Oscar could be diagnosed with a factitious disorder (FD). He is likely to be diagnosed with this disorder because his recurring episodes (spells or seizures) only happen in social situations for attention. Oscar has a history with illnesses that suddenly disappear. The staff realized his episodes occurred only in group therapy, so he was restricted to the unit, a place alone, and Oscar stopped having “spells”. When Oscar returned to a public setting, the spells would reappear. Oscar’s episodes resemble a person having seizures, but when an electroencephalogram (EEG) was ordered, the EEG read nonspecific. This indicates his “spells” were most likely fabricated. Furthermore, the neurologist told Oscar that loss of bladder and bowel control happened …show more content…
Normally, FD would be treated by using psychotherapy, cognitive behavioral therapy (CBT), and/or family therapy (Barlow & Durand, 2012). For Oscar’s case, family therapy and CBT would most likely be the most effective. The origin of the disorder must first be discovered, whether it stems from a childhood experience or a stressful event in life (Barlow & Durand, 2012). Then, the therapist must reduce any reinforcing or supportive consequences from the FD symptoms and collaborate with the family to eliminate self-defeating behavior (Barlow & Durand, 2012). CBT will help provide reassurance to Oscar, change his way of thinking, and minimize help-seeking behaviors. Oscar was given antipsychotic medicine for his psychosis disorder and was successfully tapered off the medication. Also, he was given risperidone for his dyskinesia and over the course of two years he was tapered off the medication, as well. Both treatments were effective, given, Oscar’s medical conditions suddenly disappeared. Oscar has never had an intervention for his …show more content…
In most cases, however, FD is a long-term condition that can be very difficult to treat (Feldman, Hamilton &, Janata, 2009). Additionally, many people with FD deny they are faking symptoms and will not seek or follow treatment (Feldman et al.). Oscar’s condition may worsen, even with offered treatment, mainly due to his intellectual ability and his failure to fully cooperate with the medical staff. Over the years, Oscar has convinced himself that something is wrong with him to maintain his stay at a hospital, so to eradicate his way of thinking, for over a decade, will be tedious work, however, manageable. If Oscar agrees to cooperate with the treatment, he can be placed in the hospital with limited attention from medical staff. This will help reduce any reinforcing consequences from his FD symptoms. Furthermore, his mother might not participate in family therapy for Oscar’s recovery, so if Oscar does show signs of progression, interactions with his mother may act as a catalyst for Oscar’s FD to resurface. Overall, Oscar will most likely be impaired by his FD for the rest of his
Although NPD can’t be ‘cured’, one-on-one or group psychiatric therapy can aid to assist the individual. There are no specific medications for the disorder either, however, antidepressants, antipsychotics and mood stabilizers may also be
Michael is a 56 year old male who lives alone in a small tin shed in the middle of the bush in central Queensland. He has no children, no partner and lives by himself. During the day he spends his time sleeping on the couch or doing chores around the property. If he isn’t asleep, he requires a stimuli to remain occupied. When he was a young boy, he was a very calm child with a great sense of humour. His physical health was perfect with good energy levels. When he was sexually abused at the age of 8, by his grandfather, these characteristics started to change. From the age of 16 he was having regular breakdowns in his thinking and emotional responses. Michael was constantly feeling irritable and having trouble sleeping with frequent nightmares. As the years went by his attitude was extremely negative which led on to him being withdrawn from his family and friends. During his last year of high school, he started to regularly use marijuana. He would experience countless amounts of paranoia episodes where he would hear voices and thought he was being spied on. At the age of 45 he was fin...
Does one really know the definition of psychological instability? Perhaps it has an existence at the mental institutional treatment sanitarium here in southern California. The patient of evaluation, Holden Caulfield, a seventeen year old Caucasian male, weighs approximately 120lbs with a skinny, lanky stature and is 6 feet and 2.5 inches tall. Caulfield has crew-cut hair that is graying on the right side. The patient was an occasional drinker and smoker but has now cut cold turkey due to being institutionalized. Frequently drastic mood swings have been documented, as well as, emotional breakdowns, evident sexual frustration, deep depression, clear resentment, a rebellious attitude, signs of being socially inept and abnormal immaturity for a boy of his age. Based on professional observation, it is obvious that the patient exhibits some bipolar and multiple personality characteristics; his obsession with finding the flaws in the people and world around him has contributed to putting him in a dangerously depressive state.
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...
The author both an intelligent writer and a clinical psychologist. Gross received her doctorate in clinical psychology from Duke University, where she committed her career to the treatment of individuals with disabilities and chronic illnesses. She entwines her training and knowledge into this story with commentary from experts in several associated health care fields. Their interdisciplinary approach provides completeness to the book that makes it more than memoir.
Mental disorders are a common condition that many people and families have to live with and go through in their lifetime. The disorders are more common than one may think, and in fact they are all around us we just may not know. In the 1993 film “What’s Eating Gilbert Grape”, the movie stars Johnny Depp who takes the role of a small-town man, Gilbert Grape, who takes care of his fatherless family of five. The movie shows many characteristics of autism, depression, and eating disorders. It shows examples of the life that those effected with the disorders have to live with every day.
In this paper the reader will be able to find a variety of different areas covered. A detailed summary of the movie 28 days directed by Betty Thomas in 2000 will start the paper. The diagnostic criteria of a psychiatric disease will be included along with rationales why the main character fits the diagnosis of disease. Included is the effectiveness or non-effectiveness of coping mechanisms. Pharmacological with classification and non-pharmacological treatments will be included in addition to discussion of ethical and legal issues. This paper will include whether it would be an acceptable fit for patients or families with the same diagnosis. Lastly, will be an overall conclusion of the information provided in the paper.
She wrote, “His case was extreme. Not until the coroner's report, 3 months after his death, would I learn that it was diffuse LBD that took him. All 4 of the doctors I met with afterwards and who had reviewed his records indicated his was one of the worst pathologies they had seen. He had about 40% loss of dopamine neurons and almost no neurons were free of Lewy bodies throughout the entire brain and brainstem.” She tells us that his fear and anxiety had skyrocketed and later discovered it is an early indication of LBD. “Robin had been under his doctors' care. He had been struggling with symptoms that seemed unrelated: constipation, urinary difficulty, heartburn, sleeplessness and insomnia, and a poor sense of smell—and lots of stress. He also had a slight tremor in his left hand that would come and go.” (Schneider-Williams)
To those who have never had this disease, you cannot imagine how frightening the demons are, how they take over your life, your every thought, your every action. There is no respite within the mind; it is constantly on overdrive.
The disorder which is being treated is actually strengthened to the point of a serious mental illness. Similarly, in today’s society, medical and psychological advice may have the same effect. Medical technology and practice have progressed considerably since the time of the “Yellow Wallpaper.” This is not to say that today’s physicians are infallible. Perhaps some of today’s treatments are the “Yellow Wallpaper” of the future.
Even though cognitive-behavior therapy will not get rid of delusions and hallucinations, they may help Randy fix his irregular thought patterns. Community support will assist Randy in receiving services that he needs and present him with social support to get him back on path. Also, family therapy can help Randy’s treatment. Randy’s family and all individuals involved in his life should agree to this treatment, it may be difficult because he walked out on his family however, it would be beneficial to Randy if his family was supportive.
mental problem that needs some attention. Yet even in his own home, he can't get
Brad Cohen had an extremely difficult childhood because nobody understood why he was choosing to twitch and make noises all the time. He was different and that was evident everywhere he went. In school, his peers bullied him and constantly laughed at him. His teachers would constantly send him to the principal’s office for being a constant disturbance. His father especially would get so aggravated with him and would constantly emphasized his poor behavior and lack of self-control. Even after he was diagnosed, life didn’t magically get any better because there is no cure, so the same things would continue forever, but now they understood the cause. He could now prove that his brain would
Howard Hughes appears to be the world’s most brilliant and eccentric aviator and movie director in the film The Aviator (Mann & Scorsese, 2004). He is admired, wealthy and powerful. However, throughout the course of the film, his eccentricities lead to significant impairment. Paranoia, impulsivity and fears of contamination plague his thoughts and behaviors. He becomes unable to cope with being in public and he cannot maintain personal or professional relationships. As a result, Howard is left isolated, losing his social support and success. It is evident that he has symptoms that are characteristic of both obsessive-compulsive disorder and bipolar I disorder. His behaviors become so impairing and distressing that they impact every sphere of
This approach draws on the importance of early experience and how people internalize events that happened in their youth. It draws on the idea that there is a conflict between events that happened in the past and what a person is trying to accomplish in the present. The therapist is very engaged and develops a close relationship to the client, in which the relationship helps model normative relationships that the client can use to generalize. The goal of this kind of treatment is to make the unconscious conscious to the client. The hallmark of psychodynamic psychotherapy is insight and working through, in which the client has deep and reflective epiphanies about themselves. Psychodynamic therapy has also shown to be effective in the treatment of individuals suffering from post-traumatic stress disorder. Schottenbauer, Glass, Arnkoff, and Gray (2008) explored the contributions of psychodynamic approach to therapy in individuals suffering from PTSD and trauma. Some of the many contributions psychodynamic treatments include addressing interpersonal issues that are a by-product of PTSD, and also addressing development. Aside of bringing unconscious thoughts forward, the therapist also watches for defense mechanisms that the client might use. These defense mechanisms are important to the therapist, because they provide insight to the person’s wishes, feelings, and impulses. A benefit to using psychodynamic treatment over other approaches is that it is better suited for handling complex cases of PTSD, as well as comorbid cases. In addition to that, because it focuses heavily on interpersonal relationships, it helps create a social support system for the client. Having social support may aid the client in recovering. In the case of Frida, a psychodynamic treatment approach would be effective. A psychodynamic therapist would establish a rapport with Frida before