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Psychology Case Study

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Brian was quite thought disordered and somewhat guarded. He had significant psychomotor retardation and was largely incoherent. People with psychomotor retardation move, speak, react, and usually think more slowly than normal. This can manifest in a variety of ways, largely depending on the severity of the impairment. An affected person's speech is noticeably slow and may be punctuated by long pauses or losing the train of thought (Purse, 2017). He was observed gesturing throughout the assessment and told me he was “talking to the devil”. He did not answer me when I asked him whether he was suicidal or not.
Sleep: Brian said he sleeps intermittently throughout the day and night but wakes up shouting and saying the devil is talking to him. …show more content…

I explained to Brian and his wife by treating him at home we are using the lease restrictive option and discussed the option of admission should home treatment not be suitable for him.
MDT planning:
Following my Assessment, I brought to the team for discussion and planning and was agreed by the team that Brian has deteriorated in his mental health. Our team consultant has recommended starting him on Amisulpride 50mg in addition to Mirtazapine 30mg in the process of titration, determining the medication dose to reduce symptoms to the greatest possible degree while avoiding possible side effects). (Low, 2017). Amisulpride is an antipsychotic medication for the treatments of schizophrenic disorders such as delusions, hallucinations, thought disorders, blunted affects. Mirtazapine is an antidepressant used to treat major depressive disorder, Legal categories POM. (medicines.org.uk/me/medicine). Brian to be given the medication leaflet and also check any allergies. Brian to consult his GP for his physical health issue.
Upon discussion with the team in regards of Brian’s current issues, a treatment plan has been structured such as, daily home visit to supervise his medication, to monitor his mental state and to manage risk behaviour. Weekly medical review by the team doctor to be arranged and the pharmacist to provide psycho-education prior to Brian commencing his

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