Acute Psychosis Case Studies

America seems to be trapped in the illusion of believing that it is the most powerful country and “ continue to embrace the illusion of inevitable progress, personal success and rising prosperity( American Psychosis).” However, in reality American continues to engage in war, augment its debt and millions of Americans rely on food stamps to survive. While a good percent of America is struggling from day to day, the rest of the general public are trapped in a psychosis and concerned with the next voted-off contestant of “America’s next top Model”, or “Survivor” rather than the adverse current events transpiring today. In Chris Hedges article “American Psychosis” all these points are emphasized through use of strong language and pathos.

Mrs. Patterson is a 72 year old female who presented to the ED with complaints of ringing in ear and some sores in her nose. Per documentation Her son, however reported Mrs. Patterson has expressed repeated threats of suicidality and has said she is going to overdose on medication and has overdosed in the past. He reports she also threaten to walk into traffic. At the time of the assessment Mrs. Patterson denies suicidal ideation, homicidal ideation, and symptoms of psychosis. She appeared 3X oriented. Mrs. Patterson memory appears recently impaired. She reports a history of 1 attempted suicide years ago. Mrs. Patterson states when asked suicidal attempt she responded, "Yeah,but I forgot what I done." Her son Jim was contacted for collateral information. Jim reports 6 months ago his mother overdosed and has done so multiple time, however he is unaware if it's intentional with the intent to harm or her memory effecting her actions. He states, "She makes jokes about it (referring to suicidal ideation)." Jim expressed his primary concern with his mother is her not managing medications effectively. Jim reports he has a plan to move his mother into his home and take care of her daily needs and also manage her medications. Additionally, Jim reports her going to Daymark recovery Services. He reports DSS came out to the home today to offer any additional aid to Mrs. Patterson. She reports a history

Mr. Saunders is a 60 year old male who presented to the ED via LEO under petition by his niece, Rachelle, for allegedly putting a gun into his mouth, him putting a gun in another individuals mouth called "legs", and increasing alcohol consumption. At the time of the assessment Mr. Saunders is calm and cooperative. He denies suicidal ideation, homicidal ideation, and symptoms of psychosis. Mr. Saunders reports he has been depressed for several months and has been binge drinking alcohol. He reports relational issues with his wife has been the primary stressor contributing to his distress. He express feelings of hopelessness, worthlessness, irritability, and isolation. He does admit to informing a friend, William, he see no reason to leave if he can not be with his wife. Patient does not appear to be exhibiting signs of agitation,

Mr. Scott is a 34 year old male who presented to the ED via LEO. Mr. Scott reported to nursing staff he has not been taking medication for schizophrenia for the past 8 days because he believes the medication has not helping him with his hallucinations. Mr. Scott reports cocaine use yesterday to nurse staff. At the time of the assessment Mr. Scott is found pacing the floor of his room, However he is calm and cooperative. Mr. Scott reports he was released from a mental health facility in Chatham county. Mr. Scott mention previous hospitalization at Coastal Plains and Holly Hill. He reports a history of Bipolar, PTSD, and manic depression. Mr. Scott reports currently having suicidal thoughts of overdosing on unknown medication he has at his place of residence. Mr. Scott appears guarded and very anxious when talking to this clinician. He reports poor sleep (2-3 hours daily), experiencing flash backs of past traumas from growing up in his previous community, and visual hallucinations. Mr. Scott reports recently he would see dead bodies in the room and doors opening when he knows they are closed. Mr. Scott reports a history of suicidal ideation and attempts, the last being a month ago

Mrs. Passmore is a 31 year old female who presented to the ED via LEO attempting to harm herself. Per documentation Mrs. Passmore reports someone taking her Klonopin several days ago and has not been able to take it. Today she allegedly tried to cut her wrist. She denies suicidal ideation, homicidal ideation, and symptoms of psychosis to nursing staff. At the time of the assessment Mrs. Passmore reports a mental health history of bipolar, anxiety, and depression. Mrs. Passmore noted she has only been hospitalized when she was 15 year old for behavior issues. She denies having a history of self harm or suicidal attempts. Mrs. Passmore reports recently she has been going through a lot. She reports her father died 3 weeks ago, financial issues,

At the time of the assessment the patient reports she denies homicidal ideations and symptoms of psychosis.Patient has a history of command auditory hallucinations but denies any current and states, "Everyone in my family

The patient is a 36 year old female who presented to the ED with acute psychotic features. The patient reports experiencing God giving her a massage and seeing butterflies. The patient reports hearing God giving her commands. The patient denies suicidal ideations and homicidal ideations. The patient reports depressive symptoms as: guilt, fatigue, tearfulness, irritability, and inflated self-esteem.

Therapy for psychosis often works best when combined with medication, although this is not always

During the time of assessment the patient presents drowsy. The patient reports during the time of assessment that he is not currently suicidal or homicidal. The patient reports that he hears voices telling him to kill him self and kill his wife. However, the patient reports that he loves his wife and do not wish to harm her. The patient reports that tonight that him and his wife got into an argument, however

Ms. Elliott is a 63 year old female who presented to the ED with acute psychosis and suicidal ideation with a plan. Per documentation Ms. Elliott has been making several gestures with an ink pen to stab herself in the heart. At the time of assessment, Ms. Elliott reports endorses feelings of wanting to harm herself. Ms. Elliott reports she is currently talking to more than 20 people in the room. She reports having a demon in her and being a doctor of every profession on the planet. Ms. Elliott non compliance of medication because she thinks people are trying to harm her. . Patient denies having a history of suicidal ideation. She has a history of schizophrenia. Per Stephanie from Brooke Stone Heaven, Ms. Elliott living facility, since July

The patient is a 40 year old female who presented to the ED with suicidal ideation and a attempted overdose on cocaine the day before. The patient reports increase depression and recently losing her job, house, and car. The patient denies homicidal ideations and symptoms of psychosis.

Sarah is a 31yo, G3 P1101, who is seen for an ultrasound evaluation and assessment for FTS and a consultation due to her clotting abnormalities. The patient does have a history of a 20 week IUFD and had a full thrombophilia work-up and ended up with several test results that were positive. She is heterozygous for factor V Leiden and heterozygous for prothrombin gene mutation, which is a combination that is a risk factor for thrombosis that is equal to being homozygous for either factor V Leiden or homozygous for prothrombin gene mutation. The patient herself has never had a thrombotic event. She also is heterozygous for MTHFR and PAI 4G/5G positive. She also has a positive anticardiolipin IgG antibody. In her 2nd pregnancy she was treated

There are over a hundred different types of mental disorders but the most common psychotic disorder is schizophrenia. Schizophrenia affects approximately 3.5 million people in the United States. The symptoms include: “hallucinations, delusions, disorganized thinking (speech), grossly disorganized or abnormal motor behavior (including catatonia) and negative symptoms.” ( Barnhill 19) Symptoms of schizophrenia begin to appear around late youth/ early adulthood and must be persistent for a length of at least six months to be concluded as schizophrenia. DSM-IV analyzes the schizoaffective disorder in which patients must show signs of “major depressive

People have many different opinions on what psychosis really is. Many define it as crazy or not normal, but really, the illnesses vary. It could be schizophrenia, bipolar disorder, hallucinations and delusions, anxiety, even Alzheimer’s and Dementia. It is characterized in all of these illnesses. Psychosis is usually genetic and passed down through different family members. It is an illness that distorts the brain, making thinking unclear. The main question is what really causes someone to be psychotic? What really defines psychosis?

Psychosis is when they have problems in the way individuals interpret the real world. This means that it may cause them to misinterpret or confuse what is going on around them. Psychosis affects beliefs, thoughts, feelings and behaviour (Epi, 2017). Which could mean individuals experience hallucinations, hear things or have delusions whether false or belief ideas. Drug induced psychosis can last up to a few days and is often characterised by hallucinations, delusions, memory loss and confusion. This increases risk for relapse and more development for secondary problems such as depression, anxiety or memory problems. This causes slower recovery and more apparent psychotic symptoms (Epi, 2017).