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James Schizophrenia Case Study

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To begin James is described as someone that in our society today would be considered “pathetic”, due to the fact that he is a 28-year-old man that still lives with his parents, plays video games all day long, and has “friends” on the other side of his ear piece that he has never seen or interacted with outside of his gaming world. With this case study of James, my primary diagnosis for him would be that he is going through Schizophrenia. This is a severe disorder that is associated with some observable and apparent traits that can be seen, both mentally and physically. Schizophrenia is described to involve “…extreme oddities in perception, thinking, action, sense of self..” which are some of the symptoms seen with James and the way he interacts …show more content…

It is said that this disorder involves when an individual has “…intense sexual urges or fantasies about sexual activity with a prepubertal child.” It is not necessary that the individual act on their actions, which we see in the case study with James he does not act on his feelings; although it is not completely evident that he is suffering from pedophilia, there are some evidence that can support that he is. In the DSM-5 it is said that people with this disorder go for children who are 13 years or younger, and their “sexual urges or fantasies” usually cause interpersonal difficulty. The most predominant evidence is his parents saying that they hear noises coming from his bedroom that sound like children, and with that they believe that he may be watching child pornography and possibly masturbating to it. It is especially weird that when his parents ask him a question he has a hard time sticking to a conversation, instead he “trails off”. Another important aspect is that since he may have this disorder which involves children and his overuse of playing video games…it is obvious that children are more prone to playing video games, and the voices that he hears on the other side of his XBOX could possibly be children that he talks to and tries to be friends with. As my differential diagnosis I would choose Pedophilic Disorder to be my second …show more content…

Although I believe therapy treatments would more of an affect on him, because not everything needs medication. With the therapies that I would consider using I would use cognitive and behavioural therapy. Due to him having negative feelings towards his parents and him thinking that they are plotting against him, I would cognitive therapy. This will help him in one on one training with the therapist, where they can focus intensively on replacing his negatively distorted thoughts into more of a positive, friendly mindset. When it comes to behaviour therapy, which is commonly used to treat behaviour patterns in order to help individuals affected with a disorder to hopefully be able to break their unhealthy streak. Considering that many of James actions and thoughts are shown as negative and unusual ones this will be a very helpful aspect in getting the proper assistance he needs. And I would also include some self-care tips for his family, in order to help them know some of the steps that can be taken on their part to help their son get on a more “normal”

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