According to the information provided in this case, and considering all the signs and symptoms presented by the patient, Ms. Neighbors meets the DSM-5 diagnostic criteria for schizophreniform disorder.
Based on the information provided by the patient’s sister, and aligning the symptoms, the behavior, and the patient’s history to the diagnostic criteria of the DSM-5, the patient meets all diagnostic criteria for schizophreniform disorder. According to criterion A, the patient should experience the same characteristic symptoms of schizophrenia. In other words, the individual should experience two or more symptoms of delusions, hallucinations, or disorganized speech. In addition to possible events of disorganized behavior, and negative
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In addition, and looking at the diagnostic criteria (Criterion B) of schizophreniform disorder, the total duration of the illness should last for more than a month, but less than 6 months. For instance, Ms’ Neighbors’ symptoms lasted for less than 6 months. As described, her symptoms began 3 months ago after she lost her job. However, after receiving medical treatment, and finding a new job, her symptoms were gone and she was back to her normal life routine.
Furthermore, and based on criterion C and D of schizophreniform disorder, other disorders and conditions must be ruled out before determining the final diagnosis. For instance, the patient should not meet all criteria to be diagnosed with schizoaffective disorder and depressive or bipolar with psychotic features, as well as not being caused the effects of a substance (drug abuse or medication) or another medical condition. Based on this, before classifying the patient’s symptoms, other mental disorders need to be ruled out. In this particular case, the client could also have been diagnosed with delusional disorder or schizophrenia.
As mentioned by the diagnostic criteria of the DSM-5 for delusional disorder, individuals must experience one or more delusions with a duration of a month
The patient meets the criteria for 295.90 Schizophrenia. The patient’s symptoms consist of delusions, hallucinations, psychosis, and impulsive.
Additional, inferences about the disorder are provided by Whitcomb and Merrell (2013). The authors characterize the symptoms of schizophrenia as delusions that are “typically bizarre and implausible” and pronounced hallucinations such as hearing voices for long periods of time (p. 363). Additional, impairments noted by the authors include “severe disturbances in perception, thought and affect, a severe decline in personal and social functioning, poor personal hygiene, inability to function effectively at school or work, and a severe impairment in social relationships” (Whitcomb and Merrell, 2013 p.363).
Schizophrenia is a disease that has plagued societies around the world for centuries, although it was not given its formal name until 1911. It is characterized by the presence of positive and negative symptoms. Positive symptoms are so named because of the presence of altered behaviors, such as delusions, hallucinations (usually auditory), extreme emotions, excited motor activity, and incoherent thoughts and speech. (1,2) In contrast, negative symptoms are described as a lack of behaviors, such as emotion, speech, social interaction, and action. (1,2) These symptoms are by no means concrete. Not all schizophrenic patients will exhibit all or even a majority of these symptoms, and there is some
Delusions are one of the most common symptoms to schizophrenia. Delusions are false beliefs that the patient believes is true. An example is when the patient believes someone is following them or “out to get them”. Just like schizophrenia, delusions also have subtypes. The first subtype is erotomanic which is when they believe that someone is in love with them and they will go through many obstacles just to try to contact them. The next subtype is grandiose. Grandiose is when the person believes that they are famous or have a lot of power over others. The persecution subtype is when they feel that someone is against them or spreading rumors about them. The forth subtype is jealousy, and is when the patient believes that their spouse isn’t being committed to the relationship. The final subtype to delusions is somatic. The patient believes that there is
Any discussion of this mental health diagnoses should begin with a look into what is meant by the term “schizophrenia,” since the definition is not as clear as the popular use of the term would necessarily lead one to believe. For example. Tan, Callicott, and Weinberger (2008) call it a “symptom constellation” that includes such things as hallucinations, delusions, thought disorganization, panic
Schizophrenia is known to be a devastating brain disorder that negatively affects many aspects of a person’s life, such as; thinking, language, emotions, social behavior, and ability to perceive reality (Varcarolis, 2010). Due to the high comorbidity of schizophrenia, patients often suffer from multiple disorders, when a mood disorder, such as mania, or depression, coexists with the schizophrenia, it is known as a schizoaffective disorder. Patient, A.S., is diagnosed with schizoaffective disorder due to her hallucinations, her manic state and paranoia. The purpose of this paper is to form an individualized Care Plan for A.S. in accord with the evidence-based practice and clinical manifestations. It will include the patient’s history (past and present) along with the appropriate interventions. In the paper we will discuss schizoaffective disorder as well as well as the symptoms, thoughts, and actions of a schizoaffective person. Furthermore, the pathophysiology of schizophrenia will be explained thoroughly, followed with the medications and interventions used for this disorder. The hope is to better understand the aspects of schizoaffective disorder and its manifestations, so one better care for a patient with such a disease.
Delusions are false unshakable beliefs while hallucinations are incorrect perceptions of events or objects involving senses. Thought disorders (aka disorganized thinking) are dysfunctional ways of thinking that causes a person to talk in a garbled sort of way. In addition, patients with this disorder can make up meaningless words or “neologisms.” Movement disorders can appear as agitated body movements. People that are affected with this disorder may repeat certain motions over and over. It can become so extreme that the person may become catatonic or be in a state in which he or she does not move nor respond to others. If I were to be in such a state, I would not want to have anyone trying to keep me alive because my true self wouldn 't be acknowledged.
About a third of schizophrenics are diagnosed with paranoid schizophrenia. Paranoid schizophrenia is when the patient has delusions or false beliefs such as hallucinations, feeling of persecution, grandiosity. Grandiosity is a delusion of grandeur, such as seeing yourself as an amazing painter, but in reality you are not (Comer). Disorganized schizophrenia or hebephrenia is when a patient has delusions/hallucinations and psychomotor symptoms (Comor). Psychomotor poverty is poor speech, lack of spontaneous movement, and blunted emotion. Disorganized schizophrenia is considered to be one of the most severe schizophrenia types, because patients have extreme difficulty performing daily tasks. Catatonic schizophrenia includes two extremes of behavior. In one extreme the patient will not speak, move, or respond. They’ll often hold a rigid waxy position. At the other extreme the patient will be hyperactive, overexcited, and mimic sounds (echolalia). Undifferentiated schizophrenia is when a patient has the characteristics of schizophrenia but does not meet the specific criteria of paranoid, disorganized, or catatonic subtypes. Residual schizophrenia is when a patient has one acute episode of schizophrenia, but do not currently have strong positive psychotic
In order to be diagnosed with schizoaffective disorder one must meet specific criteria that the DSM-5 clearly outlines. In order to be diagnosed with schizoaffective disorder one must meet a number of negative and positive symptoms associated with schizophrenia, these negative symptoms include: false beliefs that are not based in reality, alteration in sensory perceptions, alteration in thought processes, abnormal motor behavior, and a range of symptoms that reduce the person’s ability to function properly (American Psychiatric Association, 2013; National Alliance on Mental Illness, 2016; National Library of Medicine, 2014). In addition to the negative and positive symptoms, the alterations in thought processes and sensory perceptions must not occur concurrently with a mood episode for more than two weeks in the course of the disturbance (APA, 2013). It is crucial that the mood occurrence exists for the entire disturbance including when the symptoms are active and when the symptoms are less prominent (APA, 2013). Lastly, the symptoms experienced must not be caused by substance induced psychosis or any other external factors (APA, 2013). According to the American Psychiatric Association (2013) the disorder must include either a manic or a depressive type specifier. Also, in writing out the diagnosis the health care professional must include if the disturbance is the initial episode or one of numerous episodes (APA, 2013). Health care professionals must also identify if the
Ms. Churchill displayed signs and symptoms of schizoaffective disorder that did include, increased activity, rapid or racing thoughts, increased and/or rapid talking, little need for sleep, inflated self-esteem, , agitation and distractibility. Ms. Churchill also seem to experience disorganized thinking, odd and unusual behavior. Ms. Churchill could be diagnosis with a schizoaffective disorder, she is a person that has periods of mental health illness and has, at some point, an episode of mania, major depression or a mix of both, while she also have symptoms and signs of
To be able to participate in the study the patient had meet a criteria. They couldn’t have a significant cardiovascular, neuromuscular and endocrine or other somatic disorder. They were also excluded if the psychiatrics there evaluated the schizophrenic patient as unwell, meaning the patient could not provide informed consent. The last prerequisite for the patient was to have a mini mental score higher or equal to 22. A total of 51 patients were considered eligible. Twenty from those fifty-one were excluded because they did not meet the criteria. At the end the outcome was thirty-one patients. Twenty-five of those patients were male and the remaining six were females. Their age ranged from fourteen years old to sixty years old.
My assessment for John is Schizoaffective Disorder (Depressive Type) because I personally believe that he is illustrating both depression and schizophrenia related symptoms. When we carefully look into John’s case, the summary itself reports that he has been in good health for the last five years except for a few episodes of depression, which was treated with tricyclic antidepressants and supportive psychotherapy. Therefore, we already now that he has a history of depression. Although the summary doesn’t indicate how long this treatment lasted, we can make few assumptions
Psychiatrists recognize a variety of personality disorders based on different patterns of behavior and cognition. While all such conditions are distinguished by general negative influence on a person’s life, each of them is characterized by a specific set of symptoms. The purpose of this paper is to describe schizoid personality disorder.
Schizoaffective disorder is a rare disorder marked by psychosis and mood swings. According to the DSM-5 (2013), the typical age of onset for schizoaffective disorder is early adulthood, which is consistent with 24-year-old Susannah. The lifetime prevalence of schizoaffective disorder sits at the almost nonexistent number of 0.3%. This explained why Susannah’s doctors had a difficult time determining her illness. Her doctors misinterpreted her symptoms, attributing them to a wide spectrum of problems and disorders: mononucleosis, alcohol withdrawal, dissociative identity disorder and bipolar disorder. However, none of these problems account for all (or most) of Susannah’s symptoms.
Schizophrenia is categorised as a psychotic disorder. Psychosis-a general word that is usually used as the psychotic illnesses syndromes-affects people’s thoughts, speech and sense of reality. Most psychotic patients experience unusual emotions and” abnormalities in mood” as well as difficulties with sleeping (Larson, Walker and Compton, 2010). Early signs of Schizophrenia such as having troubles in understanding and language, being more nervous and bored can be observed in the prodromal period, which is the period before the onset of the disease that some subclinical signs and symptoms appear in. This period can take from a few weeks in some subjects to several years in some others and most of them experience it in the age of 15-25 (Larson, Walker and Compton, 2010).