A Case Study Of A Female Client, Janey, Suffering From A Psychotic Disorder ( Schizoaffective Disorder ) Essay

From a sociocultural viewpoint would suggest that maybe his race, as well as his country, and social environment could play a role in his schizophrenia also people labeling him as not normal could have played a role in a self fulfilling prophecy. Sociocultural views may also suggest that family stresses may have been a contribution to his schizophrenia.

Jane is a nine year old girl who has been brought in to therapy by her mother for stealing, being destructive, lying, behaving aggressively toward her younger siblings, and acting cruelly to animals. Jane has also been acting clingy and affectionate toward strangers.

Felicia Allen is a 32 year old woman, who was initially brought into therapy after an attempt to steal a bus. Due to her reported “emotionally disturbed” nature, this consult became a priority. The police report states that Ms. Allen pulled out a knife, and threatened the driver after the driver declined her dollar bills. She then took control of the bus, and crashed it across the street. Upon our meeting, Ms. Allen was fidgety, and swayed back and forth all the while mumbling to herself. If she were questioned, she would look up and say “Sorry, sorry.” As far as patient history goes, Ms. Allen started hearing voices when she was 5 years old. These auditory hallucinations were mostly composed of critical, disparaging voices that made comments on her actions and behaviors. Her severe symptoms led her to be hospitalized fairly consistently since she was 11. Ever since she was young, she has been driven to please, and has a strong desire to be independent. Felicia has been prescribed clozapine for 1 calendar year, which helped her auditory hallucinations a great deal. Given the above symptoms and information, I have diagnosed Felicia Allen with schizophrenia.

Throughout the many years, there have been many negative public perceptions of Schizophrenia, which is known by majority of the public as an indication of mental illness. This disorder is most of the time perceived by the public as caused by psychological factors. People with this mental illness are considered to be unpredictable and threatening (Angermeyer & Matschinger, 2003, p. 526). Most patients have a behavioural dysfunction. Victims, families and society carry a substantial burden due to this illness (Wood & Freedman, 2003).

Schizophrenia, although affecting only one percent of the population, has a direct affect on society today. This disease, if left untreated, poses threat to health care professionals (including psychiatrists), law enforcement personnel, and family members responsible for the care and support of the schizophrenia patient. This paper addresses the causes of schizophrenia and the myths surrounding this complicated ailment, the affect of untreated or misunderstood aspects of schizophrenia has on society and important crisis intervention strategies for those in close contact to victims of schizophrenia.

Additional, inferences about the disorder are provided by Whitcomb and Merrell (2013). The authors characterize the symptoms of schizophrenia as delusions that are “typically bizarre and implausible” and pronounced hallucinations such as hearing voices for long periods of time (p. 363). Additional, impairments noted by the authors include “severe disturbances in perception, thought and affect, a severe decline in personal and social functioning, poor personal hygiene, inability to function effectively at school or work, and a severe impairment in social relationships” (Whitcomb and Merrell, 2013 p.363).

Schizophrenia is a disease that has plagued societies around the world for centuries, although it was not given its formal name until 1911. It is characterized by the presence of positive and negative symptoms. Positive symptoms are so named because of the presence of altered behaviors, such as delusions, hallucinations (usually auditory), extreme emotions, excited motor activity, and incoherent thoughts and speech. (1,2) In contrast, negative symptoms are described as a lack of behaviors, such as emotion, speech, social interaction, and action. (1,2) These symptoms are by no means concrete. Not all schizophrenic patients will exhibit all or even a majority of these symptoms, and there is some

Mental illness affects 1 in 5 adults in the United States. This amounts to about 43.8 million or 18.5% of adults in the United States ("Any Mental Illness Among U.S Adults," n.d). This shows how prevalent mental illness really is in our society. More specifically, Bipolar Disorder is found in about 2.6% of the adult population ("Bipolar Disorder Among Adults," n.d). Bipolar disorder ranges in severity but the majority of the cases are considered severe. Bipolar Disorder is broken down into three categories as follows: Bipolar I, Bipolar II, and Cyclothymic Disorder. For the duration of the paper, Bipolar I Disorder will be referenced. Bipolar disorder is characterized by manic episodes that may alternate with depression or agitation. The etiology of Bipolar Disorder is biological and environmental. It is a strongly heritable disease at approximately 80-90% heritability. Bipolar Disorder is related to neurotransmitters such as norepinephrine, dopamine, and serotonin and their dysregulation in the body. Excessive amounts may lead to mania while too few may lead to depression. Environmental stressors or trauma also contribute to the development of bipolar disorder (Halter, 2014). The patient that will be discussed in this paper is a forty-one year old African American woman who was involuntary committed to Montgomery County Emergency Services (MCES) as a result of severe mania and psychotic symptoms.

Approximately 22% of the American population suffers from some kind of mental disorder at any given time. (Passer and Smith, 2004) Schizophrenia is one of the most serious of these mental disorders, and there are many different kinds of treatment. While all mental disorders offer diagnosis and treatment challenges, few are more challenging than schizophrenia. It is both bizarre and puzzling, and has been described as “one of the most challenging disorders to treat effectively.” (Passer and Smith, 2004, 534)

Schizophrenia is known to be a devastating brain disorder that negatively affects many aspects of a person’s life, such as; thinking, language, emotions, social behavior, and ability to perceive reality (Varcarolis, 2010). Due to the high comorbidity of schizophrenia, patients often suffer from multiple disorders, when a mood disorder, such as mania, or depression, coexists with the schizophrenia, it is known as a schizoaffective disorder. Patient, A.S., is diagnosed with schizoaffective disorder due to her hallucinations, her manic state and paranoia. The purpose of this paper is to form an individualized Care Plan for A.S. in accord with the evidence-based practice and clinical manifestations. It will include the patient’s history (past and present) along with the appropriate interventions. In the paper we will discuss schizoaffective disorder as well as well as the symptoms, thoughts, and actions of a schizoaffective person. Furthermore, the pathophysiology of schizophrenia will be explained thoroughly, followed with the medications and interventions used for this disorder. The hope is to better understand the aspects of schizoaffective disorder and its manifestations, so one better care for a patient with such a disease.

Schizophrenia, unlike most disorders, is a standout amongst the most genuine of the mental disorders. It is known that one in a hundred individuals are affected by it, and starts in either youth or early adulthood. Schizophrenia brings social interruption, anguish and hardship to the individuals who experience the ill effects of it, as well as to their family. Under those circumstances, it is known to be the most devastating of all disorders. There are both negative and positive symptoms when it comes to dealing with schizophrenia. Despite the fact that there are various negative indications, the most present one is limitations or absence in thoughts and behaviours that are characteristics in normal functioning. For this

Throughout psychology today there are six different theoretical models that seek to explain and treat abnormal functioning or behavior. These different models have been a result of different ideas and beliefs over the course of history. As psychology began to grow so did the improvements in research techniques. As a result psychologists are able to explain a variety of disorders in terms of the six different theoretical models. In the movie A Beautiful Mind it follows the mathematician John Nash as he struggles with schizophrenia. It an attempt to explain John Nash’s disorder the six different theoretical models will be looked at, they include biological model, psychodynamic model, behavioral model, cognitive model, humanistic model,

           The patient M. is a 26 year old married female who was brought to the ER by her husband after increased anxiety and depression worsened after a “spiritual attack” that lasted for over four days.  While in the ER the patient admitted to hearing multiple distant male and female voices all around her head and outside of her head.  She states not being able to make out the message but interprets them to be negative in nature. She told the ER Doc she felt people were trying to harm her and that “people in her life have used things against her.”  She felt her extended family may have used witchcraft and “chakra dolls” to cast spells on her.  She is cognizant of the strangeness of her claims but believes them to be real

This paper, broken into two sections, includes a mock case study of a young woman, from the movie Black Swan, who meets criteria for a Schizophrenia spectrum disorder, followed by current research on schizophrenia and recommended treatment. Because specific temporal information is unavailable and the key difference between schizophreniform disorder and schizophrenia is duration, the diagnosis made for the purpose of this paper is schizophrenia. The research portion will cover current research and treatment of schizophrenia. Schizophrenia is a disorder defined by a heterogeneous set of irregularities across multiple modalities, including “cognitive, behavioral, and emotional dysfunctions” (American Psychiatric Association, 2013, p.100). This mock case study is an important reminder for counseling students: Client symptoms may not always be transparent to clinicians. Clients may purposefully withhold information, lack insight to report, or may have sufficient factual insight to avoid the perceived stigma of reporting.

The two diagnosis I considered after my first session with Caleb were Autism Spectrum Disorder and Schizophreniform Disorder. Caleb clearly displayed deficits in both social communication and social interaction during our session. Caleb was so socially withdrawn, that his mother, Nina, was the person I communicated with throughout the entirety of our session. Caleb occasionally mumbled responses to some of the questions; his answers ranged from “yes”, “no” to “I don’t know”, although he mumbled thank you to one of my compliments, Caleb definitely displayed deficits in social-emotional reciprocity. Caleb also exhibited deficits in nonverbal communication, avoiding eye contact throughout our entire session, he even avoided eye contact with his