S: Jani describes having imaginary friends that are good and bad and her names are related to numbers. The good ones are her friends and she talks with them constantly. The bad ones tell her to do “bad things” that she feels must do if not they will hit her until she does. Her father explain how difficult it has been for the whole family and the difficult decision of separation Jani and her brother because they were scared she will hurt the baby. Living apart has made life difficult for the family and a big financial stressor.
O: Client seems healthy and clean. There is redness around the eyes that can be contributed to her lack of sleep. Jani seems healthy and likes to do normal activities like swimming, playing at the park, and using a scooter. Jani has not friends; she prefers the company to her imaginary friends and talk to them. It is hard for her to stay still in one place and moves her head constantly. She experience violent episodes towards her brother who had to be removed from the apartment into another apartment.
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Diagnose Criteria
Schizophrenia 295.90 (F20.9)
A. Two (or more) of the following, each present for a significant portion of time during a 1 month period (or less if successfully treated). At least one of these must be (1), (2), or (3):
1. Delusions
Jani believes her imaginary friends that are bad will hurt her if she does not do what she is told by them.
2. Hallucinations
Jani has many imaginary friends that talk to her and play with her.
3. Disorganized speech
Jani goes to one topic to the
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
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.
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
Client is a 35 year old African American female with an 12th grade education level who presented with signs and symptoms of forgetfulness, depression, severe anxiety, stress, uncontrollable mood swings and difficulty making decisions. During the assessment, the client struggled with bouts of crying triggered by memories of her past. The client was recently hospitalized at VCU Hospital for signs and symptoms related to a panic attack. The client has been given the diagnosis of Major Depressive and Anxiety. The client has been prescribed Prozac. Currently the client does not have a PCP or psychiatrist.
Ms. Deyo is a 35 year old Caucasian female who was referred to MCM by Stephanie Antkowiak from the Arc of High Point. Ms. Antkowiak contacted MCM with concern for Ms. Deyo expressing today she was ready to end her life. MCM Dispatcher contacted Ms. Deyo who denies suicidal ideation, homicidal ideation, and symptoms of psychosis. Ms. Deyo reported what she said to Ms. Antkowiak was taking the wrong way. She reported having a lack of supports, is experiencing chronic pain, and trying to receive services. QP responded to call to see what services may be available to assist Ms. Deyo in her crisis.
The most important skill that I have learned this practicum. Is term is that we should not give up client that have schizophrenia disorder. The disease of schizophrenia disorder is a treatable disease, it has to be treated with an eclectic approach. I also learn that the law surrounding obtaining a CPS contract has changed. I gain insight into how to bill Medicaid as a provider and that you have to be a provider for the different insurance plan inside of the Medicaid provider network I was providing insight into how bill a CPS and how to become a CPS provider. We discuss making sure you have all documentation from CPS before you meet with the client because if you do not she could lose money and end up not getting paid for the services you
1. I do not believe John is responsible due to his intellectual disability. He probably has never seen or even touched a gun before and was curious to what it would actually do. Obviously, John did not know what he was doing.
The True Life episode, I have Schizophrenia, documented the struggles of three adults who suffer from Schizophrenia and Schizoaffective disorder. This paper will focus around Josh and whether he actually has Schizophrenia.
This research looks at the disadvantages of pediatric patients with schizophrenia taking neuroleptic (nerve-seizing) or antipsychotic medications. The goal is to show the risks factors pertaining to the drugs and other alternatives to reduce the risk of causing a young child’s life into a dull and zombie one. This has been done by researching data and life experiences such as Morgan Luck and her mother Danielle examination with early-onset schizophrenia (EOS) and the applications that it involves. Most prior research focuses on the disorder, costs, and alternatives. This case example show how medications for such disorder is not helping but, more than affecting the child’s life for a worse outcome.
Thank for the reply to part one of this assignment. After much consideration, it was necessary to include the alcoholism in the diagnosis. This was great critical thinking on your behalf. Dr. Burks provided information that guided my thinking to abuse use disorder. CW smells of alcohol, drinks 24 ounces 4 to 6 times a week, and has been described by his son as acting “strange”. He has an important history of paranoid schizophrenia with mania noted in the physical examination. To this end, a plan was formulated for CW using the differential diagnosis of alcohol use disorder.
Schizophrenia is a word that, when brought up, can be paired with associations such as unstable people, people that hear voices, or social isolation. Schizophrenia literally means “split brain” because of the severe mental disturbances that cause a person's thoughts, speech, and behavior to become distorted or interrupted. (Veague) According to the National Institute of Mental Health, only one percent of the population world wide and 2.2 million people in the United States are currently living with this disease. UXL Complete Health Source states that Schizophrenic patients tend to not be capable of understanding signals they receive from the outside world and interpret images or conversations very different from what they really are. I believe
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,
A person with schizoaffective disorder has severe changes in mood and some of the psychotic symptoms of schizophrenia, such as hallucinations, delusions, and disorganized thinking. Psychotic symptoms in schizoaffective disorder occur even when mood symptoms are no longer present, and reflect the person's inability to tell what is real from what is imagined. Symptoms of schizoaffective disorder may vary greatly from one person to the next and may be mild or severe.
Once a time, one of my friend, Nagina (client), while she was returning from her father in law’s home became mentally disturbed and get ride off from running train.
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