Disturbed Sensory Perception

1. describes how a range of factors have a negative and positive impact on individuals with sensory loss.

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

Susannah Cahalan, a 24 year old, healthy and successful journalist for the New York post, experienced an acute onset of psychosis. Symptoms ranged from paranoia to seizures, which eventually led to a catatonic state. The onset of the female’s symptoms occurred when she became paranoid of a bed bug infestation in her home, yet after having her home exterminated there was no indication of bedbugs. Concern arose from her nonexistent appetite and severe insomniac behaviors. She began noticing her own erratic behaviors and shortly after experienced her first seizure episode. In search of an answer to reoccurring seizures she went to a physician who put her on Keppra (an antiseizure medication) and warned her the symptoms were due to stress and heavy drinking. The increasing paranoia developed into hallucinations, people plotting against her or speaking poorly of her. EEG and MRI results exhibited normal results; further indicating stress and alcohol withdraw. After being admitted to the NYU medical school EEG monitoring floor, examination showed tangential, disorganized, and temperamental behaviors. Several escape attempts later, placed Susannah in the more difficult patients category. Doctors suggested conditions such as schizophrenia, bipolar disorder, and cancer. She exhibited abnormally high blood pressure pointing to extreme concern.

The cognitive explanation acknowledges the role of biological factors in schizophrenia, suggesting that the basis of the condition is abnormal brain activity producing visual and auditory hallucinations. Further features of the disorder emerge as people try to make sense of the hallucinations.

Practical things you can do to improve peoples quality of life and independence, such as effective lighting & design, making sure the environment makes the most of sight and light. Supporting people to wear appropriate spectacles. Having the same carers to provide continuity to help getting to know them well.

The patient, a thirty-three year old female singer, is having difficulty sleeping, simple activities like getting groceries tire the patient easy, complains of neck pain, and cannot concentrate. The patient experiences worry and anxiety. However, when asked about what specifically, many things were brought up but none were more important than the other.

Hearing and sight loss aren’t an obvious disability so people may not be aware that the individual has this difficulty and may judge them wrongly. A lack of knowledge can lead people to be prejudice and discriminate against the individual. Sometimes people talk down to them as if they are stupid or talk to the person they are with which can make them feel ignored and worthless. It can also have the opposite effect where people want to everything for the

Auditory Processing Disorders, also known as Central Processing Disorders, are difficulties in the processing of auditory information in the central nervous system. The definition for an Auditory Processing Disorder is frequently changing and evolving. According to ASHA standards in 2005, a “central processing disorder refers to difficulties in the perceptual processing of auditory information in the central nervous system and the neurobiological activity that underlies the processing and gives rise to the electrophysiological auditory potentials (ASHA 2005).” Recent evidence has declared auditory processing disorders to be a legitimate clinical disorder resulting from confirmation of the link between well-defined lesions of the central nervous system and deficits on behavioral and electrophysiological central auditory measures (Musiek, F. Journal of American Academy of Audiology). An individual is likely to perform normally in tests including clicks and tones, rather than speech. There is a significant difference between the receptors for audition and speech processing. It is imperative that these disorders are diagnosed and treated early in a child’s development to eliminate developmental negative consequences.

When people have any sensory loss, then their mobility and communication are greatly affected. This can lead to increased loneliness and even isolation in some cases.

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

The Mayo Clinic has said that having delusional thoughts, hallucinations and paranoia are symptoms of mental illness, which multiple characters aside from McMurphy parade within the ward. Although, the Chief is very deceiving of his character when he acts like he’s deaf and dumb in front of everybody but in reality isn’t, Chief stills displays signs of insanity. Chief is always having these hallucinations about the fog and is detached from reality when he thinks about things like the combine (Kessey). Hallucinations involve sensing things while awake that appear to be real, but are just thoughts created by the mind (U.S. National Library of Medicine). Harding conveys major paranoia which is his reasoning for being

Researchers went on to discover that an extreme life even or a significant amount of anxiety was a major factor in the emergence of negative auditory hallucinations. While this is true for many sufferers of schizophrenia, Lori did not report any history of abuse or extreme anxiety before her emergence of symptoms. In fact she grew up in a caring and loving environment. The most popular held perspective though is not caused by environment but is rather biological, this theory is called the medical model. The model views mental illness as an issue of brain chemistry rather than caused by childhood trauma or abuse. The model also views the solution as a chemical one, otherwise known as prescription medications (Shorto, 1999). Since Lori experienced very little anxiety and was a happy child and adolescent growing up, her story speaks more the medical model. According to Thomas, Bracken, and Leudar (2004), “Most people who hear voices, whether in schizophrenia or as part of a bereavement reaction, struggle to make sense of the experience” (p. 22). One of Lori’s major turning points to getting better was recognizing she was ill and that the voices were the inner workings of her brain conveying her worsts fears to her.

Multiple regression analysis was run to predict hallucination history from source monitoring variables; speak vs. hear and imagine vs. hear. The model statistically significantly predicted hallucination history, F(2, 177) = 171.7, p < .000, adj. R2 = 65.6%. All variables added statistically significantly to the prediction, p < .05

The insulin shock therapy was hard to watch because he had to have the injections five times a week for ten weeks with the shock treatments. When he was finally able to come home, he was just on oral medication. After a while, he decided on his own to stop taking the medications and the hallucinations returned to his mind. He has a moment of clarity, because he realizes one of his hallucinations can’t be real because she never ages. He returns to the hospital on his own and receives additional therapy. At this point in his illness, he chooses to ignore the hallucinations and not feed into them so that he is able to go back to work to some degree. I agree and disagree with the treatment that Nash received. I think the insulin shock therapy probably could have been discarded as it seemed the medicines he was on when he came out worked fine. I do think that he needed a caretaker to make sure that he took his medicine, instead of like his wife in the movie, giving it to him and walking away. She was entrusted with his care when released from the hospital, so must show some accountability to make sure he takes the medication. Cognitive-behavioral psychotherapy has been shown to be the most promising in helping patients with this disease (Franklin, 2004). I think with his treatment, it would have been beneficial to have some type of cognitive and behavioral management skills that would teach him how to

Typically, it is thought that doctors and the rest of the staff at health care facilities are trustworthy. However, Robbie’s neurologist, Dr. Abbasac, proves this thought wrong. Robbie’s condition got worse while being under her supervision, because she kept changing the treatment and increasing the dose of the medications. Due to the doctor’s actions, Robbie’s seizures became more frequent and lasted longer. He also started getting skin rashes, and his behavior was dramatically changed.