method of learned assignment for the client to have a constructed therapy in which he works along with the therapist to make his treatment most
beneficial.
Classical antipsychotic treatments are commonly used to treat schizophrenic patients with major positive symptoms of schizophrenia, such as Thorazine, Haldol, and Stelazine (Gleitman et al., 2011). Antipsychotic treatments are usually administered with a variety of psychosocial treatments including social skills training, vocational rehabilitation, supported employment, family therapy, or individual therapy (Barlow & Durand, 2014). This is to reduce relapse and help the patient improve their skills in deficits and comply in consuming the
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...
It is hard to comprehend how and why people lose their sanity and become mad. I will address how the mind’s struggles caused by individual genes, stress and social-cultural influence affect the lives of Naomi, a 24-year-old college student with schizophrenia and Eric, a 27-year-old classical musician with severe depression. Their thoughts and behavior surprised me as this is my first time exposed to what these mental illnesses are. The relation between the mind and the body and the fact that the emotions affect the functioning of the body and vice versa explains the how and why a person become insane.
“Update on Family Psychoeducation for Schizophrenia” was published in the March 2000 issue of the Schizophrenia Bulletin by Oxford Journals. Schizophrenia Bulletin is written for medical academics specialising in the field of Schizophrenia and assumes a background understanding of the field. However it is aimed at “the widest possible audience” (Oxford Journals, para 2, 2012) and thus seeks readership of those involved in the field, in a less medical nature also.
According the fourth edition diagnostic manual of mental disorders (American Psychiatric Association, 2000), the category psychotic disorders (Psychosis) include Schizophrenia, paranoid (Delusional), disorganized, catatonic, undifferentiated, residual type. Other clinical types include Schizoaffective Disorder, Bipolar Affective Disorder/Manic depression, mania, Psychotic depression, delusional (paranoid) disorders. These are mental disorders in which the thoughts, affective response or ability to recognize reality, and ability to communicate and relate to others are sufficiently impaired to interfere grossly with the capacity to deal with reality; the classical and general characteristics of psychosis are impaired reality testing, hallucinations, delusions, and illusions. Mostly, these are used as defining features of psychosis even if there are other psychotic symptoms that characterise these disorders (L. Bortolotti, 2009).
Harvey, Moriarty, Friedman, White, Parrella, Mohs and Davids (2000) conducted a study to analyze the preservation of cognitive functions in geriatric patients with lifelong schizophrenia in the hopes of discovering the success rate of long term institutionalization. The overall objective was of the study consisted of obtaining enough data to compare the scores on numerous cognitive skill tasks from the geriatric schizophrenia population and a population of healthy elderly individuals. Their experimental group consisted of 165 volunteers and they were matched one-to-one with an individual from the control group based on same age and education. The symptoms of schizophrenia were examined with the Positive and Negative Syndrome Scale; PANSS. It contains thirty items with seven items rating positive symptoms, seven rating negative symptoms and sixteen items assessing their general psychopathology. The total scores obtained on the positive and negative subscales were used as dependant variables in this study.
According to (Barlow, 2001), Schizophrenia is a psychological or mental disorder that makes the patient recognize real things and to have abnormal social behavior. Schizophrenia is characterized by symptoms such as confused thinking, hallucinations, false beliefs, demotivation, reduced social interaction and emotional expressions (Linkov, 2008). Diagnosis of this disorder is done through observation of patient’s behavior, and previously reported experiences (Mothersill, 2007). In this paper, therefore, my primary goal is to discuss Schizophrenia and how this condition is diagnosed and treated.
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.
It has been stated that schizophrenia plays a very large role pertaining to who a person is and how that person’s actions are interpreted by the culture they live in. To contain the context of what schizophrenia is, the textbook definition reports it as a “severe disorder of thought and emotion associated with a loss of contact with reality” (Lilinfeld 479). The author of this textbook has put in the time and done the research to discover the most socially accepted and understood definition that could be possible. This definition in itself is almost overwhelming to consider that this is a disorder that currently has lifetime affects. Thought and emotional aspects come into play by realizing that any deviation from what a person normally thinks and feels will, without a doubt, affect how their thoughts and emotions change. By changing thoughts and emotions, actions will inevitably be affected in how they are carried out. This is where the culturally accepted portion becomes an issue because anything that is away from the normal action will have attention drawn to...
Addington, J., Piskulic, D., & Marshall, C. (n.d). Psychosocial Treatments for Schizophrenia. Current Directions In Psychological Science, 19(4), 260-263.
BIBLIOGRAPHY Arasse, Daniel. Complete Guide to Mental Health. Allen Lane Press,New York, 1989. Gingerich, Susan. Coping With Schizophrenia. New Harbinger Publications, Inc. Oakland, 1994. Kass, Stephen. Schizophrenia: The Facts. Oxford University Press. New York, 1997. Muesen, Kim. “Schizophrenia”. Microsoft Encarta Encyclopedia. Microsoft Corporation, 1998. Young, Patrick. The Encyclopedia od Health, Psychological Disorders and Their Treatment. Herrington Publications. New York, 1991.
Turkington, D & Dudley, R 2006, ‘Cognitive-behavioral therapy for schizophrenia: A review,’ Focus, vol. 4, pp. 223-233.
Schizophrenia is a complicated, mostly permanent psychological disorder involving a disturbances in the relation amongst thought, emotions, and behaviour, leading to defective perception, inappropriate actions and feelings, withdrawal from reality. The National Mental Health Commission makes 10 recommendations, including reducing the use of restraint, seclusion and involuntary treatments. Recommendation 6 states, “There must be the same national commitment to safety and quality of care for mental health services as there is for general health services.”
... While there are individuals who have trouble communicating, there are individuals like John Nash who have power to communicate but are troubled with other symptoms of schizophrenia such as persecutory delusions. In short, I have learned that mental disorders are complex; therapists must approach every disorder with the same amount of seriousness so that they can be helpful to their patients. Also, the restrictions for each disorder must be specific and narrow so that it is possible to accurately diagnose a patient and avoid a misdiagnosis. By learning about the ridged qualifications for different illnesses I have gained a greater grasp on the biological aspect of mental disorders, and how different medications can interact internally within different chemical imbalances in the body.
Cassie* was a client I worked alongside for 8 weeks during my time as student in a community mental health service. Her primary diagnosis at the time was Schizophrenia (Paranoid type) with a secondary diagnosis of Substance (Opioid) Use Disorder. Her case manager reported she has been engaging with the mental health services for two years and was reported to be stable with good insight into her illness at the time of my engagement. My initial role was to collaborate with Cassie to set short and long term recovery goals, and work toward these goals primarily though coaching, educating and advocating. My contact included accompanying Cassie to community groups, doctor’s appointments and facilitating a family meeting.