Auditory Hallucinations

Mr. Davis is a 33 year old male who presented to the ED with homicidal ideation with a plan. Mr. Davis states he has a plan to go out in his yard with a machete and kill someone. Per documentation he states, "I'm going out into the yard with my machete and I am afraid I am going to kill someone. I feel really crazy." He states he has these thoughts towards anyone that does him wrong. At the time of the assessment Mr. Davis is asleep, however becomes awaken and 4x oriented by hearing his name called. He has a history of Bipolar. He denies current suicidal ideation, homicidal ideation, and visual hallucinations. He does endorse auditory hallucination. Mr. Davis reports hearing several people telling him things. He reports his outpatient provider is DayMark and he usually go there twice a month for his Depakote injections, however has not been there since

31 y/o AA male patient seen today for psychiatric-mental health assessment. He is awake, alert and oriented x4. He is calm, cooperative and follows commands during assessment. The patient reports he is depressed, difficulty sleeping and nightmares at night. The patient explained his depression is as a result of deep thinking from a news he received two days ago from his elder brother that his mother is ill. Stressors identified by the patient include losing his job a week ago before the news about his mother; his wife is 6-months pregnant with their first child, who currently works part-time at her present job; patient relates difficulty paying monthly bills and inability to provide adequately for his family as a man. The patient denies mood swings, suicidal/homicidal thoughts and ideation. Patient reports his spouse is at work at the moment and he does not want to put stress on his wife due to her current condition. Patient denies been hospitalized for depression or psychiatric illness; and denies family history of mental illness. Patient reports he is seeking help because he does not like feeling this way using terms of “helpless and loss of worth from his spouse”. Patient reports he needs help with his depression and nightmares before his current condition get out of hands and ruined his marriage.

The patient was admitted to the hospital by her daughter after discovering that she had abandoned her medication and was significantly experiencing adverse effects from the withdrawal. The patients’ medical history included renal dysfunction, anemia, malnourishment, back pain, and a family history of mental health. The patient has a psychiatric history of being previously placed in the same clinical structure eight months ago due to related issues including the failure to take her medication and increased levels of mental health conditions that led

Andy seems to be showing signs of psychosis. Immediately I saw that he was very paranoid and suspicious of the people around him. The content of what he is saying does not make sense as he is accusing his roommates of putting voices in his brain. He believes his roommates are out to get him and fears they are listening to him. I noticed that his eyes wonder and he lacks eye contact. He seems to have lost all relationship with reality and experiences auditory hallucinations. Andy states that the thoughts in his head are planted from his roommates which are being tracked through a device they placed in his brain. The patient seems to be confused and suspicious as to why his friends would do this to him. The delusions and hallucinations seem very

This paper reviews two studies on the effectiveness of group cognitive behavioural therapy (CBT) for individuals experiencing auditory hallucinations. The first study (Newton, Larkin, Melhuish, & Wykes, 2007) aims to elicit the positive and negative aspects of group CBT treatment by listening to the perspectives of young people undergoing such treatment. The second study (Penn et al. 2009) seeks to evaluate the effectiveness of group CBT for auditory hallucinations compared to an active control group of enhanced supportive therapy (ST).

The patient is a 12 year old female who presented to the ED with thoughts of self harm and cutting behaviors. The patient denies suicidal ideation, homicidal ideation, and symptoms of psychosis. The patient reports that she has been sad lately. Per- documentation the patient reports to peers at her school that she was trying to kill herself, which the school sent her to DayMark. Further, Daymak IVC the patient and requested further evaluation.

Pt presented at NNBHC with his mother with psychosis, and ritualistic behaviors that have increased. Pt states that he has been having audio and visual hallucinations at night where he hears whispers. Pt states of also seeing “clowns, demons, spirits and bigfoot”. Pt states when he has AV hallucinations that he counts to 2 or 4 and becomes fidgety which helps decrease the hallucinations. Pt also states that everything have to be on the left side due to him being left handed and nothing can be on the right side which makes him upset. Pt states that he has been having spells of confusion where he seems to lose time, or is often confused when communicating. Pt states that he has became recently aggressive towards mother throwing times due

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. Moore is a 24 year old male who presented to the ED with reports of experiencing depressive symptoms, vague suicidal ideation without a plan, and recent episodes of anxiety. At the time of the assessment Mr. Moore denies current suicidal ideation, homicidal ideation, and symptoms of psychosis. He reported to suicidal ideation would come and go, however never had a plan . Mr. Moore appears calm, cooperative and in good spirits during assessment. He reports a history of anxiety, depression, and emotional trauma by father at the age of 8 years old. Mr. Moore expressed he started noticing increase anxiety when he had to speak in large groups, present in school, driving, and engaging in social actives. He states, "Over the past 16 years my father has been out my live, when I was younger he would hit me if he felt I said anything out of line." Mr. Moore reports recent relationship issues and separation with his fiance. He reports due to him not engaging in many social actives his fiance has left him. He reports for many year going to Randolph Counseling Center for his anxiety. He reports positive results from services. Mr. Moore mention coming to the hospital last Thursday for his anxiety and bring prescribed a 30day supply of Ativan, which he reports has helped him become more stable when engaging in actives,like driving his mother's car. He reports depressive comes and goes depending on the mood he is in. He describes symptoms on occasion as feelings of

symptoms of delusions (Frank, 1998). According to Foster and Levinson (1998) this client has a

296.32 (F33.1) Major Depressive Disorder, recurrent episode, moderate severity, with anxious distress. Ms. Client meets eight of the nine diagnostic criteria for Major Depressive Disorder (MDD). Specifically, during several periods of time she experienced depressed mood, diminished interest in things she enjoyed to do, hypersomnia, psychomotor agitation, fatigue, feelings of worthlessness, decreased concentration, and suicidal thoughts without intent. Additionally, as Ms. Client expressed, these symptoms are source of continuing distress and interfere with her academics and social functioning. Also, her symptoms started four years prior to the psychological assessment and persisted intermittently since then, lasting for several weeks to several months, with the most recent period of extended length (enduring two weeks) approximately one year ago. Since the last episode she has experienced these symptoms for two to three days at a time. Although the last episode that met the criterion of two weeks duration occurred approximately a year ago, the symptoms have not disappeared, but they occur periodically since then and when they do, they cause considerable distress and impairment in functioning. Thus, the disorder cannot be coded as ‘in partial or full remission’. The specifier ‘with anxious distress’ was given, because Ms. Client reports feelings of difficulty in concentration because of worry and restlessness.

Psychiatric- patient is a little anxious about these new symptoms and their significance. We discussed her situation and I offered her psychologic services, she refused for now.

Symptoms vary based on the age of the patient. For adults, the symptoms include delusions, hallucinations, disorganized speech, extremely disorganized or abnormal motor behavior. Meanwhile, teenagers may experience withdrawal from friends and family, drop in performance at school, difficulty sleeping, depressed mood, and lack of motivation. Furthermore, teens are less likely to have delusions, but more likely to have visual

My patient’s name is Eddie Weinstein. He is a 55 year old, homosexual, single male. He has Bipolar II Disorder. This is a disorder where people have hypomanic and depressive episodes. He has a combination of both manic and depression symptoms and it was hard to tell what he had at first but I soon figured it out. His manic symptoms are: having a lot of energy, having trouble sleeping, becoming more active than usual, having increased activity levels, feeling agitated or irritable and thinking he can do a lot of things at once. His depression symptoms are: feeling tired and slowed down, having trouble remembering and concentrating, very little energy, sad, empty inside and thoughts about suicide and death.

: According to Criterion A, during a 1-month period (or less if treatment is successful), two or more of the following symptoms must be present: delusions, hallucinations, disorganized speech, grossly disorganized or catatonic behavior, negative symptoms. While a person needs to exhibit at least two of these symptoms, delusions, hallucinations, and/or disorganized speech must be present. Therefore, if a person is only experiencing grossly disorganized or catatonic behavior and negative symptoms, that individual does not meet the first diagnostic criteria. Consistent with Criterion B, since the onset of the disturbance, the individual’s level of functioning in at least one major area must be markedly below the level achieved prior to onset.