Air Riffle Case Study

3. What mental health treatment modalities would be helpful to Randy in addition to medication?

Nearly two-thirds of those whom we trust to operate huge jets safely are former military aviators with firearms training, and skills-testing would not be a problem.” Before

Hallucinations and delusions can become a frightening and common part of the illness. In John’s case, there is no exception. He believes he hears voices trying to convince him that people are plotting against him and trying to control him, especially the government (video 1). Though John’s personality at one time was easy going, his illness has taken over and the hallucinations and delusions have made him violent towards people who try to get close to him emotionally. John’s illness refuses to let him trust anyone. John once had a wife and fathered four children, but due to his paranoia, he has disconnected and withdrawn from life, including any relationships with others. John does not acknowledge his four children, but instead, he now insists he never fathered any of the children (video 1).

are the Sandy Hook shooting and the Santa Barbara shooting. Both of the shooters in these events were diagnosed with a mental illness at a young age, however, both denied and refused to get a treatment for their illness. When an individual with a mental health illness does not get a treatment, the illness only worsens. Left untreated, mental illness can make life so intolerable, it clouds the individual’s judgment thoroughly, and that they see no way out and no hope. Statistically speaking, fifty percent of mentally ill patients in the U.S. do not get a

Pt is a 14 y/o African American male presented to NNBHC with his mother with a dx of ADHD, ODD, PTSD and Depressive D/O. Pt states that he had an episode of enuresis last night when he had a nightmare about killing his family. Pt states that when he woke up he began to have intrusive thoughts of wanting to kill his family and himself so he wouldn’t have to go jail. Pt states that recently he have been blamed for everything in the home that is missing, or goes wrong. Pt states that he has taken ownership over all the negative things in the home, so none of the his sibilings wont get in trouble. Pt states “I am pretending to be happy, this is not my family”. Pt states when he cam home from residential that his biological

Another man told of his horrible experience with Prozac in an anonymous letter to Ann Tracy, Ph.D., who was doing research on the adverse affects of Prozac. He was taking Prozac for Chronic Fatigue Syndrome and had been using it for a year; "I quite liked the unsought-for increase in confidence, sociability, etc." However, after he stopped taking it he began to experience what he called "a whole host of mental problems that I'd never experienced before." He described a lack of emotional response that soon became a full-blown depersonalization disorder, which was accompanied by episodes of derealization, extreme experiences of mental impairment, and loss of short-term memory. He went to seven of Los Angeles's top psychiatrists, each one telling him the same thing. They claimed that it wasn't the drug and would prescribe him higher doses of Prozac and other mind-altering drugs. He began to experience "nauseatingly violent dreams with a constant state of unremitting depersonalization . . .to the point where I could barely function." It got so bad that he began to consider suicide.

Obviously, through those obsessive actions, he should have been committed to a mental

The client has high motivation for treatment within MRFH. The client was diagnosed with Alcohol Use Disorder: Severe and Cocaine Use Disorder (crack): Moderate. The client sought treatment at MRFH when he realized he had lost control of using alcohol and crack cocaine. The client stated he attended the MRFH program in the 1980 's but does not remember the exact date of attendance. The client stated he was diagnosed with Mild Depression by a primary care physician when he was 56-years-old. The client reports he has no history of suicidal or homicidal attempts, and currently denies having any suicidal ideations or homicidal ideations. The client stated one to two times per week he experiences muscle tension and worrying about things that he often realizes have no significance. The client stated prior to the age of 18-years-old, "I would knock over my neighbors mailboxes and destroy their gardens, because they would make my parents aware of my wrong doings and that was way of getting them back." The client stated, there was one time that I started a fire and blamed it on my brother. I would break things as well and blame someone else. The client stated if there was an event taking place that he wanted to participate in, he would rush and complete what he was doing so he could become involved in other events taking place around him. The client stated, "I started using drugs and alcohol without thinking about what the consequences. The client appeared to be oriented to the

T.R. is a 69 year old, Caucasian female with a history of schizophrenia who presented to University Hospital Medical Center Emergency Room under Baker Act for recent suicidal attempt. According to the Baker Act report, she ran out of her retirement facility, trying to be hit by vehicles. She suffered a slight injury to her right ankle, as the slightly slightly hit her in an effort to abruptly stop the vehicle. She verbalized to police officers she wanted to die. She reported that peers in her retirement community learned about her history and had been gossiping about her. She reported increased paranoia due to this. She was hospitalized in the same psychiatric unit two months ago, after she was diagnosed with depression. Patient states the reason she was diagnosed with depression is because her two sons are not willing to talk to her. She states that she is separated and living without her family in an Assisted Living Facility. As per patient and chart review, the patient was born and raised in New Jersey and moved to South Florida. The patient currently lives in a retirement home and had to move several times to the different Assisted Living Facility, due to her paranoia and delusional behavior. She is currently retired and reports that she used to work from home as a home health aide. She has two sons and tries to maintain a good relationship with them, but denies any contact with them. She reports the biggest stressor is basically a relationship with her

For example, in May 23, 2014, Elliot Rodger killed six people and injured 14 others near the campus of the University of California, Santa Barbara. As reported by Kanso & Trowbridge of CBS news (2014), that someone who had long struggled with mental health issues was able to legally assemble such an arsenal has also been a matter of debate. Elliot Rodger's family failed to convince him to seek mental health treatment, however, he had no problem purchasing a gun. To name a few others who committed violence while mentally unfit are Seung-Hui Cho and James Homes. Seung-Hui Cho killed himself and 32 others in Virginia Tech. He had a court order to seek mental health treatment but order was never carried out. James Holmes, who killed 12 people in Colorado movie theater, was warned dangerous to the University of Colorado campus police. These cases show how there's a crack in the mental health system, and no matter how strictly regulations are amended, if people with mental health issues are not diagnosed and treated properly, then the risk of violence will continue to occur.

D.D. is a 50-year-old, African American male presenting with a number of anxiety and depressive symptoms. The client reports that he came to counseling for “extra support and someone to talk to.” D.D. has been struggling with mental health issues since he was young. Since the age of 15 he has been hospitalized on and off for “hearing voices.” In the early 1980’s he was diagnosed with schizophrenia and prescribed Risperdal to treat the symptoms. Since then, D.D. has been in a variety of mental health settings, including hospitals, day programs, and outpatient treatment. The client has an extensive alcohol and drug use history that he believes impacted his Schizophrenia. In the early 1980’s the client would use alcohol every day “to avoid the voices,” drinking “anything he could get his hands on.” He was also heavily involved with drugs at that time and regularly used marijuana, PCP, cocaine, and heroine. In 2000, the client was sentenced to eight years in jail for four bank robberies. While in jail, D.D. received mental health treatment and alcohol and drug treatment, which was greatly beneficial. When the client was released from jail in 2008, he was drug and alcohol free and was taken off of Risperdal.

Presenting Problem: Zachary has required x3 inpatient hospitalization within a 6 month time frame. Zachary struggles with communication in the family dynamics that generally evoke anger, irritability, physical aggression, and suicidal statements. Most recently he was admitted at NNBHC due to SI, HI statements and AWOL behaviors. He is not compliant with medication compliance or participating in outpatient treatment. He states overall mood has been on and off with periods of feeling down. He reports decrease interest in activities.

He also sought mental help until over fourteen months ago, as well as showing other “red flag” traits such as killing animals. Obviously, the background checks aren’t working. However, this doesn’t need the government needs to make the background checks stronger. Those with mental illnesses are actually less predisposed to violence than neurotypical people. Only 20% of 235 massacres were found to have been carried out by mentally ill people (Stone, 77) and 4% of all violence recorded in a year was carried out by people with more serious mental disorders (Swanson et al. 368); so, not only does this process not work, it’s useless as well. It stigmatizes mentally ill people and associates them with a predisposition to

Kimmy is presenting for “anger outbursts”, homicidal threats, and behavioral problems. The client reports these behaviors began eight months ago after the death of her mother. Her mother died in an auto accident, for which the children were not present. Kimmy has been hospitalized three times in the past 8 months for anger outburst towards her Uncle, older brother, and peers. She has made homicidal threats towards her older brother. Prior to her most

Imagine your psychosis was deteriorated so severely that you were harming yourself and needed treatment but denied due to your mental status. “J.S., a twenty-four-year-old male schizophrenic, has been taking antipsychotic medication regularly since the age of fourteen,” as stated in Cases in Bioethics from The Hastings Center Report by Carol Levine and Robert Vasch. “Four years ago he was admitted to private mental hospital where he was treated with moderately high doses of Prolixin, a powerful neuroleptic.” J.S started to experience symptoms and was diagnosed with tardive dyskinesia. Dr. James Robert Brasic who wrote on Medscape’s article on tardive dyskinesia, “Tardive dyskinesias (TDs) are involuntary movements of the tongue, lips, face,