Homicidal Ideation: A Case Study

When most people hear the word psychopath their mind forms a picture of a wild-eyed, rambling, lunatic who is often restrained in a straitjacket. The media has helped this belief along the way with slasher horror films and grisly CSI episodes depict these strange humans. However, the average psychopath is much harder to spot than most people believe. In fact, most of them are extremely difficult to distinguish from ordinary humans. They outwardly appear normal and many do not find it difficult to blend into common society. They can interact with others, hold successful jobs, and effectively keep themselves out of trouble. Most are not the sadistic killers many people think they are. Psychopaths are people born with problems (Bartol 105) or

During my psychiatric clinical rotation at Carney Hospital I had the opportunity to help run group therapy’s where I was able to understand some of the patients better. During this time I was also able to learn more about my patient F.S. The patient is a fifty-two-year-old divorced Chinese woman with a lengthy history of bipolar disorder and a persistent associative history of schizophrenia and attempts at suicide. The patient has one daughter that is 24 years old who noticed F.S. was throwing her pills down the toilet and hiding them in her pockets so she didn’t have to take them. . During her admission, the patient displayed increased levels of incredible energy and mood activities, an approach that was thought to have been instigated by the worsening of her health condition.

Felicia Allen is a 32 year old woman, who was initially brought into therapy after an attempt to steal a bus. Due to her reported “emotionally disturbed” nature, this consult became a priority. The police report states that Ms. Allen pulled out a knife, and threatened the driver after the driver declined her dollar bills. She then took control of the bus, and crashed it across the street. Upon our meeting, Ms. Allen was fidgety, and swayed back and forth all the while mumbling to herself. If she were questioned, she would look up and say “Sorry, sorry.” As far as patient history goes, Ms. Allen started hearing voices when she was 5 years old. These auditory hallucinations were mostly composed of critical, disparaging voices that made comments on her actions and behaviors. Her severe symptoms led her to be hospitalized fairly consistently since she was 11. Ever since she was young, she has been driven to please, and has a strong desire to be independent. Felicia has been prescribed clozapine for 1 calendar year, which helped her auditory hallucinations a great deal. Given the above symptoms and information, I have diagnosed Felicia Allen with schizophrenia.

Mr. Gillespie is a 21 year old male who presented to the ED after an intentional overdose on 20 600mg of Gabapentin. Per documentation from ED staff Mr. Gillespie reported he became angry at his grandmother tonight and tried to "prove a point." Mr. Gillespe reported to staff threatened to overdose on his on pills, however dumped them in the toilet. He expressed after making threats to overdose on his prescribed Celexa did not phase his grandmother, he proceeded to take her Gabapentin. Per documentation Mr. Gillespe has been living with grandmother for 2 weeks and before that was living with his mother in Cary. At the time of the assessment Mr. Gillespie was calm and cooperative. He denies current suicidal ideation, homicidal ideation, and symptoms of psychosis. He appears guarded during the assessment. He reports tonight his grandmother and he got into an argument over him getting a job. He reports his grandmother informed him he has to be out by Friday. Mr. Gillespe denies history of self harm. He

This literature review focuses on serial killers from a psychological viewpoint while trying to answer the question, “Are serial killers born to kill or are they bred to kill?” Firstly, this review will define a serial killer and the different kinds of killers, then it will take a look at different case studies of children who fantasized about mass killing and identify similarities between the cases attempt to find a way to possibly prevent their fantasies from becoming reality. The debate of nature vs. nurture is also discussed as psychologists and researchers come to the conclusion that environmental factors play a bigger role in the developmental character of a person than genetics, but there is still no definite answer as to why some individuals grow up with the urge to murder other people and/or animals.

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

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.

In NURS 279, I had the privilege of caring for a patient in his late 20’s who had newly been diagnosed with schizophreniform disorder, after having a “break down”. The main symptoms he had experienced over the few months pre-hospitalization included delusions of religious grandiosity and audio/visual hallucinations and the reason it took months before hospitalization is because he was living out of province, away from his family and mostly in social isolation, though his parents noticed a change in behaviour over the phone calls they shared. He became my patient 2 weeks after his admission, at a point where he had accepted his diagnosis and had control over his symptoms in a controlled environment, however, was med noncompliant, as he

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

N.G. was a 43-year-old Russian female who was admitted to Palomar’s Downtown Behavioral Unit (BHU) on Monday 10/10/16. The patient’s reason for admission was that she was brought in by the San Diego Police Department on a 5150. She was being held on a 72-hour psychiatric hold for being a danger to others where she was making threats to hurt her mom. She has had a long history of treatment for her Schizophrenia that she was diagnosed with as a child. When she arrived to the BHU she had symptoms of a mood disturbances, including decreased sleep, increased energy, agitation, anxiety, and aggression.

a 44 year old Divorced African Male came into Henry Ford Hospital ED as a walk-in and told the HFHS staff that he was having mental health issues he does still struggle with depression and anxiety. The consumer stated that he initially went into the hospital after his brother was shot twice in the head. At that time the client reports that he was placed on Risperdal, while at Kingswood in January, and he became a zombie at that time. He stated that he has been in and of the hospital multiple times since then, and each time, he has been placed on Risperdal and he doesn't feel that his meds were ever adjusted correctly.

Paranoid Schizophrenia can come on quick suddenly and disrupt a person’s normal daily functions. People suffering from paranoid schizophrenia prominently experience delusions and hallucinations. Some individuals can be predisposed to schizophrenia due to cortical atrophy hypothesis or the dopamine hypothesis. Cortical atrophy hypothesis believes that the patient’s brain size can cause schizophrenia, while the dopamine hypothesis argues that levels of dopamine in the brain are directly related to the onset of schizophrenia.

The counselor informed the writer he had homicidal ideations. The writer spoke to him about case management resources. The writer provided him with the phone numbers to Oasis, Beaver Dam Police Department, and Adult Protection Services.

Jim is a 30 yr. old white male, he arrived via transport form Metro State Hospital. Where he was originally a patient since 2009. Jim main complaint was drug use and hearing voices, but he claims it’s for his drug use is the reason why he is here to see me. I asked to describe what is happening he stated I hear voices that are very derogatory and always put me down. They are mostly from people that I know who are either currently alive or dead. I know that my drug use is what caused me to start hearing these voices and I know that they are not real so I try to ignore them as much as possible.” I advised Jim that we will do the best to get him better. I excused myself and went to to see his admitting records. Patient admitted into Aurora Charter Oak Hospital on 04/27/2016. Admitting interview showed that Jim is a risk for injury related to schizophrenia as evidenced by history of suicidal ideations, self-harm, and occasional command hallucinations to induce self-harm. A memo in his transfer file from discharge nurse reads as follows, Altered thought related to schizophrenia as evidenced by the client staying in his room, timid behavior, few friends, derogatory auditory hallucinations, visual hallucinations, self-harm, and paranoid symptoms. After review of his brief history I am leaning to agree that Jim has been diagnosed correctly. Jim’s previous doctors and counselors all have come to a diagnosis of schizoaffective disorder and with Criteria A, B, and C being met as well.

After meeting with your client on several occasions in the Baltimore City Correctional facility, I have diagnosed him with Schizophrenia, Bipolar, OCD, Anti Personality Disorder, and General Anxiety Disorder on the grounds of the following hearing things that are not there which is a sign of schizophrenia. The man also obsessed over the old man's eye, he was also obsessed about not being crazy. And he watched the man sleep at the same time every night for seven nights these are signs of OCD. The man also showed signs of Bipolar Disorder like not needing to sleep as much as normal and when he heard the heartbeat of the old man he had a manic episode. The man also had General Anxiety Disorder like in the old man's room, his heart beat