Visual Hallucination: A Case Study

Recently, I completed a psychosocial assessment on a patient in the PHRM/ISS program. She was 21 years old, pregnant with her fifth child. When she initially walked in she seemed pleasant. Then, before we could get started she received a phone call. She politely asked could she step out and of course I said sure. Immediately, after she walked back in she seemed anxious and annoyed as evidence by her frowning and checking her phone every minute. Then, she would continue to say yes and not pay attention to the questions that I was asking. After a while, this began to bother me. This is because I would ask her a question and she would not answer or ask me to repeat myself. Then, she made a comment stating that “it does not matter and she was ready to go because she was upset.” At that moment, I knew that I needed to take an assertive stance.

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

appeared her stated age and appeared in good health. She was in no acute distress. She was alert, satisfactorily groomed, and casually dressed. She was cooperative and appropriate in the meeting. She had normal motor activity, with no unusual gestures or mannerisms. She made eye contact appropriately. her affect was appropriate. Client ambulates with a cane. She was oriented to person, place, time and situation. She denied suicidal or homicidal ideation.

The patient was a female on her 80s who was admitted to the hospital because of the COPD exacerbation. She had a history of stroke with minor residual effects, smoking, hypertension, and schizoaffective disorder - a chronic mental condition that is manifested mainly by the symptoms of schizophrenia, such as hallucinations or delusions, and mood disorder symptoms like manic or depressive episodes (NAMI, 2017). Patient length of stay was more than 300 days. She had two daughters who visited her everyday.

At 1005 this clinician made contact with the patients CPS caseworker who reports he was scheduled to meet with the son at his daycare. He reports he met with her roommate who made him aware the patient was taken away from the home by ambulance. In addition, the roommate also reported

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

Mr. Saunders is a 60 year old male who presented to the ED via LEO under petition by his niece, Rachelle, for allegedly putting a gun into his mouth, him putting a gun in another individuals mouth called "legs", and increasing alcohol consumption. At the time of the assessment Mr. Saunders is calm and cooperative. He denies suicidal ideation, homicidal ideation, and symptoms of psychosis. Mr. Saunders reports he has been depressed for several months and has been binge drinking alcohol. He reports relational issues with his wife has been the primary stressor contributing to his distress. He express feelings of hopelessness, worthlessness, irritability, and isolation. He does admit to informing a friend, William, he see no reason to leave if he can not be with his wife. Patient does not appear to be exhibiting signs of agitation,

The patient reports DCF was called against her by an anomoymous caller, who reports that the patient had drugs in the car in the present of her child. The patient was emotional and blames her boyfriend mother, who the patient reports has an vendetta against her. When asked by this writer for more details and the patient reponse was, " I do not know. She's mad that her son is not talking to her......His family does not treat him good." The patient signed a ROI in the event that DCF was to call. The patient does not want her UDS results to be revealed only her pressence in treatment and dose history.

Since I have last seen the patient, she tells me she has been to see [Mary Bluen at Orchard Park in Portsmouth.] She has been seeing her in counseling now for the last six to seven weeks and her next appointment is tomorrow. She says she has been struggling lately with her feelings. She established a relationship with a superior at work who is married and she herself is married. She says this is something that she is trying to work through to figure out why she is making these choices. Her plan is to ultimately end her marriage. She is not sure if she will continue to see this male at work again or not. She is just not sure what her choices are. She said on top of all of this, she just found out today that she has been given a 90 day noticed, so she is not sure if she will even be able to keep the same job and she is fairly certain that this is follow

During the interview, J.F. was compliant and cooperative. On examination, there were no indications of abnormal movements or tremor. The patient was clean on appearance, as he appeared well groomed and dressed. He was not restrained to his bed. He upheld eye contact and continued to converse with the interviewer with no signs of being distracted, excluding moments when describing the story of his mother’s passing. Then, he appeared depressed. He answered questions appropriately at a normal speed and rate. He spoke ordinarily and normally throughout the interview. J.F. voiced himself openly. He was able to answer all the questions directly, and was able to recall his past without difficulties. There were no signs of trouble regarding expressing sensitive topics from his past. However, like stated beforehand, J.F. was depressed when talking about his mother. He felt hopeless and shared that this is one of the factors that led

CM was out on vacation for the period of 5/2/2016 to 5/9/2016. On 5/19/2016, CM met with the client to update Assessment and to complete Other ILP Review. In the meeting client appears to be friendly and cooperative. She appears to have some cognitive impairment. Client reported WECARE/Wellness referred the client to see Dr. Larissa Lempert/Neurology. Next upcoming appointment is scheduled for 5/26/2016. During the meeting session, client was dressed appropriately for the weather and had good hygiene. She ambulates with a cane due to leg problem. Client affect was flat. Client denied suicidal or homicidal ideation.

During the assessment the patient reports heighten anxiety level for the past few days when her daughter leaves the home. The patient

At the time of the assessment the patient reports she denies homicidal ideations and symptoms of psychosis.Patient has a history of command auditory hallucinations but denies any current and states, "Everyone in my family

Myself and my partner were called to a 46-year-old woman with deteriorating mental health issues, experiencing paranoid psychosis, increased violent outbursts, she was non-compliant with instructions, had a loss of appetite and had increased her alcohol consumption. The patient was located at her residence in Sippy Downs, Queensland. The residence was disordered with empty alcohol bottles, newspapers, and general mess throughout. The patient had covered all electrical devices with linen, the power points were covered with aluminium foil to prevent external sources from stealing her work and preventing her from breaking “The Code”. The patient meets us at the door and was very cautious about letting us in. My Partner and I were ushered to a small table with what appeared to be an alcoholic beverage, a notebook with compulsive repetitive behaviours written in it, “Some big mistakes”. The patient appearance was dishevelled and tired, the patient was wearing multiple glasses, an electrical device around her neck (protecting her from the external electrical intrusions) and a baseball cap. The patient was

           The patient M. is a 26 year old married female who was brought to the ER by her husband after increased anxiety and depression worsened after a “spiritual attack” that lasted for over four days.  While in the ER the patient admitted to hearing multiple distant male and female voices all around her head and outside of her head.  She states not being able to make out the message but interprets them to be negative in nature. She told the ER Doc she felt people were trying to harm her and that “people in her life have used things against her.”  She felt her extended family may have used witchcraft and “chakra dolls” to cast spells on her.  She is cognizant of the strangeness of her claims but believes them to be real