...Paranoid Schizophrenia Case: Daniel Paul Schreber Born on July 25, 1842, Daniel Schreber was known as a distinguished and renowned judge who suffered from psychosis when he was in his middle ages (Meyer, Chapman, & Weaver, 2009). The text describes Schreber’s obsessed thoughts as having sex as a female were the beginnings of his psychotic episodes. For Schreber, this contained a lot of frightening and unfamiliar imagery and considered it to be an outside source that compelled him to think this way as opposed to coming from himself; from within. Thinking irrationally, he suspected that his doctors were somehow implanting these thoughts in his brain with the use of hypnosis and telepathy (Meyer, Chapman, et al., 2009). After some additional thinking, Schreber began to believe that his thoughts were instilled within him by God and that is was God’s decision to make him a woman. Although he figured this was beyond human ability and deemed as “miraculous” it still tormented him (Meyer, Chapman, et al., 2009). The text describes Schreber’s case as containing many different personality disorders, or abnormal disorders, such as anxiety and mood disorders. Freud described Schreber’s primary symptoms as paranoid schizophrenia as well as psychosis in nature. Freud came to the conclusion that Schreber’s thoughts and delusions were brought on upon by his rejection and denial of his homosexuality (Meyer, Chapman, et al., 2009). Other psychologist at the time believed that homosexuality...
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...Case Study (Daniel) What physical health considerations should be considered before giving this medication to the consumer? Health check is important process before giving medication and prescribes antipsychotic medication. Before giving medication must know about the potential risk of post injection syndrome and monitor for signs and symptoms at least 3 hours after each dose ( NPS Radar, 2009). Prescriber or person administering must have had appropriate training. Only an appropriately trained registered nurse can administer and undertake observations. Clients must be monitored carefully for signs and symptoms during the treatment with depot injection. First one to two months of treatment and the dose should be modulating according to...
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...This case study takes a look at a kid named Jim, who developed a long-term mental disorder called Schizophrenia. Although the precise cause of schizophrenia is not known, certain factors seem to increase the risk of developing the disorder. In Jim’s case, there are many factors that put him at risk for developing schizophrenia. Of the few, the most important factors are the old age of his father, the history of mental disorder in his mother, the mental stress Jim experienced as a result of his father’s hospitalization, and his frequent abuse of marijuana. Unfortunately, Jim’s brain is naturally targeted by the disorder because of these factors. Jim’s symptoms became apparent shortly after he graduated high school. He started feeling that he could mentally influence the way people think and act. Eventually, his hunch turned into a concrete belief, which in reality was an obvious delusion. Stemming from these initial thoughts, Jim started to become paranoid around other people and developed extreme anxiety because he thought they were aware of his powers. He also began to perceive hallucinations and voices in his head, which eventually led him to showcase his symptoms in front of his mother. All of Jim’s symptoms led him to the hospital bed, where he...
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...After the proper treatment, in 11 out of 12 cases, pseudopatients were diagnosed with schizophrenia “in remission". The condition of one more participant was described as "schizophrenia". Despite the fact that in the records of hospital staff about the patients who received only extremely positive characteristics that indicated a high willingness to interact with doctors, friendliness, and absence of symptoms of unhealthy behavior, none of the members of Rosenhan's team was exposed. Furthermore, Rosenhan made his next step in order to confirm his theory. The second part of the study did not involve the participation of Rosenhan’s pseudo patients. The doctor invited the staff of one hospital, whose specialization was also psychiatry, to find among its patients, the deceivers, whom he allegedly sent there. In fact, there were no false patients this time, however...
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...This essay will focus on paranoid schizophrenia as a mental disorder and its various causes that include social withdrawal; cognitive dysfunction, genetics, psychological and biological considerations. It will briefly analyse the stress vulnerability model and the criteria for schizophrenic diagnosis used primarily to test the symptom of schizophrenia by physicians. During the demonstration of this topic the epidemiology, prevalence and prognosis will be discussed as well as the concepts of recovery and prevention. In addition, this essay will examine communication and professionalism together with the treatment and intervention process. The essay will discussed the use of drugs in treating or managing the condition and the effects upon the...
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...I would diagnose Martin with Schizoaffective disorder for several reasons. Martin has been exhibiting multiple symptoms that lead me to believe that he has schizoaffective disorder. First I would like to explain what’s schizoaffective disorder? What are the signs that this disorder exhibits? Schizoaffective disorder is a very serious mental illness that has symptoms of schizophrenia such as hallucinations, mania, depression, mood disorder, and delusions. Martin has been experiencing signs most of these symptoms including in my opinion possibly hearing voices and responding to these voices. Martin has refused to answer his phone because he believes it would activate the chip in his head which could be very deadly, he also accused his family...
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...The problem with my client is that he is dealing with a lot of chronic grief. Yes, he is dealing with mild depression as well, but mostly I feel that grief plays huge role in his life right now. According to the Diagnostic and Statistical Manuel of Mental Disorders 2013, Consider that in grief the predominant affect is feelings of emptiness and loss, while in Major Depressive Disorder (MDE) it is persistent depressed mood and the inability to anticipate happiness or pleasure. The dysphoria in grief is likely to decrease in intensity over days to weeks and occurs in waves, the so-called pangs of grief. These waves tend to be associated with thoughts or reminders of the deceased. The depressed mood of MDE is more persistent and not tied to specific thoughts of preoccupations. The pain of grief may be accompanied by positive emotions and humor that are uncharacteristic of the pervasive unhappiness and misery characteristics of MDE (p. 161). During my sessions with my client we are now addressing his grief that is associated with the loss of his grandmother, mother, loneliness and hopelessness. I have set goals for my client to make sure that he doesn’t wake up every day feeling lonely and hopelessness and ways to make sure that he has forgiven himself for his life choices and not being able to attend both funerals of his grandmother and mother. The goals I have set him do play a part in the micro, mezzo, and macro level. In the micro level I am helping him get over his grief and...
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...1. Based on what the clinician has learned during the intake, what are some of the symptoms a clinician should look for, or ask about when working with this client during the initial sessions? Explain each symptom. What reason are you here? Have you ever attended a counselor before? If you could have a perfect world how would you have it? When a client is experiencing signs of depression the counselor should ask the following questions. Two main symptoms: 1. Have you been experiencing a feeling of sadness? This may be with or without crying. Client stress out. 2. Have you lost interest in daily activities or social activities? Client states that her work is suffering. Additional usual symptoms 3. Are you experiencing times where you are unable to eat or loss of appetite? Client states that she is experiencing problems like, not being able to sleep at night. Client drinks alcohol to go to sleep. 4. Are you drowsy or tired and find yourself wanting to take a nap? Client stresses that she is unable to go to sleep which will suggest that the client is tired. 5. Are you agitated or having sluggish movements? Client feels stressed out. 6. Are you having time when you are not able to be attentive? Client states that she is not able to concentrate. 7. Do you feel good about yourself or feel guilty about something? Client feels guilty about not letting her parents know about her boyfriend. 8. Do you feel like you are not able to be energetic? Tired due to not being able to sleep. 9....
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...The patient is a 23 year old female who presented to the ED with a possible overdose on 5 to 6 25mg pills of Phenergan. The patient reports that she took the medication because she felt very nauseated. The patient denies suicidal ideations, homicidal ideations, and symptoms of psychosis to nursing staff. The patient denies dizziness, HA, CP, SHOB, ABD Pain, N/V/D, or Fever. Patient denies distress. During the time of the assessment , the patient was awake and alert. The patient reports that her relationship with her boyfriend was ended, and that she had been dating him for only for 3 weeks. The patient state, "The break up had no influence on my behavior." The patient reports that she felt really sick or nauseated from her menstrual cycle. The patient denies suicidal thoughts, homicidal thoughts, and symptoms of psychosis during the assessment. The patient reports she was stressed earlier because when her relationship ended, she thought there where no issues with her boyfriend before the relationship ended. The patient reports history of cutting behaviors, which her last time practicing these behaviors were earlier after relationship ended. The patient reports that it is a method she has use for a stress relief. The patient reports that she has practice these behaviors on and off since she was released from inpatient treatment in 2013. The patient had new and old lacerations marks to her abdomen and left forearm. The patient does appear guarded at times during the assessment...
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...Having a relative who has a brother that has schizophrenia and bipolar. The name will be used is Bob for the brother of the relative. This is also known as schizso effective which are two different disorders, as have been told. Bob was diagnosed at the age of 18 or 19 with schizophrenia. He did not serve a mission even though he was raised a member of the church. The brother and his sister in law think he would have had a lot of trouble with companions. He has been in and out of hospitals a few times. He can tell when his medicine is out and Bob will admit himself into the hospital. He has had roommates in the past and now he lives on his own. Bob does not work and the way he supports himself is through social security. Bob’s housing is subsidized; people will come into his home every month to do a clean check. He has people helping now with his finances. He will go to the Aliant House that has case managers to help. He volunteers at the Aliant House to socialize with others with the same personality he has. It is a way he can work and socialize at the same time. A place to keep Bob safe. The Aliant House is like a halfway house. Bob has always had a high IQ but he has never been able to develop some of the ideas he has had. He has had ideas such as the battery but has never been...
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...Validating Rosenhan’s hypothesis, no pseudopatient was detected by the staff. Rather, once released, their mental health status was recorded as “schizophrenia in remission” However, while the doctors, nurses, and attendants failed to detect the subjects, 35 out of 118 real patients voiced suspicions that the subjects were not mentally ill. Contacts between the patients, both the pseudopatients and not were “minimal and bizarre.” When attempting to make verbal contact by asking common, normal questions (e.g., “When will I be allowed grounds privileges?”), 71% of psychiatrists and 88% of nurses and attendants moved on with their heads averted, while only 4% and .5%, respectively, sopped and talked with the patient. However, the patients received no shortage of medication, given 2,100 total pills. The results of this study all serve to conclude that in a hospital setting “normal people cannot...
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...Patient is a 26-year-old male who presented to the ED with alleging suicidal threats and assaulting his mother during an argument. Patient stated: "we had an argument and she tried to hit me so I put my hands up to keep her from hitting me." LEO brought patient into the ED. At the time of assessment, patient reports family conflict as the primary stressors contributing to her current distress. The patient mother was unable to be contacted due to an unrelated incident. However, the patient reports he is not concerned about his mother. He states, " karma is real and she got hers for doing this to me." Patient reports having a history Bipolar/Schizophrenia. Patient express he does have some anger issues. During the assessment the patient appears more talkative and describes his mood as being happy. Per nursing staff the patient on arrival was more irritable and pacing his room. Patient currently denies homicidal ideations and having any visual or auditory hallucinations. He states, " I'm just trying to say the right things because I don't want to be here." Patient does not appear to be exhibiting signs of agitation, aggression, or responding to internal stimuli. The...
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...investigation will explore how schizophrenia was treated by doctors and how schizophrenics were treated by society. The concept of mental disorders wasn’t understood for a long time. Doctors and the psychiatric world have merely just grasping the concepts of schizophrenia and how it should be properly treated. In the past people with mental disorders were sent off to live in asylums, locked in cages, beaten, or killed. The religious view point was that the diseased were possessed by evil spirits and would be exorcised, or they used other dangerous methods to try and release the demons. Slowly the care for the insane started to develop. At first treatments and studies weren’t the most humane but as scientists started to understand mental illness it...
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...Childhood schizophrenia is one of several types of schizophrenia. Schizophrenia is a chronic psychological disorder that affects a person’s psychosis. Childhood schizophrenia is similar to adult schizophrenia, but it occurs earlier in life and has a profound impact on the attitude, behavior, and life. The child with schizophrenia may experience strange thoughts, strange feelings, and abnormal behaviors. Childhood schizophrenia is rare and difficult to diagnose in early phases. Childhood schizophrenia makes the child lose touch with reality (psychosis). When the child loses psychosis he or she may have one or all of the following signs and symptoms of schizophrenia: hallucinations, delusions, irrational behavior and thinking, and problems with daily tasks. The cause of schizophrenia is unknown. “Current research suggests a combination of brain changes, bio-chemical, genetic and environments factors may be involved” (American Academy of Child & Adolescent Psychiatry, 2004). Childhood schizophrenia makes it difficult to diagnose, and treat. It further makes educational, emotional, and social needs, and development harder. Some factors that make children under age 17 vulnerable to the disease appears to be according to Mental Health America 2011, neurodevelopment damage resulting in delays in language and other functions prior to onset of psychotic symptoms. The schizophrenia psychosis in children develops gradually versus the psychotic break an adolescent or adult would...
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...treatment. Schizophrenia is a psychiatric disorder that consists of four different classification types. These classifications types are disorganized schizophrenia, catatonic schizophrenia, paranoid schizophrenia and undifferentiated schizophrenia. According to National Institute of Mental Health (1993), “60% of American adults have sought treatment/services in a twelve month period” (Treatment/Services Use) and the MedicineNet (2012) website states that schizophrenia “affects about 1% of the population, more than 2 million people in the United States alone”. This life altering disease interferes with a person’s ability to function on a day to day basis. There is no single cause of why schizophrenia affects certain individuals, however genetic factors are universally acknowledged as playing a role in developing the disorder. Genetic factors only play the role of predisposing an individual to schizophrenia where family and social interaction along with daily life stressors contribute to activating the disorder (University of Phoenix, 2010). Schizophrenia may occur suddenly in an individual suddenly without any warning signs; however in many cases this disorder occurs slowly with multiple warning signs. Males are more likely to experience symptoms of schizophrenia disorder earlier than women, even though the disorder affects both sexes equally. The early warning signs that may be noticed by family and friends that an individual is possibly suffering from schizophrenia disorder...
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