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DeanLarkMaster357
1. Based on the information provided, what diagnosis/diagnoses…
1. Based on the information provided, what diagnosis/diagnoses would you give the patient?
2. Identify the symptoms within the case that support your diagnosis/diagnoses. This should be specific to the case study; do not just list symptoms for the diagnosis from your text. Be sure to also include the duration, intensity, and/or frequency of the symptoms as appropriate.
3. Based on your assessment, describe the treatment you would implement with the patient. Please use your text and any other outside information you might need to answer this question.
John, who is currently 37, was diagnosed with a disorder when he was 23 years old. At the time of diagnosis, he had dropped out of college due to the severity of his disorder, and returned home to live with his parents. He subsequently was stabilized on antipsychotic medication, was placed under case management, moved to a group home, and worked in a sheltered workshop. He lived in the group home successfully for 11 years. Last year, he stopped taking his medication, believing he no longer needed it. The nurse at the group home arranged for John to start receiving monthly injections for 4 months, but then reufsed to take any more. He was told that he must take his medication in order to remain in the group home. He packed his clothes and boarded a bus to his parents’ home where he has been living since.
Due to his lack of medication, he has become progressively more withdrawn and suspicious. His mother reports that he talks to himself all the time. He doesn’t bathe or have his hair cut and he wears dirty clothes, despite efforts by his parents to provide assistance with his self-care. He takes food to his room and eats alone.
Last night, his father went to John’s room and told him he needed to resume medication or that he was no longer welcome to stay in their home. John became angry and attacked his father with a baseball bat. Fortunately, his father was able to get away after only being struck once. John’s mother called the police who handcuffed John and took him to the emergency department where he was later admitted to the psychiatric unit. He continued to talk to himself and tilt his head sideways, appearing to listen to something/someone. He was very distracted and spoke with loose associations. His verbalizations reflected paranoid delusions.
