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Stigma in modern society
Stigma in modern society
Stigma in modern society
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Treating schizophrenia can be complicated. One of the things that I would recommend first is to look at the client’s medication. He is already taking Risperidone, which treats the symptoms schizophrenia. It seems to be working so I would recommend they continue to monitor his progress. Also, I would recommend individual psychotherapy for the client so he can work on life skills, goal setting, and coping with his diagnosis, etc. Treatment would be focused on improving the client’s quality of life as opposed to curing his schizophrenia. I would also recommend group therapy for the client where he can work on socializing with other clients and dealing with real world problems. As far as the community supports, I would recommend the client
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.
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.
Note: Client is a 40 year old, disabled, single, Mexican-American Male. Client is currently homeless throughout Ventura County. Client is enrolled with Ventura County Behavioral Health 8390 South Oxnard Adults Clinic with a diagnosis of F25.9 Schizoaffective Disorder, Unspecified. Client was previously a long term client of Ventura County Behavioral Health EPICS program with a diagnosis of 295.30 Schizophrenia, Paranoid Type.
Family Psychoeducation for Schizophrenia has previously been supported in treatment recommendations and guidelines for best practise in hospitals. In their review of 15 new studies in the area, Lisa Dixon M.D (University of Maryland), Curtis Adams M.D (University of Maryland) and Alicia Luckstead M.D (University of Maryland) reinforce support for family psychoeducation for schizophrenia.
I have always believed that the prognoses for Schizophrenia was, at best, bleak with little chance of any normality or functionality. While I understand that Snyder’s situation is by no means the norm, his current situation offers hope that a life of stability, self-sufficiency and social competence is possible for those diagnosed with Schizophrenia. This assisted in altering my view of Schizophrenia as a “hopeless” situation. It reminded me how important it is to not give up on your clients and believe that they are capable of living, at least to some extent, a fulfilling and functional life. If I as a counselor have no faith in my clients and believe my clients to be hopeless and doomed to their disorder, how can I possibly expect to be able to assist them or for them to be able to help themselves. It is essential to remember that my client has been diagnosed with Schizophrenia and not that my clients is a schizophrenic; this goes for every diagnosis, it does not define who my client
Schizophrenia is a deteriorating progressive disease, consequently, it is resistant to treatment for the individual suffering schizophrenia. (Catts & O’Toole, 2016). In most cases the individuals suffering from schizophrenia, are resistive to treatment, in most cases, individuals suffering from schizophrenia, and are resistive in taking antipsychotics. (Catts & O’Toole, 2016). Jeremy doesn’t see himself as a “schizophrenic”, he states that “he’s happy naturally”, and often he’s observed playing the guitar and doing painting in his room. Weekly, he has an intramuscular medication to treat his disorder, crediting the support of his wife. It is indicated that the morality rate, in patients suffering from schizophrenia is higher, despite the considerable resources available, in Australia. New data show that in 20 countries, including Australia, only 13.5% meet the recovery criteria, which means that 1or 2 patients in every 100, will meet this criteria per year. (Catts & O’Toole, 2016). This means that there’s a decline in providing support and services to individuals like Jeremy suffering from a mental illness such as Schizophrenia. Many individuals become severely ill before they realise they need medical treatment, and when receiving treatment it is usually short-term. (Nielssen, McGorry, Castle & Galletly, 2017). The RANZCP guidelines highlights that
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.
Cognitive Behavioural Therapy and Family Interventions for Psychosis Psychosocial treatments for schizophrenia are not new in the research literature. Psychological treatments have been previously used in the treatment of schizophrenia. For example in terms of behaviour therapy, operant approaches such as token economy programmes were used in the 1960s and 1970s to improve the behaviour of patients in long stay hospitals. However, the evidence suggests that the clinical gains were limited and did not generalise beyond the therapeutic setting and also did not address delusional convictions (Alford 1986; Himadi et al 1991).
"During brief medication visits, physicians typically focus on considerations related to delusions, hallucinations, disorganized and aggressive behavior, and hostility; these common symptoms may increase during relapse, resulting in hospitalization, emergency department visits, and crisis center services, or in incarceration in the criminal justice system"(Alphs). If the patient don 't have anyone to talk to and is only using medication to help with what they are hearing and seeing it, it can cause a lot of tension and stress for them. According to Bengston, Some people require custodial care in state institutions, while others are gainfully employed and can maintain an active family life,( Bengston). Depending on how severe and how often they have schizophrenia episodes, the patient can have healthy love life and accomplish their goals. "The reasons why people react different than others are not entirely clear, but may partly reflect that some people suffering from schizophrenia often do not exhibit symptoms until later in life and have achieved a higher level of functioning before the onset of their illness" (Bengston). Schizophrenia can happen at any age, so when a person at the age of
Aside from clinical management, this should also involve promoting acceptance and understanding of the experience in such a way that the illness is framed as part of the individual without defining them as a whole. The meaning attached by the individual to their experience can affect their progress and so, their life story, hopes, fears and unique social situation are central in the recovery process. While this serves to encourage acceptance of the individual’s distress, it also facilitates hope for resolution; therefore, professionals are required to enable the individual to unearth their own strengths and meaning. This means reclaiming a full and meaningful life either with or without psychotic symptoms so that the individual can maintain a life even if mental issues persist. Thus, services are required to facilitate a higher level of functioning for service users that enables the individual adapts their attitudes, values and experience; by taking personal responsibility through self-management to seek out help and support as required, rather than being clinically managed
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.
Lesley Stevens and Ian Rodin justified the need of acquisition to the mental disorders’ aetiology in their book “Psychiatry”. They pointed out the fact that psychiatrists need to be familiar with the contribution of a particular disorder in order to make a more confident in the diagnosis. Knowing the aetiology of psychotic disorder is as important as the diagnosis. For the simple reason that psychotic disorders do not have particular tests that can be made for diagnosis; on the contrary, physical illnesses do. Knowing the probability of patients vulnerability to a particular disorder helps in the diagnosis. They gave an example explaining that the probability of having angina is more likely in a 60-year-old male smoker rather than a 30 year-old female non-smoker. Although the causes of schizophrenia remains incompletely reveled, research has shown strong factors that might contribute to the disorder. The factors that increase the risk of schizophrenia include: genetics, environmental factors, and some encephalon(brain) abnormalities.
We must remember that people suffering from this horrifying disorder are human and have real fears and emotions, just like everyone else. They are not "Crazy" or "Insane. " If someone you love is ever faced with Schizophrenia, do not turn your back on them, but rather see that they are well taken care of and receive the treatments necessary to live a normal and happy life. Reference List Feldman, Robert S. & Collins Joan E. & Green Judy M. (2004) Essentials of Understanding Psychology, Second Canadian Edition.
One may be overwhelmed by the various feelings of guilt, frustration, anger, and hopelessness, but giving up on the one you love should not be an option. Approximately 10%-15% of schizophrenic patients have committed suicide, and approximately 60% have attempted suicide. Some triggers that prompted patients to harm themselves is over the fact that they didn’t feel accepted, living through periods where they feel out of touch with reality, and also during the first few months of taking medication and being in denial over their disorder (Schizophrenia.com). It is important to remember that one should be considerate of the patient diagnosed with schizophrenia, being realistic about what they could do, and respecting their concepts should all be taken into account when being around a schizophrenic. Learning to accept schizophrenics for how they are and helping them cope with what they are going through will not only alleviate one’s thoughts of hopelessness but will also show the patient that they are
However many humans living with Schizophrenia might reach the limit of having to be admitted in a mental hospital due to the individual getting out of control. When a patient is admitted in a mental hospital it depends on how bad he/she is in order to determine the length of days he/she will stay. Usually the sickly person is evaluated by a doctor once a week to see if he/she has made any progress within those days of consuming the proper medicines. The patient is then referred to therapy so he/she can improve with Schizophrenia. A social worker usually communicates with the family regarding the issue with the patient such as the behavior, emotions, acting, etc.